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

In a preadmission screen, what counts as recent information?

For a variety of reasons, including the availability of evaluators, it may not always be possible to perform a complete psychiatric evaluation on an individual before they are admitted to a NF. In these cases, it is possible to rely instead on information in the individual's medical record and/or psychosocial history. There is no hard-and-fast rule about when information becomes "too old" to be usable. An evaluation done a year or more ago is more likely to be inaccurate than one done six months ago. Even if the evaluation is recent, there should be reason to believe that it is still accurate. There should be no information in the individual's record to suggest that their condition has changed markedly – for better or for worse – since the last evaluation was conducted. In person-centered terms, the evaluation should be sufficient to a) give an accurate Level II determination; and b) help to develop an effective plan of care.

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