Ryyum

If the patient is not getting any therapy, only skilled nursing, The earliest I would do a 5th day PPS assessment is on the 7th day just to capture 7 days of any nursing service...example, respiratory treatments. If the patient is on rehab they generally do it on the 7th or 8th day to capture at least 5 days of treatment if the orders for therapy are for 5x/week. The therapy manager didn't have to be semi nasty about it though! :)

Hi Michelle. In response to your question about understanding omras...when cms implemented the COT back in 2011 or so, it literally took me about a year to fully and completely understand it, reading it and rereading it... Fortunately at the time, our rehab staff was so awesome I didn't have to worry about them as they understood it from the get go and they did all the brain work with regards to setting the correct Ard's....and also to avoid having to do them by setting the cot in certain windows. It wasn't until I understood the thing that I was able to cross check them. EOT and SOTs were fairly simple though. Good luck to you and I hope you find a facility that has a better environment.