My understanding of the EOT/SOT/COT was that a COT was warranted if the Resident missed 3 consecutive
days of therapy but I'm seeing that if the Resident is on only 1 Rehab discipline it would change the RUG if he gets 4 days of therapy out of the 7 day look-back. Mr. X is getting skilled nursing for IV antibiotics and wound care plus Physical Therapy only for ambulation safety with a cane. He receives PT on Monday, Tuesday, Thursday and Friday, and no PT over the weekend. During that 7 day look-back (from Sunday to Sunday because of the way the ARD fell), it shows he had 4 days out of the 7 days of therapy even though there was no 3 consecutive day gap which caused his RUG to go from RMA to CA1. Doesn't that mean a COT eval still needs to be done?