Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-01-05
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 2025-01-07
Care notes
Barbara participated in the afternoon music and reminiscence group today with 5 other residents. She was engaged for approximately 25 minutes, clapping along to familiar songs from the 1950s and 1960s. Staff observed her smiling and making brief eye contact with peers — a positive social interaction. Due to her Alzheimer's disease, she did not recall the activity when asked shortly after, but her mood remained calm and happy for the remainder of the afternoon. Music-based programming continues to be a strong fit for Barbara and will remain part of her weekly schedule.
Barbara joined the afternoon music and reminiscence group today. She was initially hesitant to enter the activity room but came in willingly after a staff member held her hand and walked with her. Once familiar songs from the 1960s were played, Barbara began tapping her foot and humming along — a nice positive response. Her Alzheimer's disease can make group participation unpredictable, so this was an encouraging afternoon. She stayed approximately 25 minutes before requesting to return to her room. No behavioral concerns during the session.
Met with Barbara's daughter, Carol, for a brief family check-in. Carol expressed some concern about her mother's increasing confusion in the evenings, which is consistent with sundowning patterns often seen in Alzheimer's disease. Reviewed current evening routine with Carol and discussed strategies staff use to redirect and comfort Barbara during these times. Carol appeared reassured. Encouraged her to contact social services anytime with questions. No immediate safety or psychosocial concerns identified at this visit.
Quarterly nutrition review completed for Barbara. Current weight 134 lbs, stable from last month. She continues on a regular diet with mechanical-soft texture modifications for easier chewing. Fluid intake adequate per CNA meal tracking logs. Barbara occasionally needs prompting to continue eating, which is common with Alzheimer's disease. No significant weight loss or gain to report. Recommend continuing current diet plan and encouraging favorite foods — staff notes she responds well to oatmeal and fruit. Will re-evaluate at next quarterly review or sooner if weight changes.
Quarterly nutrition review completed for Barbara. Current weight 138 lbs, stable compared to last month. She is on a regular texture diet with thickened liquids (nectar consistency) as ordered. Appetite has been fair to good; staff report she enjoys breakfast best. Given her Alzheimer's disease, she benefits from a calm dining environment and simple finger foods to encourage independence. No weight loss concerns at this time. Will continue to monitor monthly and reassess texture needs as swallowing function is observed.
Monthly check-in completed with Barbara's daughter, Carol, via phone. Carol reported she visited over the weekend and felt Barbara seemed content and well-groomed. We discussed the progressive nature of Alzheimer's disease and reviewed current behavioral approaches being used by staff. Carol expressed interest in joining our upcoming family education session on dementia communication strategies. No new family concerns or legal/financial changes to document. Barbara's care plan goals were reviewed and remain appropriate. Follow-up scheduled for late July.
Medication pass completed at 1:00 PM. Barbara initially refused her afternoon medications, stating she 'doesn't need pills.' Staff offered a small snack and returned in 10 minutes; she then accepted all medications without further resistance. No signs of choking or difficulty swallowing. Blood pressure 128/76, pulse 72. Ongoing redirection strategies continue to be effective for Barbara, consistent with her Alzheimer's disease care plan. Family notified of the brief refusal episode per their preference; daughter verbalized understanding and no concerns at this time.
Afternoon medication pass completed without issue. Barbara accepted all scheduled oral medications with applesauce per care plan. Redirect was needed once when she attempted to leave the dining room before finishing her lunch. Behavior consistent with her Alzheimer's disease diagnosis. Vital signs within normal limits: BP 124/76, HR 72, SpO2 97% on room air. No acute distress noted. Family member called this afternoon; staff provided brief update per HIPAA authorization on file.
Assisted Barbara with morning care including bathing, dressing, and oral hygiene. She was cooperative but needed frequent verbal cues and hand-over-hand guidance throughout due to her Alzheimer's disease. Skin intact, no redness or breakdown noted. She ate about 75% of breakfast with set-up assist. Mood appeared calm this morning; she smiled when staff called her by name. No complaints of pain voiced or observed.
Barbara was up by 7:30 AM and cooperative with morning care. She required verbal cues and hand-over-hand assist for face washing and dressing. Skin intact; no redness noted on coccyx or heels. She was pleasant and smiled when greeted by name. Appetite good at breakfast — finished most of her eggs and juice. Incontinent x1 overnight; brief changed without issue. Given her Alzheimer's disease, redirection was used twice when she attempted to leave the dining room before finishing her meal. Vitals WNL.