The PASRR Technical Assistance Center helps states fulfill the goals of Preadmission Screening and Resident Review

What is the relationship between the PASRR regulations and the recently updated regulations that govern the conditions of participation for long-term care facilities?

  • The Final Rule was published in November 2016 (80 FR 42168).
  • Under this rule, nursing facilities (NFs) must notify the state mental health authority (SMHA) or state intellectual disability authority (SIDA) promptly after a resident experiences a significant change in status of any kind [CFR 483.20(k)(4)].
  • Resident care plans must include Specialized Services or Specialized Rehabilitative Services that the NF will provide as a result of the Level II recommendations made by PASRR. If the NF disagrees, it must indicate its rationale for disagreeing in the resident’s medical record [CFR 483.21(a)].
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