Therapists routinely screen patients for therapy needs, such as after a fall, or possibly once a year for the annual MDS to determine functional state, or when the pay source changes, etc. It's not official, and if it's decided not to intervene (which can be complex for many reasons, not to mention costly for the SNF depending on pap sources), then the nursing can decide whther or not to put someone in restorative. It's actually a rather strange thing to explain, because, after all- every patient is allegedly assessed at routine intervals, and if a decline was noticed, then maybe they should have already been placed in a restorative program, by nursing? For example, Mrs. S. has slowly begun to stop brushing her teeth- does she need rehabilitated? A restorative program? Or, do the staff simple need to prompt her to brush her own teeth, and provide easu access to her personal care items (a vasic care plan item for anyone) so that she doesn't stop brushing her own teeth?