MarkdownOutput/Care_Plans_page_104.md

Care Plan Activity Report

Kings Harbor Multicare Center

Resident: Barksdale, Clydia
Unit-Room-Bed: M1 - 114 - A
DOB: 6/15/1928 (96 y)
System/Facility ID: 19302 / 041353

Selection:

• Scheduled Date: 3/11/2025
• With Corrections: From 3/5/2025

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Goals

1. Type: Long-term
   Goal: Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
   Time frame: 90 days
   Status / Dates:

   • Active
   • Effective: 11/09/2021
   • Review: 5/19/2025
   • Entered On: 3/07/2025
   • Entered By: CUMMINGS, ROBERT, RN

2. ~~Type: Long-term
   Goal: Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
   Time frame: 90 days
   Status / Dates:

   • Discharged
   • Review: 5/19/2025
   • Entered On: 3/06/2025
   • Entered By: Peguero, Jazmin~~

3. ~~Type: Long-term
   Goal: Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
   Time frame: 90 days
   Status / Dates:

   • Active
   • Review: 5/19/2025
   • Entered On: 2/18/2025
   • Entered By: Woodhouse, Theresa~~

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Interventions

1. Intervention: Resident’s evacuation destination will be to a:

   • Hospital
   • Other Nursing Home
   • Family
   • Assisted living
   • Community Center
   • Other: __________
     Disciplines: Nursing, Social Services
     Status / Dates:
   • Active
   • Effective: 11/09/2021
   • Entered On: 3/07/2025
   • Entered By: CUMMINGS, ROBERT, RN

2. ~~Intervention: Resident’s evacuation destination will be to a:

   • Hospital
   • Other Nursing Home
   • Family
   • Assisted living
   • Community Center
   • Other: __________
     Disciplines: Nursing, Social Services
     Status / Dates:
   • Discharged
   • Entered On: 3/06/2025
   • Entered By: Peguero, Jazmin~~

3. ~~Intervention: Resident’s evacuation destination will be to a:

   • Hospital
   • Other Nursing Home
   • Family
   • Assisted living
   • Community Center
   • Other: __________
     Disciplines: Nursing, Social Services
     Status / Dates:
   • Active
   • Entered On: 1/23/2022
   • Entered By: Morton, Toni~~

4. Intervention: External transportation options include:

   • Ambulance
   • Ambulette
   • Regular vehicle
     Disciplines: Nursing, Social Services
     Status / Dates:
   • Active
   • Effective: 11/09/2021
   • Entered On: 3/07/2025
   • Entered By: CUMMINGS, ROBERT, RN

■ = Historical Item

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