This is not a good morning.  I have just found out that one of my MDS nurses decided 
that an annual assessment that was completed in early February, signed and submitted, 
should have been a Significant Change.  She is right, should have been a Significant 
Change.  The real problem is ,however, that she got so upset that she missed the SCSA 
that she ripped up the RAPS that she(and others)  had completed for the annual.  Now, 
I have an annual submitted to the state that should have been a SCSA and no RAPs to go 
with it.  Any suggestions about how to save this one?

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