Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-07-14
ADL score
8
0–28; higher = more independent
Falls / 90d
2
Cognition
severe
Behavioral risk
moderate
Medications
11
Mobility aid
walker
Diet
mechanical_soft
Wandering risk
Yes
Diagnoses
G30.9Alzheimer's disease, unspecified
Moved in 2023-11-03
Care notes
Completed end-of-month skin and wellness check for Helen. Skin remains intact with no areas of concern. Weight stable compared to last month. Helen was mildly confused during assessment, repeatedly asking to go home, which is a known behavioral expression related to her Alzheimer's disease. Staff used validation and redirection techniques effectively and she settled within about ten minutes. No falls, hospitalizations, or significant incidents this month. Care plan reviewed and remains appropriate. Will continue current approach at next team meeting.
Helen participated in the morning music and reminiscence group today with four other residents. She was engaged and smiled frequently when songs from the 1950s were played. Staff noted she mouthed the words to several familiar tunes. Alzheimer's disease has affected her verbal communication, but she expressed enjoyment through facial expressions and hand gestures. She held hands with a tablemate and appeared comfortable in the group setting. No behavioral concerns during the 45-minute session. Plan to continue incorporating music as a regular part of her daily routine given her positive response.
Conducted quarterly nutrition review for Helen. Current weight is 134 lbs, down 2 lbs from last month. Given her Alzheimer's disease, Helen can become distracted during meals and sometimes forgets to continue eating without prompting. Recommended staff offer frequent verbal and visual cues at mealtimes and provide finger foods as a supplement to encourage independent intake. Fortified shakes added to her lunch tray three times per week. Will recheck weight in 30 days. No swallowing concerns flagged at this time; diet texture remains regular.
Helen participated in the morning music reminiscence group today with four other residents. She was notably engaged when familiar songs from the 1950s were played, tapping her hand on the armrest and smiling. Staff noted this is one of Helen's strongest moments of connection each week, which aligns with recommendations for sensory engagement in Alzheimer's care. She remained with the group for the full 45 minutes with no agitation. A really lovely morning for her overall.
Met with Helen's daughter, Carol, for a brief family check-in. Carol shared concerns about Helen's increasing difficulty recognizing family members, which is consistent with the progression of Alzheimer's disease. Discussed current care approach including validation therapy techniques and the importance of keeping Helen's environment familiar and low-stimulation. Provided Carol with information on our memory care support group that meets monthly. Carol appeared relieved to have a space to ask questions. Plan to follow up again in approximately four weeks or sooner if needed.
Met briefly with Helen's daughter, Carol, during her visit today. Carol expressed some concern about Helen's increasing difficulty recognizing family members, which is consistent with the progressive nature of her Alzheimer's disease. Provided Carol with information on our memory support programming and encouraged her to connect with the local Alzheimer's Association caregiver support group. Carol appeared receptive and appreciative. Plan to follow up with family next month to reassess emotional support needs and review any care plan updates together.
Administered Helen's afternoon medications without difficulty. She initially did not recognize her pill cup but accepted medications after gentle redirection and a familiar verbal prompt. This is consistent with her Alzheimer's disease and her usual pattern. No signs of difficulty swallowing observed. Helen was found sitting comfortably in the common area afterward. Daughter called to check in; was advised Helen had a good afternoon. No new concerns at this time.
Helen was noted to be increasingly restless this afternoon, pacing the hallway and appearing anxious. Redirected her to the sunroom with a staff member and offered a familiar photo album, which helped settle her within about 15 minutes. No falls or injuries occurred. Vital signs taken: BP 128/76, HR 74, temp 97.9°F. Skin intact on bilateral lower extremities. Ongoing monitoring for late-afternoon agitation consistent with her Alzheimer's disease. Daughter notified by phone; she expressed appreciation for the update and plans to visit this weekend.
Assisted Helen with morning ADLs including bathing, dressing, and oral care. She was calm and cooperative today, humming softly during her bath. No skin breakdown noted on coccyx or heels. She accepted her morning medications without difficulty when offered with applesauce. Reminded staff that due to her Alzheimer's disease, Helen responds well to gentle redirection and familiar music. Appetite at breakfast was good — finished most of her scrambled eggs and juice. Mood appeared pleasant overall.
Assisted Helen with morning ADLs including bathing, dressing, and oral care. She was cooperative but needed step-by-step cueing throughout due to her Alzheimer's disease. Skin intact on back, heels, and coccyx with no redness or breakdown noted. She ate about 75% of breakfast with minimal prompting. Mood appeared calm and she hummed softly during dressing. Vitals within normal limits. No complaints of pain voiced or observed.