For Margaret Holsworth at KaraDayDemo Houston SNF: Compare Margaret Holsworth's NTA score to the facility median.

I don't see "Margaret Holsworth" exactly in the list. There are three close matches: Margaret Holcomb, Margaret Hollingsworth, and Margaret Holloway. Let me clarify — but first let me check if there might be more residents named Holsworth I missed. The list returned 20 with no Holsworth. Let me proceed by flagging the ambiguity to the operator.

I couldn't find a resident named Margaret Holsworth at KaraDayDemo Houston SNF. However, there are three residents with very similar names — could you confirm which one you meant?

| Candidate | ID | Payer | HIPPS | NTA letter (pos 4) | |---|---|---|---|---| | Margaret Holcomb | 98be1e3b… | Medicaid | JKNE0 | N | | Margaret Hollingsworth | 6a56e92d… | Medicaid | JKVE0 | V | | Margaret Holloway | 843d9cb9… | LTC insurance | JKFE0 | F |

For reference, the facility median/average NTA letter is "D" (per facility_summary across all 50 residents). On the PDPM NTA scale (A = highest NTA points/comorbidity burden, F = lowest), the letters work like this:

• A = 12+ NTA points
• B = 9–11
• C = 6–8
• D = 3–5 ← facility average
• E = 1–2
• F = 0

So all three Margarets sit above the facility average on NTA acuity:

• Holloway (F) — at the floor, below average comorbidity burden
• Holcomb (N)… wait, "N" isn't a valid NTA letter — let me re-read the HIPPS. JKNE0 → PT/OT=J, SLP=K, Nursing=N, NTA=E, AI=0. So Holcomb's NTA = E (1–2 points), just below the "D" average.
• Hollingsworth → JKVE0 → NTA=E as well (1–2 points), below average.
• Holloway → JKFE0 → NTA=E, below average.

Correcting myself: all three Margarets have NTA = E, which is one tier below the facility average of D — meaning lower captured comorbidity burden than the facility median. Notably, the risk summaries for each describe Stage 2 pressure injuries and/or restorative nursing services in the notes that aren't captured on the MDS — which is exactly the kind of documentation that could lift their NTA letter from E up to D or higher.

Next step: Tell me which Margaret you meant (Holcomb, Hollingsworth, or Holloway) and I'll run analyze_hipps_optimization to pinpoint the specific NTA comorbidities documented but uncoded.

Try next

Run HIPPS optimization for Margaret Hollingsworth Show me all residents with NTA letter E or F who have wound documentation List the highest NTA-acuity residents (letters A–C) in the facility