Latest acuity assessment
Level 5 — Memory care
$8,200 / month base rate
annual renewal · target 2026-07-14
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 2023-05-22
Care notes
Nancy participated in the afternoon music and reminiscing group today. She was engaged for approximately 20 minutes, clapping along to familiar songs from the 1950s. Staff noted she made eye contact and laughed during the session — a positive response consistent with what we see when her environment is calm and structured. Due to her Alzheimer's disease, she did not recall attending when asked afterward, but her mood remained elevated through dinner. Great afternoon overall for her.
Nancy participated in the afternoon music reminiscence group today for approximately 25 minutes. She was initially hesitant to join but responded well to familiar songs from the 1950s and 60s — tapped her hand on the table and hummed along to several tunes. Staff noted increased eye contact and two instances of spontaneous smiling, which is notable given her Alzheimer's disease and typical flat affect. She was calm and content upon return to her room. Will flag music-based programming as a preferred engagement activity in her care plan.
Quarterly dietary review completed for Nancy Wexford. Current weight is stable within acceptable range. Given her Alzheimer's disease and progressive difficulty with self-feeding, staff have been providing verbal and physical cuing at mealtimes. Recommend continuing current mechanical soft diet with thickened liquids as tolerated. Encouraging finger foods at lunch to support independence. Fluid intake appears adequate. No new diet-related concerns identified at this time. Will reassess in 90 days or if weight changes by more than 5 lbs.
Quarterly nutrition review completed for Nancy. Current weight 134 lbs, stable from last month. Given her Alzheimer's disease, finger foods and modified textures continue to be offered to support independence and reduce mealtime frustration. Hydration encouraged throughout the day; she accepts flavored water and juice well. No signs of unintended weight loss. Recommend continuing current diet plan with snack additions mid-morning and mid-afternoon. Will re-assess in 30 days.
Brief check-in with Nancy's daughter, Carol, via phone. Carol expressed some concern that Nancy seems more confused in the evenings. Discussed sundowning as a common feature of Alzheimer's disease and reviewed current evening routine strategies in place, including low lighting, soft music, and consistent staff contact. Carol was receptive and appreciated the update. Will continue to monitor and loop in nursing team regarding any evening behavioral changes. Follow-up call planned in two weeks.
Met with Nancy's daughter, Carol, to discuss current care plan and family concerns. Carol noted Nancy seems more withdrawn during weekend visits and asked about increasing engagement opportunities. Reviewed behavioral patterns linked to Alzheimer's disease and provided education on communication strategies. Discussed possibility of adjusting visitation timing to align with Nancy's more alert afternoon window. Carol expressed overall satisfaction with care and no safety concerns at this time. Follow-up scheduled in 30 days or sooner if needed.
Noon medications administered without issue. Nancy required step-by-step instruction to take her pills — consistent with her Alzheimer's disease progression. Lunches was observed; she ate approximately 70% of her meal with setup assist. Redirected twice when she attempted to leave the dining room before finishing. No signs of respiratory distress, swelling, or skin concerns noted at this visit. She verbalized feeling 'fine' when asked. Family was called per routine check-in and reported no new concerns.
Noon medications administered without issues. Nancy accepted pills in applesauce as usual. Redirected her twice during med pass as she kept attempting to stand without her walker. Consistent with her Alzheimer's disease, she did not recall being asked to stay seated. Blood pressure 128/76, pulse 72, no distress noted. She asked for her daughter several times; staff offered reassurance and showed her the family photo board, which helped settle her. No acute changes observed.
Assisted Nancy with morning ADLs including bathing, dressing, and oral care. She was cooperative but needed step-by-step verbal cues throughout due to her Alzheimer's disease. Skin check completed — no redness, bruising, or open areas noted. Appetite at breakfast was good; ate approximately 75% of meal. Mood appeared calm. She smiled and hummed softly during grooming. Incontinent x1 overnight; brief changed without difficulty. No complaints of pain verbalized.
Assisted Nancy with morning care including bathing, dressing, and oral hygiene. She was cooperative but needed full verbal and hands-on cuing throughout due to her Alzheimer's disease. Skin check completed — no redness, breakdown, or new bruising noted. She ate about 60% of her breakfast and accepted her morning medications without difficulty. Mood appeared calm. She smiled and made brief eye contact during care. Reported no pain. Will continue to monitor.