I know all about feeling guilty when changing ARD dates. But I always keep in mind, Higher case mix score is job security. Every MDS nurse working in a case mix state has been it your position. It just has to be done, no matter who gripes or complains. Remind everybody it's more work for you too! And, I'm a bit onery, so I just sling crap right back at them. :argue: They get the picture and hush up pretty quick!