How does SeniorCRE run pre-admission clinical review so the community accepts the right residents?
Design target · Internal estimate
Fewer inappropriate admissions
Modeled estimate from SeniorCRE engineering. Not a result: no approved Evidence Record supports it, and business outcomes remain contributory. See Industry Findings for methodology.
Incumbents this workflow touches
Performs in-platform: PDF clinical-summary emailed to the DON
Integrates with (Tier 3): PointClickCare · MatrixCare · Hospital DRG / case-management portals
SeniorCRE does not “replace” the EHR. Where PointClickCare, MatrixCare, Yardi, or OnShift are in place, the workflow runs on top of the existing record via integration.
The problem
Communities accept residents whose clinical needs exceed their capability and pay the price for months — falls, ER trips, family escalations. The clinical review at admission is often a checkbox by someone who never met the prospect.
How the platform runs it
Pre-admission clinical assessments capture diagnoses, current medications, ADL needs, behavior history, equipment requirements, and the hospital DRG / discharge summary when available. The DON reviews against community capability with a structured decision — accept, accept with conditions, decline. Decisions and clinical context flow into the care plan on day one.
On the shift
A hospital discharge planner sends a referral packet at 4 p.m. Friday. The clinical liaison opens it, runs the pre-admission review — diagnoses, medications, ADL scores, behavioral history, equipment needs — against the community’s capabilities and current staffing acuity. The system flags two medications that require a pharmacy review and one behavior history that needs a memory-care assessment. By Saturday morning the determination is made, the family is notified, and the move-in is scheduled for Monday with the right care plan, the right room, and the right staff ready.
What the outcome looks like
Inappropriate admissions decline. Move-in to first-incident interval extends. The DON spends less time managing residents who never should have been admitted.
What goes wrong without it
Without integrated pre-admission, the same referral becomes a fax to the DON, who reviews it Monday morning. By then the family has made other plans or the hospital has placed the resident elsewhere. The admissions that do happen sometimes exceed the community’s acuity capability — discovered three days in when the resident’s real care needs become visible, generating a 30-day discharge that did not have to happen.
Show me the evidence
Operators do not buy claims. They buy proof. If anything on this page reads as aspirational, ask us to walk you through the surface in production for a community at your acuity and payer mix.
Where this connects in the platform
Every admissions workflow runs on the same record. These are the feature pages, head-to-head comparisons, and pillar articles that go deeper on the surfaces this workflow touches.
Feature surfaces
Compared head-to-head
Admissions and CRM references
Admissions workflows on this page reflect the Pre-Admission Screening and Resident Review (PASRR) requirements, HIPAA marketing rules for referral sources, and CMS hospital discharge planning Conditions of Participation.
- Hospital Discharge Planning Conditions of Participation — Final Rule
CMS / Federal Register
Sets the discharge planning timelines and the patient-choice requirements that drive referral channel design.
- PASRR — Preadmission Screening and Resident Review
Medicaid.gov
Federal screen required before Medicaid-funded SNF admission; gates the workflow for serious mental illness and intellectual disability.
- HIPAA Marketing Rule (45 CFR 164.508(a)(3))
eCFR
Governs how referral relationships, sponsorships, and patient outreach can be structured without violating authorization rules.
- F-622 — Transfer and Discharge Requirements
CMS
The interpretive guidance for resident-initiated and facility-initiated discharges that bookend the admissions lifecycle.