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GENERAL DISTRIBUTION WEST VIRGINIA DMSION OF CORRECTIONS & REHABil,IT ATIONNUMBER:427.00DATE:14 December 2020SUBJECT:NURSING HOME PREADMISSION SCREENING (PAS)POLICY DIRECTIVE PURPOSE: To identify
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01
Download or obtain the 42700 Nursing Home Pre-Admission Screening (PAS) form.
02
Read the instructions provided with the form carefully.
03
Fill out the applicant's personal information, including name, address, phone number, and date of birth.
04
Provide details about the individual's current health status and medical history.
05
Indicate any current medications and treatments the individual is undergoing.
06
Include information about the individual's support system and living arrangements.
07
Ensure that you have all necessary signatures and dates completed.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the appropriate authority as per the guidelines.

Who needs 42700-nursing-home-pre-admission-screening-pas?

01
Individuals who are considering admission to a nursing home facility.
02
Caregivers or family members of individuals who may require nursing home services.
03
Healthcare professionals conducting assessments for nursing home placement.
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42700-nursing-home-pre-admission-screening-pas is a standardized form used to assess an individual's eligibility for admission to a nursing home, ensuring that the applicant meets specific medical and functional criteria.
The individuals or entities responsible for filing the 42700-nursing-home-pre-admission-screening-pas typically include healthcare providers, social workers, or case managers who are assisting a prospective nursing home resident.
To fill out the 42700-nursing-home-pre-admission-screening-pas, gather required information about the individual, complete all sections of the form accurately, and provide supporting documentation as necessary to ensure comprehensive assessment.
The purpose of the 42700-nursing-home-pre-admission-screening-pas is to conduct a thorough evaluation to determine if the applicant qualifies for nursing home care based on their health, personal needs, and support systems.
The information required on the 42700-nursing-home-pre-admission-screening-pas includes personal details of the applicant, medical history, current health status, functional capabilities, and social factors influencing their care needs.
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