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MarkdownOutput/Administration_Record_(MAR-TAR)_page_1.md ADDED
@@ -0,0 +1,50 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Ancillary Administration Record
3
+
4
+ **Facility:** Kings Harbor Multicare Center
5
+
6
+ **Resident:** Barksdale, Clydia
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **Unit-Room-Bed:** M1 - 114 - A
9
+ **System/Facility ID:** 19302 / 041353
10
+
11
+ ---
12
+
13
+ ## Legend
14
+
15
+ - **X** Not scheduled
16
+ - **\*** Not administered (see last section)
17
+ - **–PRN–** See last section
18
+ - **–** Not documented
19
+ - **▧** Out of date range
20
+
21
+ ---
22
+
23
+ **Admin Record:** Ancillary
24
+ **Month:** March
25
+ **Year:** 2025
26
+ **Data From:** 03/05/2025
27
+ **To:** 03/11/2025
28
+
29
+ ---
30
+
31
+ ## Orders
32
+
33
+ | Mar | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
34
+ |-----|---|---|---|---|---|---|---|---|---|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|
35
+ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
36
+
37
+ _No marks → no scheduled or administered ancillary orders in this date range._
38
+
39
+ ---
40
+
41
+ No PRN records match this selection.
42
+ No NA/NC records match this selection.
43
+ No Initials records match this selection.
44
+
45
+ ---
46
+
47
+ _SigmaCare by MatrixCare v1_
48
+
49
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
50
+ Page 1 of 1
MarkdownOutput/Administration_Record_(MAR-TAR)_page_10.md ADDED
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1
+ # Resident Treatment Administration Record
2
+ ## Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1-114-A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Admin Record:** Treatment
10
+ **Month:** March 2025
11
+ **Data From:** 03/05/2025 – 03/11/2025
12
+
13
+ ---
14
+
15
+ ## Legend
16
+
17
+ - **X** Not scheduled
18
+ - **\*** Not administered (see last section)
19
+ - **-PRN-** See last section
20
+ - **-** Not documented
21
+ - **▨** Out of date range
22
+
23
+ ---
24
+
25
+ ## Orders for March
26
+
27
+ | Mar | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
28
+ |-----|---|---|---|---|---|---|---|---|---|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|
29
+ | Not Administered / Not Completed | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
30
+
31
+ ---
32
+
33
+ ### Not Administered / Not Completed
34
+
35
+ | Date/Time | Type | Order | Reason | Initials |
36
+ |-------------------|--------------------|----------------------------------------------------------------------------------------------------------------------------------------|------------------|----------|
37
+ | 3/4/25 11:00 p–7:00 a | Not Administered | Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN | Hospitalization | KR |
38
+ | 3/5/25 7:00 a–3:00 p | Not Administered | Lac-Hydrin 12 % lotion
39
+ SIG: apply by topical route to bilateral lower extremities and feet BID | Hospitalization | CL15 |
40
+ | 3/5/25 7:00 a–3:00 p | Not Administered | Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN | Hospitalization | CL15 |
41
+ | 3/5/25 3:00 p–11:00 p | Not Administered | Lac-Hydrin 12 % lotion
42
+ SIG: apply by topical route to bilateral lower extremities and feet BID | Hospitalization | SG |
43
+ | 3/5/25 3:00 p–11:00 p | Not Administered | Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN | Hospitalization | SG |
44
+ | 3/5/25 11:00 p–7:00 a | Not Administered | Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN | Hospitalization | KR |
45
+ | 3/6/25 7:00 a–3:00 p | Not Administered | Lac-Hydrin 12 % lotion
46
+ SIG: apply by topical route to bilateral lower extremities and feet BID | Hospitalization | CL15 |
47
+ | 3/6/25 7:00 a–3:00 p | Not Administered | Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN | Hospitalization | CL15 |
48
+
49
+ ---
50
+
51
+ ## User Initials
52
+
53
+ | Initials/Name | Initials/Name | Initials/Name | Initials/Name |
54
+ |-----------------------------|--------------------------|-----------------------------|-------------------|
55
+ | **AE12:** Elmessaoudi, Adil | **AK14:** Kovacs, Ashley | **BR8:** Reid-Harris, Britney | **CL15:** Louis, Chedly |
56
+ | **KR:** RICHARDS, KIECHEN | **MO5:** Ouoba, Mireille | **SG:** GWOGON, STEVE | |
57
+
58
+ ---
59
+
60
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
61
+ *Page 3 of 3*
MarkdownOutput/Administration_Record_(MAR-TAR)_page_11.md ADDED
@@ -0,0 +1,38 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Respiratory Therapy Administration Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1-114-A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ## Legend
13
+ - **X** Not scheduled
14
+ - **\*** Not administered (see last section)
15
+ - **-PRN-** See last section
16
+ - **-** Not documented
17
+ - **▧** Out of date range
18
+
19
+ ---
20
+
21
+ **Admin Record:** Respiratory Therapy
22
+ **Month:** March **Year:** 2025
23
+ **Data From:** 03/05/2025 **To:** 03/11/2025
24
+
25
+ | Orders | Mar 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
26
+ |----------|:-----:|:-:|:-:|:-:|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|
27
+ | *(blank)*| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
28
+
29
+ ---
30
+
31
+ No PRN records match this selection.
32
+ No NA/NC records match this selection.
33
+ No Initials records match this selection.
34
+
35
+ ---
36
+
37
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
38
+ _Page 1 of 1_
MarkdownOutput/Administration_Record_(MAR-TAR)_page_2.md ADDED
@@ -0,0 +1,89 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Medication Administration Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Admin Record:** Medication; Month: March; Year: 2025
11
+ **Data From:** 03/05/2025; **To:** 03/11/2025
12
+
13
+ ---
14
+
15
+ ## Legend
16
+
17
+ - **X** Not scheduled
18
+ - **\*** Not administered (see last section)
19
+ - **–PRN–** See last section
20
+ - **–** Not documented
21
+ - **■** Out of date range
22
+
23
+ ---
24
+
25
+ ## Orders
26
+
27
+ ### 1. atorvastatin 20 mg tablet
28
+ - **Dispensed:** atorvastatin 20 mg tablet
29
+ - **SIG:** give 1 tablette (20 mg) by oral route once daily at bedtime
30
+ - **Start Date:** 03/10/2025 07:36 pm
31
+ - **Dx:** E78.5 – Hyperlipidemia, unspecified
32
+
33
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 | 10 |
34
+ |-----------:|:-:|:-:|:-:|:-:|:--:|:--:|
35
+ | **10:00 pm** | X | X | X | X | SG | SG |
36
+
37
+ ---
38
+
39
+ ### 2. PRECAUTION – ASPIRATION/CHOKING
40
+ #### LEVEL 2 MILDLY THICK LIQUIDS
41
+ Allow thin water 30 minutes after a meal, up until the start of the next meal. Food and meds with mildly thick liquids only. Water is the only thin liquid allowed.
