Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-07-14
ADL score
9
0–28; higher = more independent
Falls / 90d
1
Cognition
severe
Behavioral risk
low
Medications
11
Mobility aid
walker
Diet
mechanical_soft
Wandering risk
Yes
Diagnoses
F03.90Unspecified dementia without behavioral disturbance
Moved in 2024-08-16
Care notes
Shirley attended the afternoon music reminiscence group today with four other residents. She was notably engaged when familiar songs from the 1950s and 60s were played — hummed along and smiled throughout most of the session. Staff observed this is a consistent positive outlet for her, which is especially meaningful given how her dementia can make verbal communication challenging at other times. She declined the craft activity afterward but sat comfortably with peers during snack time. Overall a very positive afternoon for Shirley.
Shirley attended the afternoon music reminiscence group today with three other residents. She was engaged and tapped her hand to familiar songs from the 1950s, smiling and humming along. Staff noted she was more verbally interactive during music than in most other settings, which aligns with what we often see with residents living with dementia. She did not want to leave when the session ended and had to be gently redirected. Overall a very positive afternoon for her.
Quarterly nutritional review completed for Shirley. Current weight 134 lbs, stable compared to last month. Diet order remains regular texture with no restrictions. Fluid intake appears adequate per staff meal observation logs. Given her dementia diagnosis, staff continues to offer simple choices and verbal prompting at mealtimes to encourage self-feeding. Shirley shows preference for sweet foods and finger foods when available. No signs of significant weight loss, chewing difficulty, or aspiration concern at this time. Will re-evaluate in 90 days or sooner if concerns arise.
Quarterly nutrition review completed for Shirley. Current weight is 138 lbs, stable compared to last month. Diet order remains regular texture with thin liquids. She continues to eat best when given one food item at a time and simple verbal prompts, which is consistent with her dementia diagnosis. Staff report she prefers sweeter foods. Recommend adding a daily protein snack mid-afternoon to support weight maintenance. No swallowing concerns observed at this time. Will recheck weight in 30 days.
Phone call received from Shirley's daughter, Carol Beaumont, requesting an update on her mother's adjustment and daily routine. Discussed Shirley's current mood trends, participation in group activities, and staff observations regarding her dementia and memory changes. Carol expressed appreciation for the team's patience and asked about adding a weekly video call to Shirley's schedule. Will coordinate with activities staff to set up a consistent time. Carol did not report any family concerns at this time. Follow-up planned for mid-July.
Spoke with Shirley's daughter, Linda, by phone today regarding Shirley's adjustment to community life. Linda expressed gratitude for staff's attentiveness and noted Shirley seems more settled than at home. Discussed how dementia-related memory changes may cause Shirley to sometimes not recognize she is in assisted living. Encouraged Linda to continue regular visits and provided suggestions for meaningful activity engagement during visits. No concerns raised about care plan at this time. Follow-up scheduled for mid-July.
Medication pass completed with Shirley at 1300. She initially resisted taking her afternoon medications, requiring staff to re-approach after about ten minutes. On second attempt she accepted all meds without further issue. No swallowing difficulties observed. Vitals taken: BP 128/76, HR 72, O2 sat 97% on room air, temp 97.9°F. Consistent with her unspecified dementia diagnosis, short-term memory deficits noted — she asked twice about the date of a family visit. Redirected kindly each time. No acute concerns at this time.
Medication pass completed at 1300. Shirley accepted all medications without difficulty when offered with applesauce. Reminded her of what each medication was for in simple terms. Vital signs within normal limits — BP 124/78, HR 72, temp 97.9°F, O2 sat 97% on room air. No complaints of pain reported. She was seated comfortably in her room watching TV. Given her diagnosis of unspecified dementia, short-term memory continues to be notably impaired; she asked staff three times when lunch was being served.
Assisted Shirley with morning ADLs including dressing, oral care, and grooming. She was cooperative but needed step-by-step cueing throughout due to her dementia. Skin check completed — no redness, breakdown, or areas of concern noted. She smiled when staff called her by name and responded well to gentle redirection. Appetite at breakfast was good; consumed approximately 80% of her meal. Mood appeared calm and pleasant this morning.
Assisted Shirley with morning ADLs including shower, dressing, and oral care. She needed verbal cues and gentle hand-over-hand guidance throughout due to her dementia — she was cooperative but took longer than usual to initiate tasks. Skin check completed; no redness, breakdown, or areas of concern noted. Appetite at breakfast was good; she finished most of her eggs and juice. Mood appeared calm and pleasant this morning. No complaints of pain reported.