This project highlights group occupational therapy, including the history and the use of group therapy. The use of group therapy is supported by evidence and is a cost-effective method of treatment in multiple client populations. Group therapy also improves participant self-efficacy and motivation. As a result of recent Medicare reimbursement changes, it is critical to inform the occupational therapy profession on the regulations, effectiveness, client benefits, and use of group therapy interventions in skilled nursing facilities. The project discusses the role of advocacy and documentation in guiding client-centered care. Finally, the paper supports best practices in occupational therapy, as described by the American Occupational Therapy Association with the Centennial Vision and Vision 2025.