42
+ - **Start Date:** 03/09/2025 12:47 pm
43
+
44
+ **a) 7:00 am – 3:00 pm**
45
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
46
+ |-----------:|:-:|:-:|:-:|:--:|:----:|:----:|:----:|
47
+ | **7:00a–3:00p** | X | X | X | X | AK14 | MO5 | CL15 |
48
+
49
+ **b) 3:00 pm – 11:00 pm**
50
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
51
+ |---------------:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|
52
+ | **3:00p–11:00p** | X | X | X | X | SG | SG | SG |
53
+
54
+ **c) 11:00 pm – 7:00 am**
55
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
56
+ |----------------:|:-:|:-:|:-:|:-:|:--:|:--:|:----:|
57
+ | **11:00p–7:00a** | X | X | X | X | KR | KR | AE12 |
58
+
59
+ ---
60
+
61
+ ### 3. pantoprazole 40 mg tablet, delayed release
62
+ - **Dispensed:** pantoprazole 40 mg tablet, delayed release
63
+ - **SIG:** give 1 tablet (40 mg) by oral route once daily before meals
64
+ - **Protocol:** DO NOT CRUSH
65
+ - **Start Date:** 03/07/2025 12:40 pm
66
+ - **Dx:** K21.9 – Gastro-esophageal reflux disease without esophagitis
67
+
68
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 |
69
+ |-----------:|:-:|:-:|:--:|:-:|:-:|
70
+ | **6:30 am** | X | X | KR | X | X |
71
+
72
+ ---
73
+
74
+ ### 4. atorvastatin 80 mg tablet
75
+ - **Dispensed:** atorvastatin 80 mg tablet
76
+ - **SIG:** give 1 tablet (80 mg) by oral route once daily at bedtime
77
+ - **Start Date:** 03/07/2025 12:40 pm
78
+ - **Dx:** E78.5 – Hyperlipidemia, unspecified
79
+
80
+ | Date (Mar) | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
81
+ |-----------:|:-:|:-:|:--:|:--:|:--:|:--:|:--:|
82
+ | **10:00 pm** | X | X | SG | SG | SG | X | X |
83
+
84
+ ---
85
+
86
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
87
+ *Page 1 of 6*
88
+
89
+ *SigmaCare by MatrixCare*
MarkdownOutput/Administration_Record_(MAR-TAR)_page_3.md ADDED
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1
+ # Resident Medication Administration Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ ---
5
+
6
+ **Resident:** Barksdale, Clydia
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **Unit-Room-Bed:** M1 - 114 - A
9
+ **System/Facility ID:** 19302 / 041353
10
+
11
+ **Admin Record:** Medication; Month: March; Year: 2025
12
+ **Data From:** 03/05/2025 – 03/11/2025
13
+
14
+ ---
15
+
16
+ ## Legend
17
+ - **X** Not scheduled
18
+ - **\*** Not administered (see last section)
19
+ - **–PRN–** See last section
20
+ - **–** Not documented
21
+ - **▧** Out of date range
22
+
23
+ ---
24
+
25
+ ## Orders
26
+
27
+ ### 1. metoprolol tartrate 25 mg tablet
28
+ - **Dispensed:** metoprolol tartrate 25 mg tablet
29
+ - **SIG:** give 0.5 tablet (12.5 mg) by oral route every 12 hours
30
+ - **Protocol:** Monitor BP and Pulse
31
+ - **Monitoring:** Blood Pressure; Pulse
32
+ - **Start Date:** 03/07/2025 12:39 pm
33
+ - **Dx:** I10-Essential (primary) hypertension
34
+
35
+ | Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
36
+ |:-----:|:--:|:--:|:--:|:--:|:--:|:--:|:---:|:----:|:------:|:------:|:----:|
37
+ | **6:00 a** | | | | | X | X | X | KR | KR | KR | |
38
+ | _BP Lying_ | | | | | | | | 163/92 mmHg | 148/67 mmHg | | |
39
+ | _BP Sitting_ | | | | | | | | 133/84 mmHg | 130/70 mmHg | | |
40
+ | _Pulse Radial_ | | | | | | | | 80 bpm | 72 bpm | 78 bpm | 72 bpm |
41
+ | **6:00 p** | | | | | X | X | X | SG | SG | SG | SG |
42
+ | _BP Lying_ | | | | | | | | 156/87 mmHg | 159/87 mmHg | | |
43
+ | _BP Sitting_ | | | | | | | | 142/78 mmHg | 142/80 mmHg | 129/75 mmHg | |
44
+ | _Pulse Radial_ | | | | | | | | 70 bpm | 86 bpm | 82 bpm | 78 bpm |
45
+
46
+ ---
47
+
48
+ ### 2. losartan 25 mg tablet
49
+ - **Dispensed:** losartan 25 mg tablet
50
+ - **SIG:** give 1 tablet (25 mg) by oral route once daily
51
+ - **Start Date:** 03/07/2025 12:39 pm
52
+ - **Dx:** I10-Essential (primary) hypertension
53
+
54
+ | Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
55
+ |:-------:|:-:|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|:----:|:----:|
56
+ | **10:00 a** | | | | | | | X | X | X | AK14 | AK14 |
57
+
58
+ ---
59
+
60
+ ### 3. MISCELLANEOUS/OTHER
61
+ **Check resident ID bracelet for appropriate alerts every shift**
62
+ - **Start Date:** 03/07/2025 12:37 pm
63
+
64
+ | Shift | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
65
+ |:-------------:|:-:|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:----:|:----:|:----:|
66
+ | **7:00 a–3:00 p** | | | | | | | X | X | CL15 | AK14 | AK14 |
67
+ | **3:00 p–11:00 p** | | | | | | | X | X | SG | SG | SG |
68
+ | **11:00 p–7:00 a** | | | | | | | X | X | KR | KR | KR |
69
+
70
+ ---
71
+
72
+ ### 4. PRECAUTION - ASPIRATION/CHOKING
73
+ - **Start Date:** 03/07/2025 12:37 pm
74
+
75
+ | Shift | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
76
+ |:-------------:|:-:|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:----:|:----:|:----:|
77
+ | **7:00 a–3:00 p** | | | | | | | X | X | CL15 | AK14 | AK14 |
78
+ | **3:00 p–11:00 p** | | | | | | | X | X | SG | SG | X |
79
+ | **11:00 p–7:00 a** | | | | | | | X | X | KR | KR | X |
80
+
81
+ ---
82
+
83
+ ### 5. Pulse Daily
84
+ **Protocol:** Monitor Pulse
85
+ **Monitoring:** Pulse
86
+ **Start Date:** 03/07/2025 12:37 pm
87
+
88
+ | Time | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
89
+ |:--------:|:-:|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|:----:|:----:|
90
+ | **10:00 a** | | | | | | | X | X | X | AK14 | AK14 |
91
+ | _Pulse Device_ | | | | | | | | | | 78 bpm | 78 bpm |
92
+ | _Pulse Radial_ | | | | | | | | | | 71 bpm | 68 bpm |
93
+
94
+ ---
95
+
96
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
97
+ Page 2 of 6
MarkdownOutput/Administration_Record_(MAR-TAR)_page_4.md ADDED
@@ -0,0 +1,51 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Medication Administration Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ### Legend
13
+ - **X** ‑ Not scheduled
14
+ - **\*** ‑ Not administered (see last section)
15
+ - **-PRN-** ‑ See last section
16
+ - **-** ‑ Not documented
17
+ - **█** ‑ Out of date range
18
+
19
+ ---
20
+
21
+ **Admin Record:** Medication
22
+ **Month:** March **Year:** 2025
23
+ **Data From:** 03/05/2025 **To:** 03/11/2025
24
+
25
+ ---
26
+
27
+ ## Orders
28
+
29
+ | Order / Protocol | Mar 1 | Mar 2 | Mar 3 | Mar 4 | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 | … | Mar 31 |
30
+ |-----------------------------------------------------------------------------------------------------------------------------------------------|-------|-------|-------|-------|-------|-------|-----------|----------|-----------------|----------|----------|---|--------|
31
+ | **Blood Pressure Weekly**<br>Protocol: Monitor Blood Pressure<br>Monitoring: Blood Pressure<br>Start Date: 03/07/2025 12:37 pm | █ | █ | █ | █ | █ | █ | **X** | **CL15** | **X** | **X** | **X** | | █ |
32
+ | 7:00 a–3:00 p | █ | █ | █ | █ | █ | █ | **X** | **CL15** | **X** | **X** | **X** | | █ |
33
+ | BP Lying | | | | | | | | | **165/90 mmHg** | | | | |
34
+ | BP Sitting | | | | | | | | | | **CL15** | | | |
35
+ | **metformin 500 mg tablet**<br>Dispensed: metformin 500 mg tablet<br>SIG: give 1 tablet (500 mg) by oral route 2 times per day<br>Start Date: 03/07/2025 12:37 pm<br>Dx: E11.8 Type 2 diabetes mellitus with unspecified complications | | | | | █ | █ | **X** | **X** | **AK14** | **AK14** | **MO5** | **CL15** | |
36
+ | 8:00 a | | | | | █ | █ | **X** | **X** | **AK14** | **AK14** | **MO5** | **CL15** | |
37
+ | 5:00 p | | | | | █ | █ | **X** | **X** | **SG** | **SG** | **SG** | **SG** | |
38
+ | **apixaban 2.5 mg tablet**<br>Dispensed: Eliquis 2.5 mg tablet<br>SIG: give 1 tablet (2.5 mg) by oral route 2 times per day<br>Start Date: 03/07/2025 12:37 pm<br>Dx: I48.20 Chronic atrial fibrillation, unspecified | | | | | █ | █ | **X** | **X** | **AK14** | **AK14** | **MO5** | **CL15** | |
39
+ | 10:00 a | | | | | █ | █ | **X** | **X** | **AK14** | **AK14** | **MO5** | **CL15** | |
40
+ | 6:00 p | | | | | █ | █ | **X** | **X** | **SG** | **SG** | **SG** | **SG** | |
41
+ | **losartan 50 mg tablet**<br>Dispensed: losartan 50 mg tablet<br>SIG: give 1 tablet (50 mg) by oral route once daily<br>Start Date: 02/28/2025 09:11 pm<br>Dx: I11.0 Hypertensive heart disease with heart failure | | | | | █ | █ | **CL15** | **CL15** | **X** | **X** | **X** | **X** | |
