SNF Pre-Admission Screening (PASRR) Services
We run PASRR Level I and Level II screens for every SNF admit under 42 CFR 483.20(k). Our coordinators document mental illness, intellectual disability, and related conditions findings before bed assignment, then coordinate the Level II evaluation with your state PASRR authority. F-Tag 624 protection from day one. Logged inside PointClickCare, MatrixCare, Net Health, and American HealthTech. 800+ providers trust us. Pilot in 2 weeks.
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0:48The intake pain points we eliminate
Three pressures pile up when PASRR is run by overworked admissions staff. Late Level I screens delay admits. Missed Level II triggers create survey risk. State PASRR authority follow-ups sit unowned. The result is slow beds and weak F-Tag 624 documentation.
Late Level I screens delay admits
When the Level I PASRR form is not completed before bed assignment, the discharge planner waits and the referral often moves to the next building. Each lost admit is one week of revenue gone.
Missed Level II triggers create F-Tag 624 risk
A positive Level I that does not advance to Level II evaluation is a survey finding waiting to happen. F-Tag 624 cites failure to ensure preadmission screening for residents with mental illness or intellectual disability.
State PASRR authority follow-ups sit unowned
Every state runs PASRR differently. Texas DADS, Florida AHCA, New York DOH, and New Jersey DHS each have their own portals, timelines, and document formats. Generic admissions staff do not know which form goes where.
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What is a SNF pre-admission screening (PASRR) service ?
A SNF pre-admission screening (PASRR) service is a remote intake function that runs the federally required Preadmission Screening and Resident Review process under 42 CFR 483.20(k) for every nursing-facility admit. The coordinator documents the Level I screen for mental illness, intellectual disability, and related conditions, escalates positive results to the Level II evaluation with the state PASRR authority, and attaches findings to the admission packet inside PointClickCare or MatrixCare.
What your PASRR coordinator actually handles, day to day
Pick the PASRR work that hurts most. Your coordinator absorbs it. Your on-site admissions director focuses on bed decisions, family meetings, and referral relationships.
Level I screening on every admit
Completes the PASRR Level I form for every SNF admit before bed assignment. Documents mental illness, intellectual disability, and related conditions findings inside PointClickCare or MatrixCare.
Level II trigger identification
Reviews Level I results against 42 CFR 483.20(k) Level II triggers. Confirmed positive findings advance to Level II evaluation. Documented exemptions are logged with supporting evidence.
State PASRR authority coordination
Submits Level II evaluation requests to the state PASRR authority. Tracks turnaround. Calls the state contact when timelines slip. Files the returned determination in the admission packet.
Exempt and categorical admit documentation
Documents exempt hospital discharges, categorical determinations, and 30-day provisional admits per 42 CFR 483.20(k)(1). Every exempt admit has a written rationale attached to the chart.
Resident review on significant change
Triggers PASRR resident review when there is a significant change in condition, per Section Q of MDS 3.0. Coordinates the review with the state authority and updates the resident's care plan.
F-Tag 624 document retention
Maintains the PASRR document file for the full survey lookback window. Level I, Level II, and resident review records are stored in the chart and survey-ready at any point.
Inter-facility transfer handling
When a resident transfers between SNFs, the PASRR file follows. Coordinator verifies the existing Level I or Level II determination is on file at the receiving facility before admit.
PASRR KPI reporting
Weekly KPI report covering Level I completion rate before bed assignment, Level II turnaround days, exempt admit percentage, and any open state authority queries.
Intake-trained coordinators, not generic VAs
Most outsourced admissions vendors do not understand PASRR. Generic VAs treat Level I as a checkbox form. Onshore BPOs send escalations to a manager who has never seen a Level II determination letter. Our PASRR coordinators are trained on the federal rule, the state authority workflows, and the F-Tag 624 documentation standard before they touch a live admit.
PASRR-trained, not generic
Every coordinator passes an assessment on 42 CFR 483.20(k), Level I trigger conditions, Level II evaluation criteria, exempt and categorical admit rules, and the resident review trigger under Section Q of MDS 3.0 before placement.
State authority playbook for 50 states
We maintain a working contact list for every state PASRR authority. Texas DADS, Florida AHCA, New York DOH, New Jersey DHS, and the rest. Submission portals, escalation contacts, and average turnaround tracked per state.
F-Tag 624 survey-ready file
Every Level I, Level II, exempt admit rationale, and resident review record is filed in the chart and survey-ready. Your DON does not have to chase paperwork the night before a state survey.
Staffingly vs DIY in-house vs generic VA vs onshore BPO
The real cost math for a single full-time intake coordinator role at a mid-size SNF, ALF, or home care operator.
