Latest acuity assessment
Level 3 — Moderate assistance
$6,300 / month base rate
annual renewal · target 2026-06-15
ADL score
11
0–28; higher = more independent
Falls / 90d
2
Cognition
mild
Behavioral risk
low
Medications
11
Mobility aid
walker
Diet
mechanical_soft
Wandering risk
No
Diagnoses
G20Parkinson's disease
Moved in 2024-06-20
Care notes
Met with Mr. Pruitt and his daughter, Linda, for a brief check-in regarding his adjustment to community living. He shared feeling more comfortable since his move-in last year and appreciates the activity programming. Linda expressed some concern about his Parkinson's disease progression and asked about future care planning resources. Provided information on the facility's family education group and local Parkinson's Foundation support contacts. Mr. Pruitt appeared emotionally stable and engaged. Will schedule a care conference for next month to address long-term planning goals.
Completed dietary review for Mr. Pruitt. Given his Parkinson's disease, protein timing relative to Carbidopa-Levodopa doses was discussed with nursing staff to help optimize medication absorption. He is currently on a regular diet with mechanical soft modifications for easier chewing. Weight stable at 162 lbs this week. Adequate fluid intake observed. Encouraged small, frequent meals to support energy levels. No swallowing concerns flagged at this time; will coordinate with SLP if dysphagia symptoms emerge.
Completed quarterly dietary review for Mr. Pruitt. Weight stable at 162 lbs, consistent with last month. Given his Parkinson's disease, reviewed meal texture and timing of protein intake relative to carbidopa-levodopa dosing — recommend keeping high-protein foods to dinner where possible to support medication absorption. He reports enjoying meals and has no food allergies. Encouraged adequate hydration; he currently averages approximately 48 oz fluid daily. Suggested staff offer a mid-afternoon water or juice reminder. No supplemental nutrition indicated at this time.
Met with Mr. Pruitt and his daughter Linda for a brief check-in regarding his adjustment to community living. He has been a resident since June 2024 and overall reports feeling comfortable. He expressed some frustration about increasing difficulty writing due to Parkinson's disease symptoms. Discussed options including a tablet with voice-to-text to help him stay in touch with family. Linda appeared engaged and supportive. Mr. Pruitt's mood was calm. Will follow up next month and loop in OT regarding adaptive communication tools.
Completed 30-minute therapy session with Mr. Pruitt focusing on balance and gait training, addressing motor challenges associated with his Parkinson's disease diagnosis. Practiced heel-to-toe walking in hallway with minimal verbal cues needed. He tolerated the session well with only mild fatigue reported at end. Caregiver education provided on cueing techniques to assist with freezing episodes. Plan to continue sessions three times weekly. He remained motivated and engaged throughout.
Mr. Pruitt's scheduled Carbidopa-Levodopa administered as ordered at 1400. He verbalized that his tremors felt 'a little worse than usual' this afternoon. Vitals taken: BP 118/74, HR 72, SpO2 97%. No signs of orthostatic hypotension observed when he stood from his recliner. Reminded him to take his time when rising per fall prevention plan. Will continue to monitor and report any worsening motor symptoms to nurse supervisor and MD if tremors persist.
Conducted a 30-minute PT session with Mr. Pruitt focused on balance training and gait mechanics, addressing functional limitations related to his Parkinson's disease diagnosis. Practiced high-stepping exercises and turning techniques to reduce freezing risk. Mr. Pruitt was motivated and followed verbal cueing well. He completed 10 minutes of seated leg strengthening exercises with good effort. Recommended staff continue to use verbal cueing ('big steps, eyes up') during ambulation assist. Next session scheduled in two days.
Administered scheduled medications to Mr. Pruitt at 1:00 PM including carbidopa-levodopa. He was alert and able to swallow pills with water without difficulty. Noted mild resting tremor in right hand, consistent with his Parkinson's disease baseline. No new complaints voiced. Blood pressure 118/74, pulse 68 and regular. He mentioned feeling a little tired after lunch and chose to rest in his room. Will continue to monitor energy levels and motor function throughout the shift.
Assisted Mr. Pruitt with morning ADLs including bathing, dressing, and oral care. Due to his Parkinson's disease, he had notable hand tremors this morning making button fastening difficult — used adaptive clothing with snaps to ease the process. He was cooperative and in good spirits, joking with staff. Skin check completed; no redness or breakdown noted. Appetite good at breakfast. Ambulated to dining room with standby assist, gait slightly shuffling but steady.
Assisted Mr. Pruitt with morning ADLs including bathing, dressing, and oral care. Due to his Parkinson's disease, he required moderate assistance with buttoning his shirt and steadying himself at the sink. He was pleasant and cooperative throughout. No skin breakdown noted on back, heels, or coccyx. Appetite good at breakfast — ate approximately 85% of meal. Gait appeared slightly shuffling this morning; reminded him to use his walker and take wide steps. Reported no pain.