42
+ | 10:00 a | | | | | █ | █ | **CL15** | **CL15** | **X** | **X** | **X** | **X** | |
43
+ | **PRECAUTION – ASPIRATION/CHOKING**<br>Start Date: 06/15/2023 05:06 pm | | | | | █ | █ | **CL15** | **CL15** | **X** | **X** | **X** | **X** | |
44
+ | 7:00 a–3:00 p | | | | | █ | █ | **CL15** | **CL15** | **X** | **X** | **X** | **X** | |
45
+ | 3:00 p–11:00 p | | | | | █ | █ | **SG** | **X** | **X** | **X** | **X** | **X** | |
46
+ | 11:00 p–7:00 a | | | | | █ | █ | **KR** | **KR** | **X** | **X** | **X** | **X** | |
47
+
48
+ ---
49
+
50
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
51
+ _Page 3 of 6_
MarkdownOutput/Administration_Record_(MAR-TAR)_page_5.md ADDED
@@ -0,0 +1,65 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Medication Administration Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 – 114 – A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Admin Record:** Medication
11
+ **Month:** March
12
+ **Year:** 2025
13
+ **Data From:** 03/05/2025
14
+ **To:** 03/11/2025
15
+
16
+ ---
17
+
18
+ ## Legend
19
+ - **X** Not scheduled
20
+ - **\*** Not administered (see last section)
21
+ - **–PRN–** See last section
22
+ - **–** Not documented
23
+ - **▓** Out of date range
24
+
25
+ ---
26
+
27
+ ## Orders
28
+
29
+ ### 1. metformin 500 mg tablet
30
+ - **Dispensed:** metformin 500 mg tablet
31
+ - **SIG:** give 1 tablet (500 mg) by oral route 2 times per day
32
+ - **Start Date:** 05/12/2023 05:21 pm
33
+ - **Dx:** E11.8 – Type 2 diabetes mellitus with unspecified complications
34
+
35
+ ### 2. metoprolol tartrate 50 mg tablet
36
+ - **Dispensed:** metoprolol tartrate 50 mg tablet
37
+ - **SIG:** give 1 tablet (50 mg) by oral route 2 times per day
38
+ - **Start Date:** 03/26/2023 05:40 am
39
+ - **Dx:** I48.20 – Chronic atrial fibrillation, unspecified
40
+ I11.0 – Hypertensive heart disease with heart failure
41
+
42
+ ### 3. Pulse Daily
43
+ - **Protocol:** Monitor Pulse
44
+ - **Monitoring:** Pulse
45
+ - **Start Date:** 11/28/2021 05:37 pm
46
+
47
+ ### 4. MISCELLANEOUS/OTHER
48
+ _Check resident ID bracelet for appropriate alerts every shift_
49
+ - **Start Date:** 11/08/2021 11:23 pm
50
+
51
+ ### 5. apixaban 2.5 mg tablet
52
+ - **Dispensed:** Eliquis 2.5 mg tablet
53
+ - **SIG:** give 1 tablet (2.5 mg) by oral route 2 times per day
54
+ - **Start Date:** 11/08/2021 11:23 pm
55
+ - **Dx:** I48.20 – Chronic atrial fibrillation, unspecified
56
+
57
+ ---
58
+
59
+ **No PRN records match this selection.**
60
+
61
+ ---
62
+
63
+ v1 SigmaCare by MatrixCare
64
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
65
+ Page 4 of 6
MarkdownOutput/Administration_Record_(MAR-TAR)_page_6.md ADDED
@@ -0,0 +1,50 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Medication Administration Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 – 114 – A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Legend**
11
+ - X Not scheduled
12
+ - * Not administered (see last section)
13
+ - PRN See last section
14
+ - – Not documented
15
+ - ▓ Out of date range
16
+
17
+ **Admin Record:** Medication; Month: March; Year: 2025
18
+ **Data From:** 03/05/2025; **To:** 03/11/2025
19
+
20
+ | Date/Time | Type | Order | Reason | Initials |
21
+ |--------------------|--------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|----------|
22
+ | 3/4/25 11:00 p–7:00 a | Not Administered | MISCELLANEOUS/OTHER – Check resident ID bracelet for appropriate alerts every shift | Hospitalization | KR |
23
+ | 3/4/25 11:00 p–7:00 a | Not Administered | PRECAUTION – ASPIRATION/CHOKING | Hospitalization | KR |
24
+ | 3/5/25 7:00 a–3:00 p | Not Administered | PRECAUTION – ASPIRATION/CHOKING | Hospitalization | CL15 |
25
+ | 3/5/25 7:00 a–3:00 p | Not Administered | MISCELLANEOUS/OTHER – Check resident ID bracelet for appropriate alerts every shift | Hospitalization | CL15 |
26
+ | 3/5/25 8:00 a | Not Administered | **metformin 500 mg tablet**
27
+ SIG: give 1 tablet (500 mg) by oral route 2 times per day | Hospitalization | CL15 |
28
+ | 3/5/25 10:00 a | Not Administered | **apixaban 2.5 mg tablet**
29
+ SIG: give 1 tablet (2.5 mg) by oral route 2 times per day | Hospitalization | CL15 |
30
+ | 3/5/25 10:00 a | Not Administered | **Pulse Daily** | Hospitalization | CL15 |
31
+ | 3/5/25 10:00 a | Not Administered | **metoprolol tartrate 50 mg tablet**
32
+ SIG: give 1 tablet (50 mg) by oral route 2 times per day | Hospitalization | CL15 |
33
+ | 3/5/25 10:00 a | Not Administered | **losartan 50 mg tablet**
34
+ SIG: give 1 tablet (50 mg) by oral route once daily | Hospitalization | CL15 |
35
+ | 3/5/25 3:00 p–11:00 p | Not Administered | MISCELLANEOUS/OTHER – Check resident ID bracelet for appropriate alerts every shift | Hospitalization | SG |
36
+ | 3/5/25 3:00 p–11:00 p | Not Administered | PRECAUTION – ASPIRATION/CHOKING | Hospitalization | SG |
37
+ | 3/5/25 5:00 p | Not Administered | **metformin 500 mg tablet**
38
+ SIG: give 1 tablet (500 mg) by oral route 2 times per day | Hospitalization | SG |
39
+ | 3/5/25 6:00 p | Not Administered | **apixaban 2.5 mg tablet**
40
+ SIG: give 1 tablet (2.5 mg) by oral route 2 times per day | Hospitalization | SG |
41
+ | 3/5/25 6:00 p | Not Administered | **metoprolol tartrate 50 mg tablet**
42
+ SIG: give 1 tablet (50 mg) by oral route 2 times per day | Hospitalization | SG |
43
+ | 3/5/25 11:00 p–7:00 a | Not Administered | MISCELLANEOUS/OTHER – Check resident ID bracelet for appropriate alerts every shift | Hospitalization | KR |
44
+ | 3/5/25 11:00 p–7:00 a | Not Administered | PRECAUTION – ASPIRATION/CHOKING | Hospitalization | KR |
45
+
46
+ ---
47
+
48
+ v1 SigmaCare by MatrixCare
49
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
50
+ Page 5 of 6
MarkdownOutput/Administration_Record_(MAR-TAR)_page_7.md ADDED
@@ -0,0 +1,56 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident Medication Administration Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1-114-A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ### Legend
13
+ - **X** Not scheduled
14
+ - **\*** Not administered (see last section)
15
+ - **-PRN-** See last section
16
+ - **–** Not documented
17
+ - **▩** Out of date range
18
+
19
+ ---
20
+
21
+ **Admin Record:** Medication
22
+ **Month:** March **Year:** 2025
23
+ **Data From:** 03/05/2025 **To:** 03/11/2025
24
+
25
+ ---
26
+
27
+ ### Orders
28
+
29
+ | Date/Time | Status | Order | Reason | Initials |
30
+ |---------------------|-------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|------------------|----------|
31
+ | 3/6/25 7:00 a-3:00 p | Not Administered | MISCELLANEOUS/OTHER – Check resident ID bracelet for appropriate alerts every shift | Hospitalization | CL15 |
32
+ | 3/6/25 7:00 a-3:00 p | Not Administered | PRECAUTION – ASPIRATION/CHOKING | Hospitalization | CL15 |
33
+ | 3/6/25 8:00 a | Not Administered | metformin 500 mg tablet
34
+ SIG: give 1 tablet (500 mg) by oral route 2 times per day | Hospitalization | CL15 |
35
+ | 3/6/25 10:00 a | Not Administered | apixaban 2.5 mg tablet
36
+ SIG: give 1 tablet (2.5 mg) by oral route 2 times per day | Hospitalization | CL15 |
37
+ | 3/6/25 10:00 a | Not Administered | Pulse Daily | Hospitalization | CL15 |
38
+ | 3/6/25 10:00 a | Not Administered | metoprolol tartrate 50 mg tablet
39
+ SIG: give 1 tablet (50 mg) by oral route 2 times per day | Hospitalization | CL15 |
40
+ | 3/6/25 10:00 a | Not Administered | losartan 50 mg tablet
41
+ SIG: give 1 tablet (50 mg) by oral route once daily | Hospitalization | CL15 |
42
+
43
+ ---
44
+
45
+ ### User Initials
46
+
47
+ | Initials/Name | Initials/Name | Initials/Name | Initials/Name |
48
+ |-----------------------------|-------------------------|-------------------------|--------------------------|
49
+ | **AE12:** Elmessaoudi, Adil | **AK14:** Kovacs, Ashley | **CL15:** Louis, Chedly | **KR:** RICHARDS, KIECHEN |
50
+ | **MO5:** Ouoba, Mireille | **SG:** GWOGON, STEVE | | |
51
+
52
+ ---
53
+
54
+ *Med Rec v1 • SigmaCare by MatrixCare*
55
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
