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Resident Assessment42 CFR §483.20(e)
F0645 — PASARR Screening for MD and ID
F0645 requires facilities to ensure residents are screened via PASARR (Preadmission Screening and Resident Review) for serious mental illness or intellectual disability, both prior to admission and upon significant change, to determine appropriate placement and services.
Common Deficiency Examples
- Admission occurring without a completed Level I or required Level II PASARR screening
- Resident status change warranting PASARR review not triggering one
- PASARR findings not incorporated into the resident's care plan
- Required specialized services identified by PASARR not being provided
What Your Plan of Correction Needs
F0645 PoCs should confirm both the screening process and follow-through on any resulting service requirements:
Gap identifiedmissing screening or unaddressed PASARR finding
Immediate actionscreening completed or services arranged
Systemic fixadmission checklist ensuring PASARR completion before/at admission
Monitoring planadmission audit confirming PASARR completion for all new admissions
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