
Considering Long-Term Care for Your Loved One?
Choosing long-term care for a loved one can be one of the most difficult decisions a family faces. It’s normal to feel overwhelmed by questions about care options, facilities, costs, Medicaid, and the placement process.
You don’t have to navigate it alone.
Our experienced nurses understand the challenges families face and can provide guidance, information, and resources to help you better understand your options and make an informed decision.
Questions We Can Help With
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What care options are available in my community?
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What is the difference between short-term rehabilitation, respite, palliative care/hospice, long-term care, and memory care?
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What type of facility best meets my loved one’s needs?
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What are the accommodations and services like?
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What are the costs?
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Will insurance, Medicare, or Medicaid help cover them?
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How do I begin the placement process?
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When should I apply for Medicaid?
NYS PRI & SCREEN/PASRR Assessments
Our nurses provide in-person PRI & SCREEN assessments in all 62 counties of New York State, including all five boroughs of New York City.
Assessments can be completed in:
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Private residences
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Group homes
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Assisted living facilities
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Skilled nursing facilities
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Other community-based settings
Physician prescription is NOT required.
We are partnered with several Medicaid Managed Long-Term Care (MLTC) plans that may cover the cost of a PRI & SCREEN. Prior approval and authorization are required.
Out-of-state requests may be accommodated. In-person assessments are available in Connecticut, New Jersey, and Pennsylvania. Assessments in all remaining U.S. states/territories are completed via Telehealth/virtual appointment.
We’re here to help.
Have questions or aren’t sure where to start?
Our nurses are available 24/7/365 to answer questions, explain the process, and provide helpful resources.
Contact Ultimate Solutions Healthcare today!
In-person assessments are available regardless of COVID-19 vaccination status. Masking and social distancing are recommended but not required.
Telehealth/virtual appointments are considered on a case-by-case basis and completed via FaceTime, WhatsApp, or Zoom video conference.
NYS PRI & SCREEN/PASRR, commonly referred to as a Hospital and Community Patient Review Instrument (HC-PRI)
What is it and what is it used for?
DOH - 694
DOH - 695
The Patient Review Instrument (PRI) is an assessment tool developed by New York State Department of Health (NYSDOH) to assess the physical, medical, and cognitive characteristics of an individual seeking skilled nursing facility/nursing home admission. It also includes information regarding specialized services they may receive, such as physical therapy and/or occupational therapy.
The SCREEN/PASRR is an assessment tool developed by NYSDOH to determine an individual's potential to be appropriately cared for in a setting other than a Residential Health Care Facility (RHCF). It also includes information regarding dementia, Alzheimer's disease, mental illness (MI), developmental disability (DD), intellectual disability (ID) or a related condition (RC).

Need a PRI completed?
Our process is simple:
📞 Contact Us →
📝 Gather Information →
📅 Schedule Appointment →
👩⚕️ Complete Assessments →
📄 Forward to Facility
1. Contact Us
Call, email, or submit a message through our website.
Need immediate assistance?
Call or text 845-239-5509.
2. Connect With Our Team
A member of our team will respond within 24 hours, answer your questions, and gather the information needed to get started.
3. Schedule Your Appointment
We’ll gather additional information about you and/or the client being assessed, assign an experienced nurse, and schedule the appointment.
4. Complete the PRI & SCREEN
Our nurse will complete the required assessments and documentation.
5. Forward Your Documents
We’ll provide you with a copy of the completed PRI & SCREEN and forward the documents to the facility of your choice.
PRI & SCREEN assessments are REQUIRED for all skilled nursing facility/nursing home admissions in New York State and New York City.

Who We Work With
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Adult clients
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Estate planners/elder attorneys
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Primary care physicians
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Hospitals
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Group Homes
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Assisted Living Facilities
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Skilled Nursing Facilities
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Case managers, social workers, discharge planners
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Insurance plans
Proudly serving all 62 counties of New York State (NYS),
including all 5 boroughs of New York City (NYC)

Long Island and New York City
Long Island: Nassau County, Suffolk County.
New York City: Bronx County, Kings County, New York County, Queens County, Richmond County.

Catskills and Hudson Valley
Catskills: Delaware County, Greene County, Sullivan County.
Hudson Valley: Columbia County, Dutchess County, Orange County, Putnam County, Rockland County, Ulster County, Westchester County.

Adirondacks, Capital-Saratoga, Central New York, Finger Lakes, and Thousand Islands Seaway
Adirondacks: Clinton County, Essex County, Franklin County, Hamilton County,
Lewis County, Warren County.
Capital-Saratoga: Albany County, Fulton County, Rensselaer County, Saratoga County, Schenectady County, Washington County.
Central New York: Broome County, Chenango County, Herkimer County, Madison County, Montgomery County, Oneida County, Otsego County, Schoharie County.
Finger Lakes: Cayuga County, Chemung County, Cortland County, Livingston County, Monroe County, Onondaga County, Ontario County, Schuyler County, Seneca County, Steuben County, Tioga County, Tompkins County, Wayne County, Yates County.
Thousand Islands Seaway: Jefferson County, Oswego County, St. Lawrence County.

Chautauqua-Allegany and Greater Niagara
Chautauqua-Allegany: Allegany County, Cattaraugus County, Chautauqua County.
Greater Niagara: Erie County, Genessee County, Niagara County, Orleans County, Wyoming County.

Out-of-State Requests
We are happy to accommodate out-of-state requests.
PRI & SCREEN assessments are required in New York State and New York City ONLY.
PRI & SCREEN assessments are NOT required in any other U.S. state/territory.
Contact Us Today!
By phone, email, or submit a message through our website
Please mail any and all correspondence to:
30 Highland Avenue, Florida, NY 10921 or 85 North Street, Pulaski, NY 13142
Debbie, daughter of a client,
Troy (Rensselaer County)
"Dorothy, I'm so sorry for how my mom was acting during your visit. Her dementia has gotten really bad. You were so patient, so kind, and so understanding with her. Thank you for making a difficult situation a little easier."
Jake, son of a client,
White Plains (Westchester County)
"Monika, Thank you so much for all your help and guidance. We had no idea how we were going to get my dad from Tennessee to New York, but you made it happen. We are incredibly grateful for everything you did for our family!"
Maritza, daughter of a client, Staten Island (Richmond County)
"Megan, I was spinning in circles trying to figure out how to get this PRI done. I truly don’t know what I would have done without you. Thank you."
Additional Services & Areas of Expertise

Care for adults, companionship, escort to appointments, hospice, medication assistance

CPR & first aid for healthcare professionals

Education, in-services, training programs

Healthcare consulting, auditing

Policy development per NYSDOH guidelines, rules, regulations
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PDN for Medically Fragile Children & Adults
More Than a Job...
It's a Calling
Join Our Team
We're Hiring Registered Nurses
Make a difference. Compassionate care starts with you.
At Ultimate Solutions Healthcare, we're always looking for compassionate, dedicated nurses to join our team.
If you're passionate about patient care, we'd love to hear from you!

QUALIFICATIONS
✓ Current Registered Nurse (RN) License
✓ Valid PRI Identification Number
✓ Valid SCREEN/PASRR Identification Number
✓ NPI (if applicable)

WHAT ARE THE PERKS?
Competitive Pay
We offer fair and competitive compensation.
Flexible Scheduling
Choose the schedule that works for you.
Supportive Team
Work with a team that values and supports you.
Meaningful Work
Make a real difference in the lives of others.

APPLICATION DETAILS