56
+ *Page 6 of 6*
MarkdownOutput/Administration_Record_(MAR-TAR)_page_8.md ADDED
@@ -0,0 +1,88 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident Treatment Administration Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Admin Record:** Treatment
10
+ **Month:** March
11
+ **Year:** 2025
12
+ **Data From:** 03/05/2025
13
+ **Data To:** 03/11/2025
14
+
15
+ ---
16
+
17
+ ## Legend
18
+ - **X** Not scheduled
19
+ - **\*** Not administered (see last section)
20
+ - **-PRN-** See last section
21
+ - **–** Not documented
22
+ - **▓** Out of date range
23
+
24
+ ---
25
+
26
+ ## Orders
27
+
28
+ ### 1. Weight upon admission then Day Shift on the next day then Day Shift on 14 days after admission
29
+ - [x] Resident is at risk for malnutrition
30
+ - [ ] Resident is malnourished
31
+ - [ ] Resident is morbidly obese
32
+
33
+ **Protocol:** If weight changes by ±3 lbs, re-weigh the resident within 60 minutes and document weight
34
+ **Monitoring:** Weight
35
+ **Start Date:** 03/07/2025 12:45 pm
36
+
37
+ | Date | Mar 1 | Mar 2 | Mar 3 | Mar 4 | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
38
+ |------------------------|:-----:|:-----:|:-----:|:-----:|:-----:|:--------:|:------:|:------:|:------:|:------:|:------:|
39
+ | **1:00 pm** | | | | | X | X | **CL15** | X | X | X | X |
40
+ | **Wt** | | | | | | **133 lbs** | | | | | |
41
+ | **7:00 am–1:00 pm** | | | | | X | X | X | **AK14** | X | X | X |
42
+ | **Wt** | | | | | | | | | **132.3 lbs** | | |
43
+
44
+ ---
45
+
46
+ ### 2. Height
47
+ **Protocol:** Measure height upon admission and yearly
48
+ **Monitoring:** Height
49
+ **Start Date:** 03/07/2025 12:45 pm
50
+
51
+ | Date | Mar 1 | Mar 2 | Mar 3 | Mar 4 | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
52
+ |-------------|:-----:|:-----:|:-----:|:-----:|:-----:|:-------:|:------:|:-----:|:------:|:------:|:------:|
53
+ | **1:00 pm** | | | | | X | X | **CL15** | X | X | X | X |
54
+ | **Ht** | | | | | | **59 in** | | | | | |
55
+
56
+ ---
57
+
58
+ ### 3. COVID POC Viral Test – Admission/Readmission
59
+ _On day of admission/readmission, and if negative again in 48 hours after previous test, and if negative again in 48 hours after previous test_
60
+ **Start Date:** 03/07/2025 12:45 pm
61
+ **Dx:** Z11.52 – Encounter for screening for COVID-19
62
+
63
+ | Date | Mar 1 | Mar 2 | Mar 3 | Mar 4 | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
64
+ |------------------------|:-----:|:-----:|:-----:|:-----:|:-----:|:------:|:--------:|:------:|:------:|:------:|:------:|
65
+ | **1:00 pm** | | | | | X | X | **CL15** | X | X | X | |
66
+ | **7:00 am–1:00 pm** | | | | | X | X | X | **AK14** | X | X | |
67
+ | **7:00 am–1:00 pm** ▼ | | | | | X | X | X | X | **CL15** | | |
68
+
69
+ ▼ Repeat test if prior is negative
70
+
71
+ ---
72
+
73
+ ### 4. Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN
74
+ **Start Date:** 03/07/2025 12:37 pm
75
+ **Dx:** I27.20 – Pulmonary hypertension, unspecified
76
+ J99 – Respiratory disorders in diseases classified elsewhere
77
+
78
+ | Date | Mar 1 | Mar 2 | Mar 3 | Mar 4 | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
79
+ |-----------------------|:-----:|:-----:|:-----:|:-----:|:-----:|:------:|:------:|:-----:|:------:|:------:|:------:|
80
+ | **7:00 am–3:00 pm** | | | X | X |**CL15**| **AK14** | **AK14** | **MO5** | **CL15** | | |
81
+ | **3:00 pm–11:00 pm** | | | X | **SG**| **SG**| **SG** | **BR8** | **SG** | | | |
82
+ | **11:00 pm–7:00 am** | | | X | **KR**| **KR**| **KR** | **KR** | **AE12**| | | |
83
+
84
+ ---
85
+
86
+ v1 SigmaCare by MatrixCare
87
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
88
+ Page 1 of 3
MarkdownOutput/Administration_Record_(MAR-TAR)_page_9.md ADDED
@@ -0,0 +1,71 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident Treatment Administration Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ ---
5
+
6
+ **Resident:** Barksdale, Clydia
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **Unit-Room-Bed:** M1-114-A
9
+ **System/Facility ID:** 19302 / 041353
10
+
11
+ **Legend**
12
+ - X Not scheduled
13
+ - * Not administered (see last section)
14
+ - –PRN– See last section
15
+ - – Not documented
16
+ - ░ Out of date range
17
+
18
+ **Admin Record:** Treatment · Month: March · Year: 2025
19
+ **Data From:** 03/05/2025 · **To:** 03/11/2025
20
+
21
+ ---
22
+
23
+ ## Order 1
24
+ **Lac-Hydrin 12 % lotion**
25
+ Dispensed: ammonium lactate 12 % lotion
26
+ SIG: Apply by topical route to bilateral lower extremities and feet BID
27
+ Start Date: 03/07/2025 12:37 pm
28
+ Dx: L85.3 – Xerosis cutis
29
+
30
+ | Time | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
31
+ |-------------|:-----:|:-----:|:-----:|:-----:|:-----:|:------:|:------:|
32
+ | 07:00–15:00 | X | CL15 | AK14 | AK14 | MO5 | CL15 | |
33
+ | 15:00–23:00 | X | SG | SG | SG | BR8 | SG | |
34
+
35
+ ---
36
+
37
+ ## Order 2
38
+ **Keep HOB elevated at 30–45 degrees (2 pillows) d/t SOB when lying flat r/t pHTN**
39
+ Start Date: 02/29/2024 04:35 pm
40
+ Dx: I27.20 – Pulmonary hypertension, unspecified
41
+   J99 – Respiratory disorders in diseases classified elsewhere
42
+
43
+ | Time | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
44
+ |-------------|:-----:|:-----:|:-----:|:-----:|:-----:|:------:|:------:|
45
+ | 07:00–15:00 | CL15 | CL15 | X | X | X | X | X |
46
+ | 15:00–23:00 | SG | X | X | X | X | X | X |
47
+ | 23:00–07:00 | KR | * | * | X | X | X | X |
48
+
49
+ ---
50
+
51
+ ## Order 3
52
+ **Lac-Hydrin 12 % lotion**
53
+ Dispensed: ammonium lactate 12 % lotion
54
+ SIG: Apply by topical route to bilateral lower extremities and feet BID
55
+ Start Date: 11/09/2021 01:24 pm
56
+ Dx: L85.3 – Xerosis cutis
57
+
58
+ | Time | Mar 5 | Mar 6 | Mar 7 | Mar 8 | Mar 9 | Mar 10 | Mar 11 |
59
+ |-------------|:-----:|:-----:|:-----:|:-----:|:-----:|:------:|:------:|
60
+ | 07:00–15:00 | CL15 | CL15 | X | X | X | X | X |
61
+ | 15:00–23:00 | SG | * | X | X | X | X | X |
62
+
63
+ ---
64
+
65
+ No PRN records match this selection.
66
+
67
+ ---
68
+
69
+ _v1 SigmaCare by MatrixCare_
70
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
71
+ _Page 2 of 3_
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_1.md ADDED
@@ -0,0 +1,56 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia        **Unit–Room–Bed:** M1 – 114 – A
8
+ **DOB:** 6/15/1928 (96 y)         **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ## Legend
13
+ X Not Scheduled
14
+ * Multiple Documentations (see last section)
15
+ NP Not Performed (see last section)
16
+ – Not Documented
17
+
18
+ ---
19
+
20
+ ## Selection
21
+ **Month:** March **Year:** 2025
22
+
23
+ ---
24
+
25
+ ## Daily CNA Documentation
26
+
27
+ | Task | Shift | Entry Type | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
28
+ |------------|------------------|----------------------|:--:|:--:|:---:|:--:|:---:|:--:|:---:|:--:|:--:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:--:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:---:|:--:|:--:|:--:|
29
+ | **Bathing** | **7:00 a–3:00 p** | Task | X | X | X | A | A | X | X | X | X | A | X | X | X | X | X | X | X | X | A | X | A | X | X | A | X | A | X | B | X | X | X |
30
+ | | | Bathing Type | X | X | X | X | B | X | X | X | X | X | X | X | X | X | X | X | X | X | B | X | X | X | X | X | X | X | X | X | X | X | X |
31
+ | | | Initials | X | X | TM20| X | X | X | KM20| X | X | MT18| NH11| NH11| X | X | X | X | X | X | X | X | TA11| X | CP23| X | X | X | X | X | X | X |
32
+ | | **3:00 p–11:00 p**| Task | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
33
+ | | | Bathing Type | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X | X |
34
+ | | | Initials | X | X | X | X | SM21| X | AH17| X | SM21| X | TM20| SM21| KH7 | SS55| SS55| SM21| EP10| ST17| JH10| SM21| SS55| SS55| SM21| DA18| JH10| TD23| SM21| SS55| SS55| SM21| TA11 |
35
+
36
+ | **Bed Mobility** | **7:00 a–3:00 p** | Self-Performance | 1 | 1 | 1 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
37
+ | | | Support Provided | 0 | 0 | 0 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
38
