Kareplexityv0.1 demoOpen workspace
← Back to audit log

Agent invocation · 5/18/2026, 7:55:40 PM

For Margaret Holsworth at KaraDayDemo Houston SNF: Which other residents in this facility have a similar HIPPS profile to Margaret Holsworth?

Latency

35.5s

Tools

3

Tokens

42,016

Model

claude-opus-4-7

Final response

Residents with a HIPPS profile similar to Margaret Holsworth

Margaret Holsworth's current HIPPS: FAYF0 (PT/OT=F · SLP=A · Nursing=Y · NTA=F · AI=0)

  • Post-acute orthopedic stay: right femoral neck fracture (S72.001A) s/p right THA
  • Restorative nursing active; PHQ-9 missing; Stage 2 left heel pressure injury not yet coded
  • Payer: LTC insurance; age 78

Closest analog in the SNF — almost a clinical twin

🎯 Evelyn Strickland — HIPPS BAYF0

  • 4 of 5 HIPPS positions match exactly: SLP=A, Nursing=Y, NTA=F, AI=0
  • Same clinical archetype: left femoral neck fracture (S72.002A) s/p left THA — Margaret had a right hip
  • Same comorbidity stack: F03.90 dementia, I50.9 CHF, N18.30 CKD-3, I10, E78.5, K21.9 — literally identical secondary diagnoses
  • Same MDS history pattern: 5-day at ?APD1, IPA stepping up to ?AYF0 (Nursing went P→Y on IPA)
  • Same documentation gaps queued: depression unflagged, wound unflagged, restorative nursing active
  • Only differentiator: PT/OT component (B vs F) — driven by Evelyn's lower GG functional score on initial PT eval (4-person transfer assist vs Margaret's 2-person)

These two residents should be reviewed as a paired case — the same MDS coordinator workflow (PHQ-9 completion + NTA wound flag capture) will lift both stays.

Less similar but worth noting

No other resident on the active census has both Nursing = Y and an orthopedic primary diagnosis. The rest of the SNF census splits into two very different archetypes:

| Cohort | HIPPS pattern | Why it's not similar to Margaret | |---|---|---| | CVA late-effects (I69.30) rehab cohort — e.g. Margaret Holcomb, Mei Tanaka, Mei-Ling Chen | JK*E0 (PT/OT=J, Nursing=N, NTA=E) | Neuro rehab, lower nursing acuity, higher PT/OT band | | Pneumonia / CHF clinically-complex cohort — e.g. Patricia Guillory, Darnell Washington | NA*E0 / NE*B0 (PT/OT=N, Nursing=A/E) | Clinically complex nursing category, no rehab driver |

Margaret's F__F0 pattern is unique on the active census aside from Evelyn — the F-band PT/OT and F-band NTA reflect orthopedic post-surgical recovery with moderate comorbidity weight, which only these two carry.

Next step: Run analyze_hipps_optimization on Margaret to confirm the depression + wound capture opportunities — then apply the same review to Evelyn since the gaps and likely uplifts mirror each other.

Try next

Run HIPPS optimization analysis on Margaret Holsworth Run HIPPS optimization analysis on Evelyn Strickland Show me all active orthopedic post-surgical residents in the SNF

Tool chain

  1. 01Query residents
    99ms
    input
    {
  "limit": 100
}
    result preview
    {"facilityId":"2ff057db-734f-4d27-824f-d4cbc864cac8","appliedFilters":{"payer":null,"ptLetterMax":null,"diagnosisPrefix":null,"admittedAfter":null,"riskLevel":null,"limit":100},"matchCount":50,"residents":[{"id":"1e608feb-9811-47e1-96f9-8e66cb94aa55","firstName":"Sylvia","lastName":"Beaumont","primaryPayer":"medicaid","currentStatus":"active","admissionDate":"2026-03-14","age":85,"hippsCode":"JKNE0","ptOtComponent":"J","mdsDate":"2026-03-28","primaryIcd10":"I69.30","primaryDiagnosis":"Sequelae of cerebral infarction with unspecified late effects, driving SNF stay for rehabilitation","riskSeverity":"medium","riskSummary":"Documentation describes a fall with a small skin abrasion and references to wound care orders, but the corresponding NTA wound/ulcer flags do not appear captured, creating…[truncated 30269 chars]
  2. 02Get resident detail
    125ms
    input
    {
  "resident_id": "5db01a23-d664-480a-9a51-56dea91dad5a"
}
    result preview
    {"id":"5db01a23-d664-480a-9a51-56dea91dad5a","name":"Margaret Holsworth","age":78,"sex":"female","primaryPayer":"ltc_insurance","currentStatus":"active","admissionDate":"2026-03-22","dischargeDate":null,"diagnoses":[{"icd10Code":"S72.001A","description":"Fracture of neck of right femur, initial encounter for closed fracture","isPrimary":true,"onsetDate":"2026-03-20","resolvedDate":null},{"icd10Code":"F03.90","description":"Unspecified dementia without behavioral disturbance","isPrimary":false,"onsetDate":"2024-04-17","resolvedDate":null},{"icd10Code":"I50.9","description":"Heart failure, unspecified","isPrimary":false,"onsetDate":"2023-11-05","resolvedDate":null},{"icd10Code":"N18.30","description":"Chronic kidney disease, stage 3, unspecified","isPrimary":false,"onsetDate":"2021-08-22","r…[truncated 10945 chars]
  3. 03Get resident detail
    47ms
    input
    {
  "resident_id": "21e38564-49f8-4546-81e6-a4bf3d468875"
}
    result preview
    {"id":"21e38564-49f8-4546-81e6-a4bf3d468875","name":"Evelyn Strickland","age":89,"sex":"female","primaryPayer":"medicaid","currentStatus":"active","admissionDate":"2026-01-30","dischargeDate":null,"diagnoses":[{"icd10Code":"S72.002A","description":"Fracture of left femoral neck, displaced, initial encounter for closed fracture","isPrimary":true,"onsetDate":"2026-01-28","resolvedDate":null},{"icd10Code":"F03.90","description":"Unspecified dementia without behavioral disturbance","isPrimary":false,"onsetDate":"2023-05-02","resolvedDate":null},{"icd10Code":"I50.9","description":"Heart failure, unspecified","isPrimary":false,"onsetDate":"2021-07-10","resolvedDate":null},{"icd10Code":"N18.30","description":"Chronic kidney disease, stage 3, unspecified","isPrimary":false,"onsetDate":"2019-08-14"…[truncated 11235 chars]

Audit ID

e3cdf50a-7fd0-417d-b016-c06b6b0d58fd

Session

a828xkxz7