Transcript Slide 1

Dave Caloiaro, MSW, LISW
Chief of Administrative Programs, Planning and Quality
Nevada Division of Public and Behavioral Health
Purpose : To ensure that nursing facility applicants and
residents with mental illness and or intellectual
disabilities are:
 Identified
 Admitted to or remain in a nursing facility
only if they can be appropriately serviced in
the nursing facility; and
 Provided with needed MI/ID services,
including specialized services
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PASRR Level II consists of a Comprehensive Evaluation and
two determinations: 1) Need for Specialized Services and 2)
Need for Nursing Facility Services.
PASRR Level II addresses persons with mental illness and
persons with intellectual disabilities.
Pre-Admission Screening (PAS): Identified in Level I with
suspected MI or ID
Resident Review (RR): Nursing Facility Resident with
suspected new MI/ID or changed status
Two types of PASRR Determinations:
 Categorical
 Individual
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Convalescent Care from an acute physical illness
Terminal Illness
Severe physical illness including but not limited to
coma, ventilator dependence, Parkinson’s Disease and
COPD, which result in a level of impairment so severe
the individual cannot be excepted to benefit from
specialized services
Delirium, until an accurate assessment can be made
Emergency situations requiring protective services
with placement in a nursing facility not to exceed seven
(7) days
For those not meeting a categorical PASRR
Determination, the Individual Evaluation must
confirm if the person:
 Is appropriate for nursing facility care and if
not, recommend other placement options
 Has a mental illness and/or intellectual
disability
 Requires Specialized Services
The State must provide or arrange
for the provision of specialized services,
to all NF residents with MI or ID
whose needs are such that continuous
supervision, treatment and training by
qualified mental health or intellectual disabilities
personnel is necessary.
Specialized Services must be:
 Addressed in the Resident’s Care Plan
 Supervised by an interdisciplinary team that
includes a physician and qualified mental health
and/or Intellectual disability professionals
 Provides specific therapies and/or treatment; and
 Directed and reducing the persons symptoms and
improvement level of functioning
The PASRR Evaluation and determination Report must
include (but not be limited to):
 Providing a summary of medical and social history
 Confirming if nursing facility services are appropriate
 Identifying what PASRR Specialized Services are
recommended
 If Specialized Services are not recommended, identifying
what services of a lesser intensity are required
Indiana –
Willard Mays
Rhode Island - Janet Spinelli
Nevada Dave Caloiaro