+ | | | Initials | KM20|KM20|KM20 |TM20|KM20| X |KM20 |SM53|RA10|KM20 |KM20 |MT18 |NH11 |NH11 |NH11 |NH11 |NH11 |NH11 |RA10 |RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|TD22|
39
+ | | **3:00 p–11:00 p** | Self-Performance | 1 | 1 | 1 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
40
+ | | | Support Provided | 0 | 0 | 0 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
41
+ | | | Initials | TM20|AH17|GB10|OC3|SM21| X |AH17 |SM21|SM21|TM20 | X |SM21 |KH7 |SS55 |SS55 |SM21 |EP10 |ST17 |JH10|SM21|SS55|SS55|SM21|DA18|JH10|TD23|SM21|SS55|SS55|SM21|TA11|
42
+ | | **11:00 p–7:00 a** | Self-Performance | 1 | 1 | 1 | NP | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
43
+ | | | Support Provided | 0 | 0 | 0 | NP | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
44
+ | | | Initials | KT5 |KT5 |KT5 |KT5|KT5| X |RS23|BB17|KT5 |KM17|LC10|FB8|SH9 |SH9 |SH9 |SH9 |TA12|SH9 |SH9 |SH9 |SH9 |BB17|BB17|SH9 |SH9 |LN12|SH9 |SH9 |SH9 |LC10|
45
+
46
+ | **Dressing** | **7:00 a–3:00 p** | Task | A | A | A | NP | X | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A |
47
+ | | | Initials | KM20|KM20|KM20|TM20|KM20| X |KM20|SM53|RA10|KM20|KM20|MT18|NH11|NH11|NH11|NH11|NH11|NH11|RA10|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|TD22|
48
+ | | **3:00 p–11:00 p** | Task | A | A | A | NP | X | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A |
49
+ | | | Initials | TM20|AH17|GB10|OC3|SM21| X |AH17|SM21|SM21|TM20| X |SM21|KH7|SS55|SS55|SM21|EP10|ST17|JH10|SM21|SS55|SS55|SM21|DA18|JH10|TD23|SM21|SS55|SS55|SM21|TA11|
50
+ | | **11:00 p–7:00 a** | Task | A | A | A | NP | NP | X | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A | A |
51
+ | | | Initials | KT5|KT5|KT5|KT5|KT5| X |RS23|BB17|KT5|KM17|LC10|FB8|SH9|SH9|SH9|SH9|TA12|SH9|SH9|SH9|SH9|BB17|BB17|SH9|SH9|LN12|SH9|SH9|SH9|LC10|
52
+
53
+ ---
54
+
55
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
56
+ *Page 1 of 15*
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_10.md ADDED
@@ -0,0 +1,50 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ ## Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1-114-A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Month: March; Year: 2025
10
+
11
+ ---
12
+
13
+ ## Legend
14
+ - **X** Not Scheduled
15
+ - **\*** Multiple Documentations (see last section)
16
+ - **NP** Not Performed (see last section)
17
+ - **–** Not Documented
18
+
19
+ ---
20
+
21
+ ## Documentation Table
22
+
23
+ | Date | Time | Documentation | Reason | Initials |
24
+ |-----------|--------|------------------|------------|----------|
25
+ | 3/31/2025 | 2:00 p | Turn & Position | Out of Bed | TD22 |
26
+ | 3/31/2025 | 12:00 p| Turn & Position | Out of Bed | TD22 |
27
+ | 3/29/2025 | 6:00 p | Turn & Position | Out of Bed | SS55 |
28
+ | 3/28/2025 | 6:00 p | Turn & Position | Out of Bed | SS55 |
29
+ | 3/28/2025 | 2:00 p | Turn & Position | Out of Bed | MT18 |
30
+ | 3/28/2025 | 12:00 p| Turn & Position | Out of Bed | MT18 |
31
+ | 3/26/2025 | 2:00 p | Turn & Position | Out of Bed | MT18 |
32
+ | 3/26/2025 | 12:00 p| Turn & Position | Out of Bed | MT18 |
33
+ | 3/26/2025 | 10:00 a| Turn & Position | Out of Bed | MT18 |
34
+ | 3/24/2025 | 2:00 p | Turn & Position | Out of Bed | MT18 |
35
+ | 3/24/2025 | 12:00 p| Turn & Position | Out of Bed | MT18 |
36
+ | 3/24/2025 | 10:00 a| Turn & Position | Out of Bed | MT18 |
37
+ | 3/22/2025 | 6:00 p | Turn & Position | Out of Bed | SS55 |
38
+ | 3/18/2025 | 6:00 p | Turn & Position | Out of Bed | ST17 |
39
+ | 3/18/2025 | 4:00 p | Turn & Position | Out of Bed | ST17 |
40
+ | 3/15/2025 | 6:00 p | Turn & Position | Out of Bed | SS55 |
41
+ | 3/15/2025 | 4:00 p | Turn & Position | Out of Bed | SS55 |
42
+ | 3/14/2025 | 6:00 p | Turn & Position | Out of Bed | SS55 |
43
+ | 3/13/2025 | 2:00 p | Turn & Position | Out of Bed | MT18 |
44
+ | 3/13/2025 | 12:00 p| Turn & Position | Out of Bed | MT18 |
45
+ | 3/13/2025 | 10:00 a| Turn & Position | Out of Bed | MT18 |
46
+
47
+ ---
48
+
49
+ v2 SigmaCare by MatrixCare
50
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am · Page 10 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_11.md ADDED
@@ -0,0 +1,51 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ ## Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1-114-A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Month: March; Year: 2025
10
+
11
+ ---
12
+
13
+ ### Legend
14
+ - **X**: Not Scheduled
15
+ - **\***: Multiple Documentations (see last section)
16
+ - **NP**: Not Performed (see last section)
17
+ - **–**: Not Documented
18
+
19
+ ---
20
+
21
+ ### Documentation Entries
22
+
23
+ | Date | Time | Task | Location | Documenter |
24
+ |-----------|----------------|------------------------|------------|------------|
25
+ | 3/11/2025 | 6:00 p | Turn & Position | Out of Bed | KW17 |
26
+ | 3/7/2025 | 11:00 a–2:00 p | Eating | Hospital | KM20 |
27
+ | 3/6/2025 | 5:00 a–6:30 a | CNA Care Provided | Hospital | KT5 |
28
+ | 3/6/2025 | 4:00 a | Toilet Use | Hospital | KT5 |
29
+ | 3/6/2025 | 1:10 a | Toilet Use | Hospital | KT5 |
30
+ | 3/5/2025 | 11:00 p–7:00 a | Bed Mobility | Hospital | KT5 |
31
+ | 3/5/2025 | 11:00 p–7:00 a | Behavior | Hospital | KT5 |
32
+ | 3/5/2025 | 11:00 p–7:00 a | Dressing | Hospital | KT5 |
33
+ | 3/5/2025 | 11:00 p–7:00 a | Eating | Hospital | KT5 |
34
+ | 3/5/2025 | 11:00 p–7:00 a | Locomotion off Unit | Hospital | KT5 |
35
+ | 3/5/2025 | 11:00 p–7:00 a | Locomotion on Unit | Hospital | KT5 |
36
+ | 3/5/2025 | 11:00 p–7:00 a | Personal Hygiene | Hospital | KT5 |
37
+ | 3/5/2025 | 11:00 p–7:00 a | Safety | Hospital | KT5 |
38
+ | 3/5/2025 | 11:00 p–7:00 a | Skin Check/Care | Hospital | KT5 |
39
+ | 3/5/2025 | 11:00 p–7:00 a | Transfer | Hospital | KT5 |
40
+ | 3/5/2025 | 11:00 p–7:00 a | Walk in Room | Hospital | KT5 |
41
+ | 3/5/2025 | 10:10 p | Toilet Use | Hospital | SM21 |
42
+ | 3/5/2025 | 9:00 p–10:30 p | CNA Care Provided | Hospital | SM21 |
43
+ | 3/5/2025 | 7:10 p | Toilet Use | Hospital | SM21 |
44
+ | 3/5/2025 | 4:10 p | Toilet Use | Hospital | SM21 |
45
+ | 3/5/2025 | 4:00 p–7:00 p | Eating | Hospital | SM21 |
46
+ | 3/5/2025 | 3:00 p–11:00 p | Bed Mobility | Hospital | SM21 |
47
+
48
+ ---
49
+
50
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
51
+ v2 SigmaCare by MatrixCare · Page 11 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_12.md ADDED
@@ -0,0 +1,48 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ ---
10
+
11
+ **Legend**
12
+ - **X** Not Scheduled
13
+ - **\*** Multiple Documentations (see last section)
14
+ - **NP** Not Performed (see last section)
15
+ - **-** Not Documented
16
+
17
+ **Selection:** Month: March; Year: 2025
18
+
19
+ | Date | Time | Task | Location | Staff |
20
+ |-----------|-----------------|-------------------------|----------|-------|
21
+ | 3/5/2025 | 3:00 p-11:00 p | Behavior | Hospital | SM21 |
22
+ | 3/5/2025 | 3:00 p-11:00 p | Dressing | Hospital | SM21 |
23
+ | 3/5/2025 | 3:00 p-11:00 p | Locomotion off Unit | Hospital | SM21 |
24
+ | 3/5/2025 | 3:00 p-11:00 p | Locomotion on Unit | Hospital | SM21 |
25
+ | 3/5/2025 | 3:00 p-11:00 p | Personal Hygiene | Hospital | SM21 |
26
+ | 3/5/2025 | 3:00 p-11:00 p | Range of Motion | Hospital | SM21 |
27
+ | 3/5/2025 | 3:00 p-11:00 p | Safety | Hospital | SM21 |
28
+ | 3/5/2025 | 3:00 p-11:00 p | Skin Check/Care | Hospital | SM21 |
29
+ | 3/5/2025 | 3:00 p-11:00 p | Transfer | Hospital | SM21 |
30
+ | 3/5/2025 | 3:00 p-11:00 p | Walk in Corridor | Hospital | SM21 |
31
+ | 3/5/2025 | 3:00 p-11:00 p | Walk in Room | Hospital | SM21 |
32
+ | 3/5/2025 | 1:10 p | Toilet Use | Hospital | KM20 |
33
+ | 3/5/2025 | 1:00 p-2:30 p | CNA Care Provided | Hospital | KM20 |
34
+ | 3/5/2025 | 11:00 a-2:00 p | Eating | Hospital | KM20 |
35
+ | 3/5/2025 | 10:10 a | Toilet Use | Hospital | KM20 |
36
+ | 3/5/2025 | 7:30 a-10:00 a | Eating | Hospital | KM20 |
37
+ | 3/5/2025 | 7:10 a | Toilet Use | Hospital | KM20 |
38
+ | 3/5/2025 | 7:00 a-3:00 p | Bed Mobility | Hospital | KM20 |
39
+ | 3/4/2025 | 11:00 p-7:00 a | Bed Mobility | Hospital | KT5 |
40
+ | 3/4/2025 | 11:00 p-7:00 a | Behavior | Hospital | KT5 |
41
+ | 3/4/2025 | 11:00 p-7:00 a | Dressing | Hospital | KT5 |
42
