Pre-Admission Screening and Resident Review (PASRR)

Pre-Admission Screening and Resident Review (PASRR) is a federally required process (Omnibus Budget Reconciliation Act of 1987) that prevents individuals with mental illness, intellectual disability, or a related condition from being admitted to nursing facilities until a full assessment is made and the least restrictive, most appropriate person-centered services are recommended to meet the individual's medical and disability-related needs.

Individuals age 18 and over who enter nursing facilities for either short term rehabilitation or for long-term care may qualify for Specialized Day Services (known as specialized services in a nursing facility) necessary to meet their unique needs related to their developmental disability.  Specialized services improve the quality of life for people in nursing facilities by providing support to address social, emotional, communication and recreational needs.  The services are authorized on an individual basis by the Developmental Disabilities Services Division (DDSD), and are provided by the Designated Agencies/Specialized Services Agencies.


PASRR Level 1 Form - Form to be completed prior to nursing home admission.

DDSD PASRR Manual - Vermont PASRR process to fulfill the federal requirements.

Overview of PASRR

Overview of PASRR Specialized Services

PASRR Technical Assistance Center (PTAC, part of the Centers for Medicare and Medicaid Services - CMS) - Assistance for states to fulfill the goals of Pre-Admission Screening and Resident Review.  The site includes laws/rules, reports, webinars, links, tools, and other resource information.