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PASRR Compliance Dashboard

21 residents across all facilities

Admissions Compliance Trend

Compliant
Warning
Critical

Last 3 months

100% 75% 50% 25% 0%
Oct
Nov
Dec
+13%
Compliance Improvement
85%
Current Rate
-5%
Critical Issues

RR Submission Compliance Rate

% of Resident Reviews submitted on time

78% On Time
Submitted On Time
78% 156 of 200
Submitted Late (1-7 days)
15% 30 of 200
Submitted Late (>7 days)
7% 14 of 200
vs. Last Month
+4%

Trends & Insights

Significant Changes Over Time

Diagnosis Changes
Medication Changes

Diagnosis and Medication changes detected - Last 6 months

25 20 15 10 5
Jul Aug Sep Oct Nov Dec
168
Total (6 months)
96
Dx Changes
72
Med Changes
28
Avg per Month

Admission Forms by Type

7000 (Hospital Exemption)
PAS (Pre-Admission Screen)

7000 vs PAS forms used on admission - Last 6 months

50 40 30 20 10 0
Jul
Aug
Sep
Oct
Nov
Dec
321
Total Admissions
150
7000 Forms (47%)
171
PAS Forms (53%)
+5%
7000 Usage Trend

Level II Evaluations Status

MI/ID evaluation completion tracking - Last 6 months

88% Complete
Total Required
25 evaluations
Completed
22 of 25
Pending
3 awaiting
6-Month Total 30/35 completed

Response Time Analytics

Time to RR Submission

≤24h
24-48h
>48h

Average hours from significant change detection to RR submission

Marine Creek
22h
McCrae Manor
31h
Arlington Heights
18h
Mountain View
42h
Brookview Healthcare
28h
28h
Avg Response
18h
Fastest (Best)
42h
Slowest

SLA Compliance Rate

RR submissions meeting internal deadlines

77% Within 48h
Within 24 hours
45% (45)
24-48 hours
32% (32)
48-72 hours
15% (15)
Over 72 hours
8% (8)
vs. Last Month
+6%

Form Processing Timeline

Average days from admission to full compliance

Admission Start
1.2 days
HENS Retrieval Forms fetched
0.5 days
EHR Sync PCC updated
2.1 days
Compliance Complete
3.8 days
Total Average
32%
Retrieval Phase
13%
Sync Phase
55%
Compliance Phase

Facility Compliance Breakdown

Facility Total Residents Compliant Warning Critical Compliance Rate
Marine Creek Nursing Center 45 38 5 2
84%
McCrae Manor Nursing & Rehabilitation Center 50 40 6 4
80%
Arlington Heights Health and Rehabilitation Center 35 30 3 2
86%
Mountain View Healthcare 40 35 3 2
88%
Brookview Healthcare Care Center 30 27 1 2
90%