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Based on clinical record and policy review and staff interview it was determined that the facility failed to perform Pre-Admission Screening and Resident Review for six (#1, #3, #4, #5, #6, #9) of six patients transferred to a Skilled Nursing Facility. This practice does not ensure patients are appropriately screened for placement.

Findings include:

42 CFR 483.100 requires that the facility transferring a patient to a Skilled Nursing Facility (SNF) ensures that a Pre-Admission Screening and Resident Review (PASRR) be completed prior to the patient's being transferred to the SNF to ensure appropriate placement.


1. Review of the clinical records for patients #1, #3, #4, #5, #6, and #9 revealed they were transferred to a SNF for continuing care. The records had no evidence the PASRR was completed prior to the transfer.

2. A interview was conducted on 4/20/11 at 12:42 p.m. with the second floor Case Manager. When questioned if she completes the PASRR for patients that are being transferred to a SNF, she stated that she did not.

Interview on 4/20/11 at 11:40 a.m. with the Director of Case Management revealed the facility had no policy on completing the PASRR. She stated it was done by the receiving SNF.