What is the required assessment for admission to a nursing home for a patient with a diagnosis of mental retardation or mental illness to assure appropriate placement?

• A. State licensure review
• B. Federal Pre-Admission Screening and Resident Review
• C. Insurance eligibility verification
• D. Physical examination by primary physician

Answer: (B)

The required assessment is the federal Pre-Admission Screening and Resident Review (PASRR) process. This approach ensures that someone with a diagnosis of mental retardation or mental illness is placed in the most appropriate setting when entering a nursing facility. It starts with a Level I screening by the state to identify individuals who may have MR or MI. If flagged, a Level II review follows, involving a thorough clinical assessment by qualified professionals to confirm the presence of MR or MI and determine the most suitable placement and services. The goal is to prevent unnecessary nursing home placement and to direct the person toward community-based or specialized care when appropriate. This PASRR process is distinct from facility licensure reviews, insurance eligibility checks, or a standard physician’s physical exam.