Depression in older adults who live in long term care facilities has been found to be as high as 50% (Ellen, 2001; Tueth, 1994).  It is the most common mood disorder of late life (Butler & Lewis, 1995).  It commonly goes diagnosed and the result is people are left untreated (Devanand et al., 1994; Teresi et al., 2001). Diagnosing depression in older adults can be difficult because often times the exhibit non-specific somatic complaints rather than DSM-IV classified symptoms of depressed mood (Gallo & Rabins, 1999; Waintraub, 1998).  Minor depression often leads to becoming a chronic illness and not part of the normal aging process (Lammer & Ham, 1997).  Depression is associated with side effects of medications and medical conditions like cerebral vascular accidents, Parkinson's disease or heart diseases.