Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-04-08
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 2025-04-14
Care notes
Ms. Mendoza participated in the afternoon music and reminiscing group today for approximately 25 minutes — longest engagement since admission. She lit up when familiar Spanish-language songs were played and clapped along with peers. Staff noted she was more verbal than usual, sharing brief phrases about dancing. This is encouraging given her Alzheimer's disease and tendency toward withdrawal in larger groups. She was escorted back to her room after group without incident and appeared relaxed and content. Will recommend music therapy as a regular engagement strategy to the activities director.
Initial nutrition assessment completed for Ms. Mendoza. Weight today 134 lbs; baseline documented on admission as 136 lbs, a 2 lb loss over 11 days — will monitor closely. Appetite has been variable; staff report she eats better with finger foods due to difficulty using utensils, likely related to her Alzheimer's disease. Recommended transitioning lunch and dinner to include finger-food options and fortified snacks mid-morning and mid-afternoon. Fluid intake appears adequate. No swallowing concerns reported at this time. Will reweigh in two weeks and reassess.
Completed nutritional assessment for Gloria Mendoza. Weight on admission was 138 lbs; today's weight is 135 lbs — a 3 lb decrease over 11 days, which warrants monitoring. Gloria's Alzheimer's disease can contribute to decreased appetite and difficulty focusing during meals. Observed Gloria at lunch; she responded well to one-on-one cueing and finger foods. Recommended transitioning one meal per day to finger-food format to improve independence and intake. Encouraged staff to offer high-calorie snacks mid-morning and mid-afternoon. Will reweigh in two weeks. No swallowing concerns observed at this time; no SLP referral indicated currently.
Gloria participated in the afternoon music reminiscence group today — her first group activity since moving in on the 14th. She lit up when familiar Spanish-language songs were played and hummed along for most of the session. Staff noted this as a meaningful engagement strategy to continue, consistent with family's input about her love of music. Gloria interacted briefly with two other residents and smiled frequently. She appeared relaxed and less anxious than earlier in the week. Will share this with the care team to incorporate music into her daily routine as a comfort tool.
Met with Ms. Mendoza's daughter, Rosa, to discuss Gloria's one-week adjustment. Rosa reports some relief that her mother appears calm during daytime hours but expressed concern about evening confusion. Explained sundowning patterns common in Alzheimer's disease and outlined our current redirection strategies. Rosa was receptive and agreed to limit late evening phone calls that may increase agitation. Provided Rosa with the family resource packet and care conference schedule. Plan to follow up with Rosa in two weeks. Ms. Mendoza was not present for this meeting per family request.
Met with Gloria's daughter, Maria, to discuss Gloria's transition into the community and review psychosocial needs. Maria shared that Gloria has had Alzheimer's disease for approximately three years and responds well to music and familiar family photos. Reviewed Gloria's life history form and updated her preference profile accordingly. Maria expressed some guilt about the placement decision; offered supportive counseling and information on our family support group, which meets every other Tuesday. Plan to check in with Gloria directly next week and reassess social engagement needs. Family appears engaged and supportive.
Medication pass completed without incident. Ms. Mendoza initially refused her afternoon medications, stating she did not recognize the pills. Staff offered a brief rest period, then re-approached with a small snack and a calm explanation. She accepted all medications on second attempt. No choking or coughing observed. Vital signs within normal limits: BP 126/78, HR 72, O2 sat 97% on room air. Skin assessment completed — no redness or open areas. Given her Alzheimer's disease diagnosis, care team reminded to use simple, one-step directions during medication administration going forward.
Completed initial nursing assessment follow-up for Gloria Mendoza. Vital signs stable: BP 124/78, HR 72, temp 97.9°F, SpO2 97% on room air. Medication administration reviewed and reconciled with physician orders. Gloria was pleasant during assessment but became briefly confused about her location, asking to go home — a common presentation related to Alzheimer's disease. Staff used validation techniques and she redirected within a few minutes. No signs of pain or acute distress noted. Will continue to monitor adjustment to new environment and report any changes to MD.
Assisted Gloria with morning ADLs including bathing, dressing, and oral care. She was cooperative but needed gentle redirection several times during dressing — consistent with her Alzheimer's disease. Skin check completed; no redness, bruising, or breakdown noted. She ate about 60% of her breakfast and accepted her morning medications without difficulty. Mood appeared calm overall. Family called to check in and was updated on her first full night in the community. She settled well and slept through the night per overnight staff.
Good morning care provided to Ms. Mendoza on her second day with us. She accepted a full bed bath with minimal redirection needed. She was pleasant and smiled during grooming but had some difficulty following two-step instructions, consistent with her Alzheimer's disease. Ate approximately 75% of breakfast. No skin breakdown noted on back, heels, or coccyx. Continent of bladder this shift. She asked for her daughter twice by name — staff reassured her warmly. Will continue to monitor adjustment to new environment.