March 22, 2024

PASRR (Pre-Admission Screening and Resident Functioning) Top 5 Reasons

Kris B. Harmony, OTR/L, LNHA, MBA

Kris B. Harmony, OTR/L, LNHA, MBA

PASRR (Pre-Admission Screening and Resident Review): The Importance of Completing for Skilled Nursing Facilities

PASRR, which stands for Pre-Admission Screening and Resident Review, is a crucial process for Skilled Nursing Facilities (SNFs) aimed at ensuring that individuals with mental illness, intellectual disabilities, or related conditions receive appropriate care and services. 

Top 6 Key Reasons to Complete PASRR:

1. Legal Requirement:

PASRR is a federally mandated program under the Medicaid program, requiring SNFs to conduct comprehensive screenings for mental illness, intellectual disabilities, and related conditions during the admission process.

Compliance with PASRR regulations is essential for SNFs to maintain eligibility for Medicaid reimbursement and avoid potential penalties or sanctions.

2. Identification of Specialized Needs:

PASRR assessments help SNFs identify residents with specialized care needs, including those with mental health disorders, developmental disabilities, or cognitive impairments.

By identifying residents with specific care needs early in the admission process, SNFs can develop individualized care plans tailored to address their unique needs and ensure appropriate services are provided.

3. Access to Specialized Services:

PASRR determinations help facilitate access to specialized services and resources for residents with mental illness, intellectual disabilities, or related conditions.

Based on PASRR assessments, residents may be eligible for additional support services, such as psychiatric care, behavioral health interventions, or developmental disability services, to enhance their quality of life and functional outcomes.

4. Risk Mitigation:

PASRR assessments help SNFs identify residents who may be at risk of adverse outcomes or require specialized interventions to prevent behavioral crises, hospitalizations, or other negative events.

By proactively addressing the needs of residents identified through PASRR screenings, SNFs can mitigate risks and promote a safe and supportive environment for all residents.

5. Quality Improvement and Compliance:

Completing PASRR assessments demonstrates SNFs' commitment to compliance with federal regulations and adherence to best practices in resident care.

PASRR screenings serve as an integral component of SNFs' quality assurance and improvement efforts, helping identify areas for enhancement in care delivery and service provision.


In conclusion, completing PASRR assessments is essential for Skilled Nursing Facilities to fulfill their legal obligations, identify residents with specialized care needs, access specialized services, mitigate risks, and demonstrate compliance with regulatory requirements. By prioritizing PASRR screenings as part of the admission process, SNFs can enhance the quality of care and services provided to residents and promote positive resident outcomes
Kris B. Harmony OTR/L, LNHA, MBA
President and CEO
KrisBHarmony, LLC
Cell: 617.595.6032


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