Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-11-20
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 2024-12-05
Care notes
At approximately 7:40 PM, Mildred was found sitting on the floor beside her bed. She was alert and did not appear distressed. No visible injuries; head, arms, and legs checked by on-call LPN with no bruising or lacerations found. Mildred was unable to reliably explain how she ended up on the floor, consistent with her Alzheimer's disease. Assisted back to bed safely. Family notified — Carol acknowledged and asked to be called with any updates. Bed alarm reactivated and checked functional. Incident report filed per policy.
Mildred participated in the afternoon music and reminiscence group today with three other residents. She was engaged for approximately 20 minutes, clapping along to familiar songs from the 1950s and humming softly. Staff noted this is one of the activities where her Alzheimer's disease seems less of a barrier — she appeared noticeably more animated and made spontaneous comments about dancing. She accepted a snack after the session and returned to her room calmly. Overall a positive afternoon for her. Encouraged family to bring a playlist of her favorite songs for room use.
Completed quarterly nutrition review for Mildred. Current weight 134 lbs, down 2 lbs from last month. Given her Alzheimer's disease, meal-time distractibility continues to be a factor in reduced intake. Recommended increasing high-calorie snack offerings between meals — peanut butter crackers and whole-milk yogurt added to her daily snack plan. No swallowing concerns reported by staff at this time. Will recheck weight in two weeks and notify nursing if downward trend continues.
Completed monthly nutritional review for Mildred. Weight stable at 134 lbs, no significant change from last month. Intake observed at lunch — she consumed approximately 75% of her meal. Due to the cognitive changes associated with Alzheimer's disease, Mildred benefits from finger foods and simplified plate presentation; this continues to be in place. No swallowing concerns flagged by dining staff. Hydration encouraging at this meal. Will continue to monitor weight monthly and follow up with care team if intake declines. No dietary order changes needed at this time.
Met with Mildred's daughter, Carol, for a scheduled family check-in. Carol expressed overall satisfaction with Mildred's adjustment since her December move-in. Discussed strategies for meaningful visits given Mildred's Alzheimer's disease progression, including use of familiar music and photo albums. Carol noted Mildred sometimes does not recognize her immediately but warms up after a few minutes. Provided Carol with contact info for our local Alzheimer's caregiver support group. Follow-up call planned for next month.
Spoke with Mildred's daughter, Carol, by phone today for a routine check-in. Carol expressed satisfaction with her mother's adjustment to the community since her December move-in. She asked about strategies to support communication during visits given Mildred's Alzheimer's disease. Provided Carol with tips on using short sentences, familiar music, and photo albums to encourage engagement. Carol agreed to join the next care conference scheduled for mid-July. Mildred appeared in good spirits when briefly greeted in the hallway following the call.
Medication pass completed without difficulty this afternoon. Mildred initially held her pills in her hand and looked confused, which is not unusual given her Alzheimer's disease diagnosis. Staff offered water and gentle encouragement; she swallowed all medications after about two minutes. No coughing, gagging, or signs of swallowing difficulty observed. She denied pain when asked using the yes/no scale. Mood appeared calm. Room was tidy and she was found seated in her recliner watching television when staff entered.
Mildred's scheduled medications administered at noon without difficulty. She accepted all medications in applesauce as usual. Reviewed her current med list — no changes noted from physician. No complaints of pain verbalized; she did point to her right knee when asked, rated discomfort as 2/10. Vitals stable: BP 128/76, HR 72, temp 98.4°F. Will continue to monitor knee discomfort. Given her Alzheimer's diagnosis, pain assessment relies heavily on behavioral cues and direct observation.
Assisted Mildred with morning ADLs including bathing, dressing, and oral care. She was cooperative but needed step-by-step verbal cueing throughout, which is typical given her Alzheimer's disease. Skin check completed — no redness, bruising, or open areas noted. She ate approximately 75% of breakfast. Mood appeared calm and pleasant. Redirected her once when she became briefly confused about her room location. She settled quickly with gentle reassurance.
Assisted Mildred with morning ADLs including bathing, dressing, and oral care. She was pleasant but required step-by-step verbal cues throughout, consistent with her Alzheimer's disease. Accepted breakfast well. Skin check completed — no redness, bruising, or open areas noted. She made brief eye contact and smiled when staff called her by name. Continence care provided x2 this shift. Ambulated to dining room with standby assist; gait appeared steady. Vital signs within normal limits. No acute concerns to report.