Back again! Apparently, my brain is having a hard time getting back into MDS gear after 3 years in Labor and Delivery! So heres the situation. I had a resident that was working with PT and OT, they d/ced, resident had a nursing skilled need so we did an OMRA. After a few weeks ST decides to pick her up for a while. IDT team talked it over, and since resident wasn't in a assessment period we did another OMRA to pick up the new RUG. Today our regional MDS guru came in and she had me inactivate the assessment. So now half the IDT is saying OK, whatever, the other half is saying we should have kept the OMRA in place. In the manual it only mentions doing an OMRA when therapy is d/ced, but it is an Other Medicare Required Assessment, so whats the deal? What do you guys do?