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Before a senior can be placed in a skilled nursing facility, it is mandated by law that a patient review instrument, or PRI, be performed by a registered nurse. Partners in Care, the private care affiliate of VNSNY, provides PRI assessments. PRI’s are valid for 30 days and are used to determine the level of care and the type of facility required. It includes medical condition, treatments and medications needed, special diets or therapies needed, physical and mental abilities and limitations, ability to perform acts of daily living such as eating moving and toileting, behaviors such as aggressiveness and disruptiveness.