+ | 3/4/2025 | 11:00 p-7:00 a | Locomotion off Unit | Hospital | KT5 |
43
+
44
+ ---
45
+
46
+ v2 Σ SigmaCare by MatrixCare
47
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
48
+ Page 12 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_13.md ADDED
@@ -0,0 +1,49 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 – 114 – A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Month: March; Year: 2025
11
+
12
+ | Date | Shift/Time | Task | Schedule Type | Staff Initial |
13
+ |----------|-----------------|------------------------|---------------|---------------|
14
+ | 3/4/2025 | 11:00 p-7:00 a | Locomotion on Unit | Hospital | KT5 |
15
+ | 3/4/2025 | 11:00 p-7:00 a | Personal Hygiene | Hospital | KT5 |
16
+ | 3/5/2025 | 7:00 a-3:00 p | Range of Motion | Hospital | KM20 |
17
+ | 3/4/2025 | 11:00 p-7:00 a | Safety | Hospital | KT5 |
18
+ | 3/4/2025 | 11:00 p-7:00 a | Skin Check/Care | Hospital | KT5 |
19
+ | 3/4/2025 | 11:00 p-7:00 a | Transfer | Hospital | KT5 |
20
+ | 3/5/2025 | 7:00 a-3:00 p | Walk in Corridor | Hospital | KM20 |
21
+ | 3/4/2025 | 11:00 p-7:00 a | Walk in Room | Hospital | KT5 |
22
+ | 3/4/2025 | 11:00 p-7:00 a | Eating | Hospital | KT5 |
23
+ | 3/4/2025 | 10:10 p | Toilet Use | Hospital | OC3 |
24
+ | 3/5/2025 | 5:00 a-6:30 a | CNA Care Provided | Hospital | KT5 |
25
+ | 3/5/2025 | 1:10 a | Toilet Use | Hospital | KT5 |
26
+ | 3/5/2025 | 7:00 a-3:00 p | Behavior | Hospital | KM20 |
27
+ | 3/5/2025 | 7:00 a-3:00 p | Dressing | Hospital | KM20 |
28
+ | 3/5/2025 | 7:00 a-3:00 p | Locomotion off Unit | Hospital | KM20 |
29
+ | 3/5/2025 | 7:00 a-3:00 p | Locomotion on Unit | Hospital | KM20 |
30
+ | 3/5/2025 | 7:00 a-3:00 p | Personal Hygiene | Hospital | KM20 |
31
+ | 3/5/2025 | 7:00 a-3:00 p | Safety | Hospital | KM20 |
32
+ | 3/5/2025 | 7:00 a-3:00 p | Skin Check/Care | Hospital | KM20 |
33
+ | 3/5/2025 | 7:00 a-3:00 p | Transfer | Hospital | KM20 |
34
+ | 3/5/2025 | 7:00 a-3:00 p | Walk in Room | Hospital | KM20 |
35
+ | 3/5/2025 | 4:00 a | Toilet Use | Hospital | KT5 |
36
+
37
+ ---
38
+
39
+ ## Legend
40
+ - **X** Not Scheduled
41
+ - **\*** Multiple Documentations (see last section)
42
+ - **NP** Not Performed (see last section)
43
+ - **-** Not Documented
44
+
45
+ ---
46
+
47
+ *v2 SigmaCare by MatrixCare*
48
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
49
+ Page 13 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_14.md ADDED
@@ -0,0 +1,45 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit–Room–Bed:** M1-114-A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Month: March; Year: 2025
10
+
11
+ ---
12
+
13
+ ## Legend
14
+
15
+ - **X** Not Scheduled
16
+ - **\*** Multiple Documentations (see last section)
17
+ - **NP** Not Performed (see last section)
18
+ - **-** Not Documented
19
+
20
+ ---
21
+
22
+ No Triggered records match this selection.
23
+
24
+ ---
25
+
26
+ ## Multiple Documentations
27
+
28
+ | Date | Time | Task | Documentation | Initials |
29
+ |-----------|--------------|------------------|------------------------------------------------------------------------------------|----------|
30
+ | 3/11/2025 | 3:00 p-11:00 p | Bed Mobility | 3-Extensive assistance; 3-Two + person physical assist | KW17 |
31
+ | 3/11/2025 | 3:00 p-11:00 p | Bed Mobility | 3-Extensive assistance; 3-Two + person physical assist | KW17 |
32
+ | 3/10/2025 | 11:00 p-7:00 a | Eating | 2-Limited assistance; 2-One person physical assist; e-0%; NA-Not applicable | KM17 |
33
+ | 3/10/2025 | 11:00 p-7:00 a | Eating | 2-Limited assistance; 2-One person physical assist; NA-Not applicable; NA-Not applicable | KM17 |
34
+ | 3/23/2025 | 11:00 a-2:00 p | Eating | 2-Limited assistance; 2-One person physical assist; b-75%; b-75% | RA10 |
35
+ | 3/23/2025 | 11:00 a-2:00 p | Eating | 2-Limited assistance; 2-One person physical assist; b-75%; b-75% | RA10 |
36
+ | 3/12/2025 | 7:00 a-3:00 p | Skin Check/Care | a-Performed | KM20 |
37
+ | 3/12/2025 | 7:00 a-3:00 p | Skin Check/Care | a-Performed | MT18 |
38
+ | 3/25/2025 | 11:00 p-7:00 a | Transfer | 3-Extensive assistance; 3-Two + person physical assist | SH9 |
39
+ | 3/25/2025 | 11:00 p-7:00 a | Transfer | 8-Activity did not occur; 8-Activity did not occur | SH9 |
40
+
41
+ ---
42
+
43
+ v2 SigmaCare by MatrixCare
44
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
45
+ Page 14 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_15.md ADDED
@@ -0,0 +1,43 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ ---
5
+
6
+ **Resident:** Barksdale, Clydia
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **Unit-Room-Bed:** M1 - 114 - A
9
+ **System/Facility ID:** 19302 / 041353
10
+
11
+ **Selection:** Month: March; Year: 2025
12
+
13
+ ---
14
+
15
+ ## Legend
16
+ - **X** Not Scheduled
17
+ - **\*** Multiple Documentations (see last section)
18
+ - **NP** Not Performed (see last section)
19
+ - **-** Not Documented
20
+
21
+ ---
22
+
23
+ ## Initials / Name
24
+
25
+ | Initials/Name | Initials/Name | Initials/Name | Initials/Name |
26
+ |----------------------------------------|----------------------------------------|------------------------------------------------|---------------------------------------------------|
27
+ | AA17: Adams, Alexis | AG36: Goodwin, Aishah | AH17: Hazle, Ayaina | BB17: Bailey, Bailey |
28
+ | CP23: Powell, Charmaine | DA18: Adebisi, Deborah | EP10: Peralta-Rivera, Evelyn | FB8: Beach, Flona |
29
+ | GB10: Burrell, Gloria | JH10: Henry, Janae | KH7: Hines, Katshana | KM17: Miller, Kanakia |
30
+ | KM20: Milligen, Kamieka | KT5: Takviwaa, Keren, AMA Agvei | KW17: Williams, Kimone | LC10: Charlery-Monk, Lea |
31
+ | LN12: Nkwain, Lottine | MT18: Tate-Brown, Marlene | NH11: Henry, Nekeisha | OC3: Cabassa, Oceanae |
32
+ | RA10: Asante, Rosemond | RS23: Simpson, Rudina | SG: GWOGON, STEVE | SH9: Hepburn, Sophia |
33
+ | SM21: Morgenstond, Shirley, AC | SM53: Mangal, Sabreena | SS55: samandoulougou, Salamatou | ST17: Teta-Gaye, Sitcheron |
34
+ | TA11: Ashley, Tanesha | TA12: Allen, Tianna | TD22: Dyer, Tenisha | TD23: Dallas, Theresa |
35
+ | TM20: Miller, Tanjay | ZI: Ingram, Zacari | | |
36
+
37
+ ---
38
+
39
+ Med Rec. P 55
40
+ v2 SigmaCare by MatrixCare
41
+
42
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
43
+ Page 15 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_2.md ADDED
@@ -0,0 +1,109 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia
8
+ **DOB:** 6/15/1928 (96 y)
9
+ **Unit-Room-Bed:** M1 – 114 – A
10
+ **System/Facility ID:** 19302 / 041353
11
+
12
+ ---
13
+
14
+ ## Legend
15
+ - **X** Not Scheduled
16
+ - **\*** Multiple Documentations (see last section)
17
+ - **NP** Not Performed (see last section)
18
+ - **–** Not Documented
19
+
20
+ ---
21
+
22
+ **Selection:** Month: March; Year: 2025
23
+
24
+ ---
25
+
26
+ ## Eating
27
+
28
+ ### 7:30 a – 10:00 a
29
+
30
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
31
+ |-----|:-:|:-:|:-:|:-:|:-:|:--:|:-:|:-:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|
32
+ | **Self-Performance** | 1 | 1 | 1 | 1 | 1 | NP | – | X | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
33
+ | **Support Provided** | 1 | 1 | 1 | 1 | 1 | NP | – | X | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
34
+ | **% Eaten** | b | c | b | d | NP| – | X | d | c | a | c | d | c | c | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b |
35
+ | **% Liquids Consumed** | a | b | c | a | NP| – | X | c | b | a | c | b | c | c | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b |
36
+ | **Initials** | KM20 | KM20 | KM20 | TM20 | KM20 | – | X | SM53 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
37
+
38
+ ---
39
+
40
+ ### 11:00 a – 2:00 p
41
+
42
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
43
+ |-----|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|:--:|
44
+ | **Self-Performance** | 1 | 1 | 1 | 1 | NP | X | NP | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
45
+ | **Support Provided** | 1 | 1 | 1 | 1 | NP | X | NP | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 |
46
+ | **% Eaten** | d | d | d | a | NP | X | NP | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b |
47
