Depression is common in late life, affecting nearly 5 million of the 31 million Americans aged 65 and older with clinically significant depressive symptoms reaching 13% in older adults aged 80 and older (Blazer, 2009). Major depression is reported in 5-16% of community dwelling older adults, up to 54% in the first year living in a nursing home, and 10-12% of hospitalized older adults.   While there are many instruments available to measure depression, the Geriatric Depression Scale (GDS), has been tested and used extensively with the older population.