Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-02-08
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 2025-02-11
Care notes
Dorothy joined the afternoon music reminiscence group in the common room today. She engaged actively, clapping along and mouthing words to several songs from the 1950s. Staff noted this is a strong positive outlet consistent with preserved long-term memory often seen in Alzheimer's disease. She made brief eye contact and laughed with another resident during the session. Mood noticeably elevated compared to earlier in the day. Encouraged continued participation. Will flag to activities coordinator to ensure Dorothy is personally invited to future music programming.
At approximately 1405, Dorothy was found seated on the floor beside her bed. She stated she 'just sat down' and denied falling. No visible injury noted; skin intact, no bruising or abrasions on assessment. Charge nurse notified immediately and performed full assessment — no pain on palpation, range of motion within her normal limits, neuro check unremarkable. Dorothy was assisted back to her chair and remained calm. Daughter Carol notified by LPN at 1420. Given her Alzheimer's disease diagnosis, Dorothy may not accurately recall the sequence of events. Bed alarm reactivated and mat placed bedside per updated safety plan. Will increase visual checks to every 30 minutes for next 24 hours.
Monthly dietary review completed for Dorothy Kincaid. Current weight 134 lbs, stable from last month. Appetite has been fair to good; staff report she eats best with finger foods and when seated with familiar tablemates. Given her Alzheimer's disease, simplified meal presentation and consistent plate placement are in place to support independence. No swallowing concerns flagged by dining staff at this time. Continuing regular texture and thin liquids. Recommend maintaining current plan and re-evaluating next month. Hydration reminders to continue each shift.
Completed a brief nutritional observation at Sunday brunch. Dorothy consumed approximately 60% of her meal with verbal encouragement from staff. She appears to do better with finger foods and was offered a sandwich cut into quarters alongside her soup. Weight this week is 134 lbs, stable compared to last month. No significant weight loss trend at this time. Given her Alzheimer's disease, she occasionally forgets she has food in front of her and needs gentle reminders to continue eating. Recommend maintaining current texture-regular diet with continued staff assist at meals. Will recheck weight in two weeks and reassess as needed.
Spoke with Dorothy's daughter, Carol, by phone this afternoon for a routine check-in. Carol expressed appreciation for the care team's patience given her mother's Alzheimer's disease diagnosis and asked about increasing structured social activities to help with afternoon restlessness. Discussed current activity programming and suggested she visit during the Thursday music group, which residents with memory concerns tend to enjoy. Carol also asked about the process for updating the healthcare proxy paperwork. Provided facility contact and guidance on next steps. Overall family satisfaction appears high. Will follow up at the 90-day care conference scheduled for next month.
Phone contact made with Dorothy's daughter, Linda Kincaid, to provide a monthly update. Discussed Dorothy's overall adjustment since her February move-in, noting she has settled into the daily routine reasonably well given the progressive nature of her Alzheimer's disease. Linda expressed appreciation for staff engagement and asked about increasing family visit frequency. Provided guidance on best visiting times when Dorothy tends to be most alert, typically mid-morning. No family concerns requiring immediate follow-up. Will document and share with care team.
Dorothy's scheduled medications administered at noon without difficulty. She initially did not recognize her cup but accepted it after gentle prompting and a brief explanation. Consistent with her Alzheimer's disease diagnosis, short-term memory lapses noted — she asked three times what the pills were for. Vital signs within normal limits: BP 126/78, HR 72, temp 98.4°F. No complaints of pain. Afternoon hydration offered and accepted. Behavior calm, no signs of distress or agitation noted this shift.
Medication pass completed at 1200 without issue. Dorothy initially did not recognize her cup of medications and asked what they were for. Staff explained each in simple terms; she accepted all oral meds with applesauce as documented in her care plan. No choking or coughing observed. Blood pressure 128/74, pulse 76, temp 97.9°F. She verbalized feeling 'a little tired' but denied pain. Continued monitoring for mood changes and confusion patterns related to Alzheimer's disease, unspecified. Family contact info reviewed — daughter listed as primary contact, no changes noted.
Dorothy was up at 0730 and accepted morning care with gentle cueing. She allowed partial assist with dressing but became briefly resistant when prompted to change her blouse — redirected her with conversation about her garden and she cooperated well. Skin intact, no redness noted on heels or coccyx. Incontinent brief changed x1 overnight per overnight log. Appetite at breakfast was fair; ate about half her eggs and drank her juice. Mood appeared calm overall. No complaints of pain voiced. Will continue monitoring ADL assist needs consistent with her Alzheimer's disease diagnosis.
Assisted Dorothy with morning ADLs including bathing, dressing, and oral care. She was calm and cooperative today, humming softly during grooming. Required moderate assistance with all tasks due to her Alzheimer's disease. No skin breakdown noted on back, heels, or sacrum. Ate approximately 75% of breakfast. Reminded her of the day and location several times; she smiled and accepted redirection well. Mood appeared pleasant throughout the morning routine.