From "let's talk" to live in 1 to 2 weeks
Six steps. Each one is documented. Nothing is mysterious.
Discovery call (15 min)
Tell us where PASRR breaks. Late Level I screens? Missed Level II triggers? Slow state turnaround? We map it on a shared call. No prep needed from you.
BAA + platform access
Business associate agreement signed. Role-based access provisioned in PointClickCare, MatrixCare, Net Health, or American HealthTech. State PASRR portal credentials configured.
Workflow shadow (2 to 3 days)
Your PASRR coordinator shadows your on-site admissions team. Level I form templates captured. State authority contacts logged. Escalation rules locked.
Parallel pilot starts
Week 2 to 3. Your PASRR coordinator runs alongside your team. Daily 15-minute sync. You see every Level I form completed and every Level II request submitted.
Decision point (end of week 2)
Pilot results reviewed. Go or no-go. No penalty if you cancel. Most operators keep going.
Full handoff, cadence locked
Level I completion rate, Level II turnaround days, and F-Tag 624 documentation KPIs in your inbox weekly. Monthly QA audit of the PASRR file.
How your intake coordinator's day actually looks
A real shift, hour by hour. Times shown in your local time. We rotate coverage so your admissions phone is never dark during business hours.
How Staffingly works, in practice
Inside the workA trained Staffingly specialist works inside your existing platform, with clear escalation back to your team.
One Flat Weekly Rate. No Surprises.
Dedicated senior care schedulers at a fixed weekly cost. Per scheduler FTE, per week. No contracts, no minimums, no hidden fees.
Want to compare against an in-house hire? Use the savings calculator.
Frequently asked questions
What is the difference between PASRR Level I and Level II?
PASRR Level I is the initial screen for mental illness, intellectual disability, and related conditions under 42 CFR 483.20(k). It is completed before SNF bed assignment for every admit. PASRR Level II is the in-depth evaluation triggered when Level I is positive. Level II is performed by the state PASRR authority and determines whether the SNF is the appropriate placement and what specialized services are needed.
What triggers a PASRR Level II evaluation?
Level II is triggered when the Level I screen documents a serious mental illness, intellectual disability, or a related condition such as autism, cerebral palsy, epilepsy, or traumatic brain injury. State variation exists, so we follow the state-specific Level I criteria. Exempt hospital discharges, categorical determinations, and 30-day provisional admits per 42 CFR 483.20(k)(1) may proceed without a full Level II, but the rationale is documented.
How is state-level PASRR variation handled?
Every state runs PASRR through its own authority. Texas uses DADS, Florida uses AHCA, New York uses DOH, New Jersey uses DHS, and so on. We maintain a state-by-state playbook with the submission portal, the standard turnaround, the escalation contact, and the document format. The PASRR coordinator follows the building-specific playbook for each admit.
How do exempt and categorical admits work?
Under 42 CFR 483.20(k)(1), certain admits can proceed without full Level II. Exempt hospital discharges, categorical determinations such as terminal illness or severe medical conditions, and 30-day provisional admits each have written criteria. Our coordinator documents the exemption rationale, attaches supporting evidence, and files the record in the chart so a surveyor can see why Level II was not run.
How long must PASRR documents be retained?
PASRR Level I and Level II records must be retained for the full survey lookback window. Standard practice is the life of the resident's stay plus the state retention requirement, which is typically 5 to 7 years after discharge or death. We store the records in the chart and confirm retention with your administrator during onboarding.
What is F-Tag 624 and how does PASRR protect against it?
F-Tag 624 cites failure to ensure preadmission screening and resident review of individuals with mental disorders and intellectual disabilities under 42 CFR 483.20(k). The protective evidence is a complete, dated Level I for every admit, a documented Level II for every positive Level I, and a documented exemption rationale where applicable. Our coordinators produce this file on every admit.
What does this PASRR service cost?
PASRR coordinator pricing is the standard intake coordinator rate: $399 per FTE per week at single-building volume, $349 at 3+ FTEs, and $299 at 10+ FTEs. No setup fees. Flat weekly billing. Same rate during the 2-Week Risk-Free Pilot.
How does the 2-Week Risk-Free Pilot work?
Two weeks of live PASRR screening at the same per-FTE weekly rate. Cancel before day 14 and you owe nothing. No annual contracts after. Most operators decide to keep going within the first 7 days because the Level I completion rate jumps and the Level II turnaround compresses.
President and CEO, Staffingly, Inc. 25+ years in IT consulting and healthcare BPO operations. One of the earliest US operators to set up an RPO/BPO delivery network in India. Leads AI-driven home care workflows that help agencies, home health providers, and multi-branch operators cut admin cost without compromising care.
