Q: For tracking COTs, is it a continuous 7-day rolling period or does the 7-day observation start over on the day the resident actually changes to a different RUG? In other words, should a COT ARD be done on day 7 of the observation period if a resident changes RUG categories or on the actual day the COT occurs?
A: It is a rolling window until another assessment used for payment intervenes. When that occurs, the next COT assessment window opens (day 1 of COT) either the day after the ARD of the intervening assessment or the day of an EOT-R. The ARD of the COT is always day 7 of the COT assessment window.