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File u f22191 pasarr blank pdf 2025

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The document outlines the Preadmission Screen and Resident Review (PASARR) Level I Screen requirements for nursing facility admissions in Wisconsin. It mandates that individuals suspected of having serious mental illnesses or developmental disabilities must be evaluated before admission. The form includes sections for screening, exemptions for short-term admissions, and instructions for further evaluation if necessary. Compliance with federal regulations is emphasized to avoid violations that could lead to termination actions against facilities.

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