+ | **% Liquids Consumed** | c | a | d | a | NP | X | NP | b | b | b | c | b | c | c | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b | b |
48
+ | **Initials** | KM20 | KM20 | KM20 | TM20 | X | KM20 | SM53 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | – | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
49
+
50
+ ---
51
+
52
+ ### 4:00 p – 7:00 p
53
+
54
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | ... | 31 |
55
+ |-----|:-:|:-:|:-:|:-:|:-:|:--:|:--:|:--:|:--:|:--:|:---:|:--:|
56
+ | **Self-Performance** | 1 | 1 | 1 | 1 | NP | X | 2 | 2 | 2 | 2 | ... | 3 |
57
+ | **Support Provided** | 1 | 1 | 1 | 1 | NP | X | 2 | 2 | 2 | 2 | ... | 2 |
58
+ | **% Eaten** | a | d | d | a | NP | X | c | a | c | d | ... | c |
59
+ | **% Liquids Consumed** | a | b | c | a | NP | X | c | b | b | b | ... | c |
60
+ | **Initials** | TM20 | AH17 | SG | OC3 | SM21 | X | AH17 | SM21 | SG | KM17 | ... | TA11 |
61
+
62
+ *(Cells “…” indicate repetition of the same pattern through Day 31 as shown.)*
63
+
64
+ ---
65
+
66
+ ### 11:00 p – 7:00 a
67
+
68
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | … | 31 |
69
+ |-----|:-:|:-:|:-:|:--:|:--:|:--:|:-:|:-:|:-:|:--:|:--:|:--:|:-:|:--:|
70
+ | **Self-Performance** | 8 | 8 | 8 | NP | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | … | 8 |
71
+ | **Support Provided** | 8 | 8 | 8 | NP | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | … | 8 |
72
+ | **% Eaten** | NA| NA| NA| NP | NP | X | NA| NA| NA| NA | NA | NA | … | – |
73
+ | **% Liquids Consumed** | NA| NA| NA| NP | NP | X | NA| NA| NA| NA | NA | NA | … | – |
74
+ | **Initials** | KT5 | KT5 | KT5 | KT5 | X | RZ3 | BB17 | KT5 | LC10 | FB8 | SH9 | SH9 | … | LC10 |
75
+
76
+ ---
77
+
78
+ ## Locomotion off Unit
79
+
80
+ ### 7:00 a – 3:00 p
81
+
82
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | … | 31 |
83
+ |-----|:-:|:-:|:-:|:--:|:--:|:--:|:-:|:-:|:-:|:--:|:-:|:--:|
84
+ | **Task** | b | b | b | a | NP | X | b | b | b | b | … | b |
85
+ | **Initials** | KM20 | KM20 | KM20 | TM20 | KM20 | SM53 | RA10 | KM20 | KM20 | MT18 | … | TD22 |
86
+
87
+ ---
88
+
89
+ ### 3:00 p – 11:00 p
90
+
91
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | … | 31 |
92
+ |-----|:-:|:-:|:-:|:--:|:--:|:--:|:-:|:-:|:-:|:--:|:-:|:--:|
93
+ | **Task** | a | b | a | a | NP | X | b | b | b | b | … | NA |
94
+ | **Initials** | TM20 | AH17 | GB10 | OC3 | SM21 | X | AH17 | SM21 | SM21 | TM20 | … | TA11 |
95
+
96
+ ---
97
+
98
+ ### 11:00 p – 7:00 a
99
+
100
+ | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | … | 31 |
101
+ |-----|:-:|:-:|:-:|:--:|:--:|:--:|:-:|:-:|:-:|:--:|:-:|:--:|
102
+ | **Task** | b | b | b | NP | NP | X | NA| a | a | b | … | – |
103
+ | **Initials** | KT5 | KT5 | KT5 | KT5 | X | RZ3 | KM17 | LC10 | FB8 | SH9 | … | LC10 |
104
+
105
+ ---
106
+
107
+ *Page 2 of 15*
108
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
109
+ *SigmaCare by MatrixCare v2*
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_3.md ADDED
@@ -0,0 +1,67 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ text
2
+ Resident CNA Documentation Record
3
+ Kings Harbor Multicare Center
4
+
5
+ Resident: Barksdale, Clydia Unit-Room-Bed: M1 - 114 - A
6
+ DOB: 6/15/1928 (96 y) System/Facility ID: 19302 / 041353
7
+
8
+ Legend
9
+ X Not Scheduled
10
+ * Multiple Documentations (see last section)
11
+ NP Not Performed (see last section)
12
+ – Not Documented
13
+
14
+ Selection: Month: March; Year: 2025
15
+
16
+ -------------------------------------------------------------------------------------------------------------------------------
17
+ Task | March | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31
18
+ -------------------------------------------------------------------------------------------------------------------------------
19
+ Locomotion on Unit
20
+ 7:00 a – 3:00 p
21
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
22
+ Initials | |KM20|KM20|KM20|TM20|KM20| x |KM20|SM53|RA10|KM20|KM20|MT18|NH11|NH11|NH11|NH11|NH11|NH11|RA10|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|SM21|SM21|SM21|TD22
23
+
24
+ 3:00 p – 11:00 p
25
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | b | a | a | a | b | a | a | b | a | NA | a | a | a | a | a | NP | a | a | b
26
+ Initials | |TM20|AH17|GB10|OC3 |SM21| x |AH17|SM21|SM21|TM20|KW17|SM21|KH7 |5555|5555|SM21|EP10|ST17|JH10|SM21|5555|5555|SM21|DA18|JH10|TD23|SM21|5555|SM21|TA11
27
+
28
+ 11:00 p – 7:00 a
29
+ Task | | b | b | b | NP | NP | x | NA | a | b | a | b | b | b | b | b | b | a | b | b | b | b | NA | b | b | b | b | b | b | b | b | b
30
+ Initials | |KT5 |KT5 |KT5 |KT5 |KT5 | x |RS23|BB17|KT5 |KM17|LC10|FB8 |SH9 |SH9 |SH9 |TA12|SH9 |SH9 |SH9 |BB17|BB17|SH9 |LN12|SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |LC10
31
+
32
+ Personal Hygiene
33
+ 7:00 a – 3:00 p
34
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
35
+ Initials | |KM20|KM20|KM20|TM20|KM20| x |KM20|SM53|RA10|KM20|KM20|MT18|NH11|NH11|NH11|NH11|NH11|NH11|RA10|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|SM21|SM21|SM21|TD22
36
+
37
+ 3:00 p – 11:00 p
38
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
39
+ Initials | |TM20|AH17|GB10|OC3 |SM21| x |AH17|SM21|SM21|TM20|KW17|SM21|KH7 |5555|5555|SM21|EP10|ST17|JH10|SM21|5555|5555|SM21|DA18|JH10|TD23|SM21|5555|SM21|TA11
40
+
41
+ 11:00 p – 7:00 a
42
+ Task | | a | a | NP | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
43
+ Initials | |KT5 |KT5 |KT5 |KT5 | x |RS23|BB17|KT5 |KM17|LC10|FB8 |SH9 |SH9 |SH9 |TA12|SH9 |SH9 |SH9 |BB17|BB17|SH9 |LN12|SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |LC10
44
+
45
+ Range of Motion
46
+ 7:00 a – 3:00 p
47
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
48
+ Initials | |KM20|KM20|KM20|TM20|KM20| x |KM20|SM53|RA10|KM20|KM20|MT18|NH11|NH11|NH11|NH11|NH11|NH11|RA10|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|SM21|SM21|SM21|TD22
49
+
50
+ 3:00 p – 11:00 p
51
+ Task | | a | a | a | a | NP | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a
52
+ Initials | |TM20|AH17|GB10|OC3 |SM21| x |AH17|SM21|SM21|TM20|KW17|SM21|KH7 |5555|5555|SM21|EP10|ST17|JH10|SM21|5555|5555|SM21|DA18|JH10|TD23|SM21|5555|SM21|TA11
53
+
54
+ Toilet Use (1:10 a)
55
+ Self-Performance | | 3 | 3 | 3 | 3 | NP | NP | x | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
56
+ Support Provided | | 2 | 2 | 2 | 2 | NP | NP | x | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
57
+ Bladder Continence | | 1 | 1 | 1 | 1 | NP | NP | x | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1
58
+ Bowel Continence | | NA | NA | NA | NA | NP | NP | x | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA
59
+ Bowel Movement | | 2 | 2 | 2 | 2 | NP | NP | x | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2
60
+ BM Type | | NA | NA | NA | NA | NP | NP | x | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA
61
+ BM Size | | NA | NA | NA | NA | NP | NP | x | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA
62
+ # of BM | | 0 | 0 | 0 | 0 | NP | NP | x | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0
63
+ Initials | |AA17|KT5 |KT5 |KT5 |KT5| x |RS23|BB17|KT5 |KM17|LC10|FB8 |SH9 |SH9 |SH9 |TA12|SH9 |SH9 |SH9 |BB17|BB17|SH9 |LN12|SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |SH9 |SH9
64
+
65
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
66
+ Page 3 of 15
67
+ v2 SigmaCare by MatrixCare
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_4.md ADDED
@@ -0,0 +1,74 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ## Legend
13
+
14
+ - **X** Not Scheduled
15
+ - **\*** Multiple Documentations (see last section)
16
+ - **NP** Not Performed (see last section)
17
+ - **–** Not Documented
18
+
19
+ ---
20
+
21
+ **Selection:** Month: March; Year: 2025
22
+
23
+ Below is the CNA documentation grid for March 2025. Each time-slot (4:00 a, 7:10 a, 10:10 a) contains the following measures:
24
+ - Self-Performance
25
+ - Support Provided
26
+ - Bladder Continence
27
+ - Bowel Continence
28
+ - Bowel Movement
29
+ - BM Type
30
+ - BM Size
31
+ - # of BM
32
+ - Initials
33
+
34
+ ---
35
+
36
+
37
+ Task | March | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31
38
