Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-09-15
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 2024-10-01
Care notes
Evelyn participated in the afternoon music reminiscence group for about 30 minutes today. She was engaged and clapped along to several songs from the 1950s, and at one point sang a few words to a familiar tune. Staff noted this is one of the activities that consistently brings her joy, which aligns with care plan goals for meaningful engagement given her Alzheimer's disease diagnosis. After the group she appeared relaxed and was easily guided back to her room for rest. Family photo book left at bedside per her daughter's request.
Quarterly nutrition screen completed for Evelyn. Current weight 118 lbs, down 2 lbs from last month — will continue to monitor. Appetite has been variable, consistent with the behavioral and cognitive changes seen in Alzheimer's disease. Current diet order of mechanical soft with nectar-thick liquids remains appropriate per SLP recommendation. Fortified snacks added twice daily to support caloric intake. No food allergies or new intolerances reported by staff. Will reassess weight in 30 days and notify physician if downward trend continues.
Evelyn participated in the afternoon music reminiscence group today with three other residents. She was engaged for approximately 20 minutes, tapping her hand to familiar songs from the 1950s and making eye contact with the activity aide. Given her Alzheimer's disease, music-based activities continue to be a positive connector for her. She became slightly restless near the end of the session and was escorted back to her room. Overall a positive experience — she was smiling and appeared relaxed when returned to her recliner.
Completed monthly nutrition review for Evelyn. Current weight 131 lbs, down 2 lbs from last month — will continue to monitor trend. She remains on a regular diet with a mechanical soft texture for easier chewing. Appetite has been variable; staff report she eats best at breakfast. Recommended adding a protein-enriched snack each afternoon and offering preferred foods such as oatmeal and fruit. No swallowing concerns flagged by nursing at this time. Will reassess weight in two weeks and adjust plan as needed.
Brief check-in with Evelyn's daughter, Carol Cartwright, by phone today. Carol expressed appreciation for the team's consistency and noted Evelyn seems more settled than during her first months here. Reviewed updated care plan goals related to her Alzheimer's disease progression, including increased supervision during evening hours. Carol confirmed she will visit this weekend. No concerns about finances or family conflict reported at this time. Will continue monthly family contact and document any changes in family support or preferences.
Met with Evelyn's daughter, Patricia, for a brief family check-in visit. Patricia expressed concern that her mother occasionally becomes tearful in the evenings and asks to go home, which is common with Alzheimer's disease. Provided education on sundowning behaviors and redirecting strategies. Shared that staff have been using familiar music and photo albums successfully to comfort Evelyn during these episodes. Patricia was receptive and appreciative. Discussed upcoming 90-day care conference scheduled for July 10. No safety or financial concerns raised at this time.
Medication pass completed for Evelyn without incident. She accepted all scheduled medications with applesauce without resistance. Noted mild hand tremor during administration — no new complaints of pain or discomfort reported. Reviewed skin at afternoon check: small area of redness noted on right inner ankle, no open area, repositioned and moleskin applied. Will monitor closely. Evelyn appeared calm this afternoon, watching the bird feeder outside her window. Family daughter called to check in; directed to MSW for care conference scheduling.
Evelyn's scheduled medications administered at noon without difficulty. She initially turned away from staff but accepted her pills when offered with applesauce as previously noted in her care plan. Vital signs within normal limits: BP 122/74, HR 78, temp 97.9°F, SpO2 97% on room air. Continues on Aricept per physician order for Alzheimer's disease management. No signs of acute distress, respiratory difficulty, or pain behavior observed this shift. Fluid intake encouraged; she drank approximately 8 oz water and 6 oz juice at lunch.
Assisted Evelyn with morning ADLs including bathing, dressing, and oral care. She required moderate cueing and hands-on assist throughout due to her Alzheimer's disease. Mood appeared calm and she smiled when staff called her by name. Skin check completed — no redness, breakdown, or areas of concern noted. Breakfast was offered; she ate approximately 75% of her meal with setup assist. Incontinent x1 this shift, brief changed without issue. No complaints of pain voiced or observed.
Assisted Evelyn with morning ADLs including bathing, dressing, and oral care. She was pleasant and cooperative today, humming softly during her bath. No skin breakdown noted; heels and coccyx intact. Reminded her of her name and the day as part of her routine orientation — she smiled but did not retain. Consistent with her Alzheimer's disease. Ate approximately 75% of breakfast with verbal cueing. Continent this shift. Ambulated to dining room with standby assist.