Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-05-22
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
F03.90Unspecified dementia without behavioral disturbance
Moved in 2024-03-29
Care notes
Ruth participated in the afternoon music and reminiscence group today. She lit up when familiar songs from the 1950s were played and hummed along to several tunes. Engagement with music is a strength we lean into given her dementia — it seems to ease her anxiety and bring moments of real joy. She held hands with a neighboring resident during the session. Mood was noticeably improved afterward. Encouraged to join tomorrow's afternoon activity as well.
Ruth attended the Tuesday afternoon music and reminiscence group with five other residents. She was engaged and animated, singing along to several songs from the 1950s and 60s. Staff noted this is consistent with preserved long-term memory often seen with her dementia diagnosis. She held hands with a tablemate and laughed frequently throughout the session. Afterward she appeared calm and relaxed. Returned to her room for a short rest before dinner. Participation in group activities continues to have a positive effect on her overall mood.
Quarterly nutrition screen completed for Ruth. Current weight stable compared to last month — no significant loss or gain noted. Ruth continues on a regular diet with mechanical soft modifications for easier chewing. Appetite has been fair to good; staff report she responds well to familiar comfort foods. Given her dementia, she occasionally forgets she has eaten and may request food shortly after meals — recommend small, healthy snack options be made available. Hydration adequate per fluid intake logs. No dietary concerns at this time.
Completed monthly nutrition review for Ruth. Weight is stable this month with no significant changes. Ruth continues on a regular diet with a mechanical soft texture for easier chewing. Staff report she does best when offered smaller, frequent snacks between meals, which is a helpful approach given that dementia can affect appetite cues. Hydration encouraged throughout the day. No swallowing concerns noted currently. Will follow up again next month.
Spoke with Ruth's daughter, Carol, by phone today regarding Ruth's adjustment since admission in March 2024. Carol expressed gratitude for the team's consistency and noted Ruth seems calmer overall. Discussed upcoming family visit this weekend and strategies to support Ruth during transitions, which can be particularly challenging given her dementia diagnosis. Carol was encouraged to keep visits predictable in timing and length. No family concerns requiring immediate follow-up.
Met briefly with Ruth's daughter, Carol, during a scheduled visit. Carol expressed overall satisfaction with Ruth's care and noted Ruth seems more settled than at admission in March 2024. Discussed strategies for meaningful visits given Ruth's unspecified dementia, including bringing familiar music and old photo albums. Carol agreed to provide additional family photos for the memory board in Ruth's room. No immediate family concerns or grievances raised. Follow-up contact planned for next month.
Medications administered at scheduled time with no refusals. Ruth was alert but showed some confusion about the day and her location, consistent with her diagnosis of unspecified dementia. She asked for her daughter by name on two occasions; staff provided reassurance and verbal reorientation. Appetite at lunch was good — ate approximately 75% of her meal. No signs of pain or distress observed. Will continue to monitor.
Medication pass completed without issue this afternoon. Ruth accepted all scheduled medications with applesauce as preferred. She was briefly confused about her surroundings and asked for her late husband by name — staff gently redirected her with a familiar photo at bedside, which helped settle her. No signs of acute distress or physical discomfort. Bowel movement noted per ADL log. Will continue monitoring for any changes in baseline behavior related to her dementia diagnosis.
Assisted Ruth with morning ADLs including bathing, dressing, and oral care. She needed step-by-step cueing throughout due to her dementia, but was cooperative and in good spirits. Skin check completed — no redness, bruising, or open areas noted. She ate about 75% of her breakfast tray. Reminded her of the day's schedule; she smiled and said she was looking forward to music. Vitals within normal limits. No complaints of pain reported.
Assisted Ruth with morning ADLs including bathing, dressing, and grooming. She needed moderate cuing throughout due to her dementia — responded well to gentle redirection and one-step instructions. Skin check completed; no redness or breakdown noted. She was pleasant and smiled when I complimented her outfit. Breakfast tray accepted without issue. Vitals within normal range. No concerns to report at this time.