Nurses were trained to use the depression sections of the OASIS in a clinically meaningful way, as opposed to adding a standardized depression screen to the OASIS. Input from nurses and administrators overwhelmingly emphasized concerns about increasing actual or perceived burden of their assessment requirement. For these reasons, measures such as the Geriatric Depression Scale or even the PHQ-2, which also assesses the two gateway symptoms of depressed mood and anhedonia, were not introduced, because the scoring systems were inconsistent with the OASIS yes versus no scoring.