What document must be completed when placing someone in a nursing home?

The correct answer is the requirement to complete the PRI (Patient Review Instrument) and the DOH 695 form, which are essential for the nursing home placement process. These documents are used to assess a person's eligibility for admission to a nursing facility, providing critical information about their medical condition and care needs.

The PRI collects comprehensive data about the individual's health status and functional abilities, allowing healthcare providers to determine the appropriate level of care needed. Meanwhile, the DOH 695 form is utilized to document the medical information required for the admission process. Both forms must be completed by a nursing professional to ensure that the evaluation of the individual's needs is accurate, thus facilitating a smooth transition into the nursing home.

In contrast, other options do not pertain directly to the requirements for nursing home placement. For instance, a Social Security application primarily focuses on financial assistance and is not specific to healthcare provider assessment for long-term care. An eviction notice relates to housing conditions and tenant rights, and would not be relevant in the context of nursing home admissions. Similarly, an ACS assistance application addresses different support services and does not directly influence the nursing home placement procedure. Each of these documents serves distinct purposes that do not substitute for the PRI and DOH 695 in the context of