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The department amended or repealed portions of this section to help facilitate care to align state nursing home rules with federal rules that were amended or suspended to facilitate care during the COVID-19 pandemic from April 13, 2020, through May 10, 2023, in response to the state of emergency. For requirements in place during that time, see WAC 388-97-19151. Prior to every admission of a new resident, the nursing facility must:
(1) Verify that a PASRR level I screening has been completed, and deny admission until that screening has been completed.
(2) Verify that a PASRR level II evaluation has been completed when the individual's PASRR level I screening indicates that the individual may have serious mental illness, intellectual disability, related condition, or any of these and deny admission until that evaluation has been completed, unless all three of the following criteria apply and are documented in the PASRR level I screening:
(a) The individual is admitted directly from a hospital after receiving acute inpatient care;
(b) The individual requires nursing facility services for the condition for which they received care in the hospital; and
(c) The individual's attending physician has certified that the individual is likely to require fewer than 30 days of nursing facility services.
(3) Decline to admit any individual whose PASRR level II evaluation determines that they do not require nursing facility services or that a nursing facility placement is otherwise inappropriate.
(4) Coordinate with PASRR evaluators to the maximum extent practicable in order to avoid duplicative assessments and effort, and to ensure continuity of care for nursing facility residents with a serious mental illness, an intellectual disability, related condition, or any of these.