Restorative nursing program initiated this week. Range of motion exercises BID to bilateral lower extremities, no decline noted. Ambulation program — patient ambulated 50 ft with rolling walker and assist of 1, tolerated well. Toileting program ongoing, 6+ day per week per care plan. Goals reviewed with PT; patient motivated, progressing.
MDS 3.0 · Section I — Active Diagnoses · target 2026-03-28
I0900Peripheral Vascular Disease···☐ NOT CODED
I2000Pneumonia···☐ NOT CODED
I2500Wound Infection···☐ NOT CODED
I3500Pressure Ulcer Stage 3···☐ NOT CODED
I4500Diabetes Mellitus···☐ NOT CODED
MDS · Section O — Special Treatments · target 2026-03-28
O0100H2IV Medications Post-admit···☐ NOT CODED
O0100M2Isolation/Precautions···☐ NOT CODED
O0100F2Ventilator/Respirator Post-admit···☐ NOT CODED
Gap detection · grounded
claude-opus-4-7 · 847ms · 2.1k tok
RESTORATIVE NURSINGlow
Notes describe restorative-style nursing services. Capture O0500 restorative-nursing program counts to qualify.
Field: pdpmRestorativeNursing
Evidence: "[RN] ...Restorative nursing program initiated this week. Range of motion exercises BID to bilateral..."
OXYGENmedium
Notes describe supplemental oxygen. Capture O0100C (oxygen) at next MDS — drives Special Care High nursing classification.
Field: O0100C
Evidence: "[RN] ...88 mmHg, HR 78 bpm, RR 16, Temp 98.4°F, SpO2 96% on room air. Alert and oriented x2 (person, place); follows simple commands..."