PASRR
What Is PASRR?
PASRR stands for Preadmission Screening and Resident Review.
It’s a federal and state process that ensures individuals with serious mental illness, intellectual disability, or a related condition are placed in the most appropriate care setting, not automatically in a nursing home.
The goal is to protect each person’s rights and make sure they get the right level of support in the least restrictive environment possible.
Level I Screening
An initial screening to identify whether a person might need a more detailed Level II evaluation under PASRR.
Level II Evaluation
An in-depth assessment of diagnosis, support needs, and appropriate placement for each individual.
Determinations & Notifications
We prepare and deliver official determinations and notifications so facilities stay compliant and individuals get timely decisions.
Reporting & Quality Assurance
Daily and monthly reporting that supports state compliance, transparency, and continuous quality improvement.
Who We Serve
We partner with:
• Hospitals and health systems
• Nursing facilities (Medicaid-certified)
• Managed care and Medicaid agencies
• Care coordinators and discharge planners
Our PASRR team serves King County and neighboring regions.
If you operate outside this area, reach out — we may still be able to help.
Why Choose Us
• Objective, accurate assessments that safeguard rights under the ADA
• Efficient coordination that reduces delays and improves transitions of care
• Clear communication with hospitals, nursing facilities, and families
• Reporting that supports compliance and continuous quality improvement
• A person-centered approach that treats every referral with dignity and care
Need Help with PASRR Screenings or Level II Evaluations?
Our licensed evaluators are ready to help hospitals and nursing facilities ensure every individual receives the right placement and support.