+ -----------------|-------|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----
39
+ **4:00 a**
40
+ Self-Performance | | 3 | 3 | 3 | 3 | NP | NP | X | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
41
+ Support Provided | | 2 | 2 | 2 | 2 | NP | NP | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
42
+ Bladder Continence| | 1 | 1 | 1 | 1 | NP | NP | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1
43
+ Bowel Continence | | NA| NA| NA| NP| NP | X | NA| 1 | NA| 1 | NA| 1 | NA| 1 | 1 | 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | 1
44
+ Bowel Movement | | 1 | 2 | 2 | NP| NP | X | 2 | 2 | 2 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 2 | 1 | 1 | 2 | 1 | 1 | 1 | 1
45
+ BM Type | | s| NA| NA| NP| NP | X | NA| s | NA| s | NA| s | s | s | s | NA| s | s | s | s | NA| s | s | s | s | NA| s | s | s | s | s
46
+ BM Size | | l| NA| NA| NP| NP | X | NA| l | NA| l | NA| l | l | l | l | NA| l | l | l | l | NA| l | l | l | l | NA| l | l | l | l | l
47
+ # of BM | | 1| 0| 0| NP| NP | X | 0| 0| 1| 0| 1| 0| 1| 0| 1| 0| 1| 0| 1| 0| 1| 0| 2| 0| 2| 0| 2| 0| 2| 1| 1
48
+ Initials | | AA17|KT5|KT5|KT5|KT5| X |RS23|BB17|KT5|KM17|LC10|FB8|SH9|SH9|SH9|TA12|SH9|SH9|SH9|BB17|BB17|SH9|SH9|LN12|SH9|SH9|SH9|-- |-- |--
49
+
50
+ **7:10 a**
51
+ Self-Performance | | 3 | 3 | 3 | NP| – | X | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
52
+ Support Provided | | 2 | 2 | 2 | NP| – | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
53
+ Bladder Continence| | 1 | 1 | 1 | NP| – | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2
54
+ Bowel Continence | | NA| NA| NA| NP| – | X | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA
55
+ Bowel Movement | | 2 | 2 | 2 | NP| – | X | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 2 | 2 | 2 | 2 | 1 | 2 | 2 | 2 | 2 | 2 | 2
56
+ BM Type | | NA| NA| NA| NP| – | X | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA
57
+ BM Size | | NA| NA| NA| NP| – | X | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA
58
+ # of BM | | 0| 0| 0| NP| – | X | 0| 1| 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 2| 0| 0| 0| 1| 0| 0| 0| 0| 0| 0| 0
59
+ Initials | | KM20|KM20|TM20|TM20| – |SM53|RA10|KM20|KM17|LC10|MT18|NH11|NH11|NH11|NH11|NH11|NH11|NH11|RA10|BB17|MT18|TA11|MT18|CP23|MT18|NH11|SM21|TD22
60
+
61
+ **10:10 a**
62
+ Self-Performance | | 3 | 3 | 3 | NP| – | X | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
63
+ Support Provided | | 2 | 2 | 2 | NP| – | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
64
+ Bladder Continence| | 1 | 1 | 1 | NP| – | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1
65
+ Bowel Continence | | 1 | 1 | 2 | NP| – | X | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA| 1 | NA
66
+ Bowel Movement | | 1 | 1 | 2 | NP| – | X | 2 | 2 | 2 | 1 | 2 | 2 | 2 | 1 | 2 | 1 | 2 | 2 | 1 | 2 | 2 | 1 | 2 | 2 | 1 | 2 | 2 | 1 | 2 | 1 | 1
67
+ BM Type | | s| s| l| NP| – | X | s | NA| s | NA| s | s | s | NA| s | s | s | s | NA| s | s | s | s | NA| s | s | s | s | s | s | s
68
+ BM Size | | l| m| NA| NP| – | X | 1 | NA| m | NA| m | m | m | NA| m | m | m | m | NA| m | m | m | m | NA| m | m | m | m | m | m | m
69
+ # of BM | | 1| 0| 0| NP| – | X | 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 0| 1| 0| 1| 0| 1| 0| 1| 0| 1| 0| 1| 0
70
+ Initials | | KM20|KM20|TM20|TM20| – |SM53|RA10|KM20|KM17|LC10|MT18|NH11|NH11|NH11|NH11|NH11|NH11|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|TD22
71
+
72
+
73
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
74
+ _Page 4 of 15_
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_5.md ADDED
@@ -0,0 +1,59 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ | Resident | Barksdale, Clydia | Unit–Room–Bed | M1 – 114 – A |
6
+ |-----------------------|-------------------------|--------------------|-------------------|
7
+ | DOB | 6/15/1928 (96 y) | System/Facility ID | 19302 / 041353 |
8
+
9
+ ---
10
+
11
+ ## Legend
12
+ X Not Scheduled
13
+ \* Multiple Documentations (see last section)
14
+ NP Not Performed (see last section)
15
+ – Not Documented
16
+
17
+ ---
18
+
19
+ **Selection:** Month: March; Year: 2025
20
+
21
+ ---
22
+
23
+ Below is the full March 2025 CNA documentation grid for 1:10 p, 4:10 p and 7:10 p. Each row shows the daily entry for days 1 through 31.
24
+
25
+
26
+ Task | Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31
27
+ --------------|-------|----|----|----|----|-----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----
28
+ **1:10 p** |Self-Performance| 3 | 3 | 3 | 3 | NP | X | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
29
+ |Support Provided| 2 | 2 | 2 | 2 | NP | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
30
+ |Bladder Continence| 1 | 1 | 1 | 1 | NP | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | –
31
+ |Bowel Continence | NA | NA | NA | 1 | NA | NP | X | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | NA | 1 | NA | NA | NA
32
+ |Bowel Movement | 2 | 2 | 1 | 2 | NP | X | 2 | 2 | 2 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 2 | 1 | 1 | 2 | 2 | 2 | 2
33
+ |BM Type | NA | NA | I | NA | NP | X | NA | NA | NA | NA | S | NA | NA | NA | NA | NA | S | NA | NA | NA | NA | S | I | NA | NA | m | NA | NA | I | NA | I
34
+ |BM Size | NA | NA | I | NA | NP | X | NA | NA | NA | NA | N | NA | NA | NA | NA | NA | s | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | m
35
+ |# of BM | 0 | 0 | 1 | 0 | NP | X | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 | 2 | 0 | 0 | 1 | 0
36
+ |Initials |KM20|KM20|KM20|TM20| X |KM20|SM53|RA10|KM20|KM20|MT18|NH11|NH11|NH11|NH11|NH11|NH11|NH11|NH11|NH11|NH11|NH11|RA10|RA10|MT18|TA11|MT18|CP23|MT18|NH11|SM21|TD22
37
+
38
+ **4:10 p** |Self-Performance| 3 | 3 | 3 | 3 | NP | X | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
39
+ |Support Provided| 2 | 2 | 2 | 2 | NP | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
40
+ |Bladder Continence| 1 | 1 | 1 | 1 | NP | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | –
41
+ |Bowel Continence | NA | NA | NA | NA | NP | X | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | NA | NA | NA | NA | NA
42
+ |Bowel Movement | 2 | 2 | 2 | 2 | NP | X | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2
43
+ |BM Type | NA | NA | NA | NA | NP | X | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | I | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA
44
+ |BM Size | NA | NA | NA | NA | NP | X | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | f | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA | NA
45
+ |# of BM | 0 | 0 | 0 | 0 | NP | X | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0
46
+ |Initials |TM20|AH17|GB10|OC3 |SM21| X |AH17|SM21|SM21|TM20|KW17|SM21|KH7 |S555|S555|SM21|EP10|ST17|JH10|SM21|S555|S555|SM21|DA18|JH10|TD23|SM21|S555|S555|SM21|TA11
47
+
48
+ **7:10 p** |Self-Performance| 3 | 3 | 3 | 3 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | –
49
+ |Support Provided| 2 | 2 | 2 | 2 | NP | X | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3
50
+ |Bladder Continence| 1 | 1 | 1 | 1 | NP | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | –
51
+ |Bowel Continence | 1 | NA | NA | NA | NP | X | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | 1 | NA | NA | NA | NA | NA | NA | NA | NA | NA
52
+ |Bowel Movement | 1 | 2 | 2 | 2 | NP | X | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2
53
+ |BM Type | S | NA | NA | NA | NP | X | NA | NA | NA | NA | s | NA | NA | NA | NA | s | NA | NA | NA | NA | s | I | NA | NA | NA | NA | NA | I| NA | I
54
+ |BM Size | I | NA | NA | NA | NP | X | NA | NA | NA | NA | m | NA | NA | NA | NA | m | NA | NA | NA | NA | I| m | NA | NA | NA | NA | NA | m| NA | m
55
+ |# of BM | 1 | 0 | 0 | 0 | NP | X | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | –
56
+ |Initials |TM20|AH17|GB10|OC3 |SM21| X |AH17|SM21|TM20|KW17|SM21|KH7 |S555|S555|SM21|EP10|ST17|JH10|SM21|S555|S555|SM21|DA18|JH10|TD23|SM21|S555|S555|SM21|TA11
57
+
58
+
59
+ *All entries have been transcribed exactly as shown.*
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_6.md ADDED
@@ -0,0 +1,57 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Month: March; Year: 2025
11
+
12
+ ---
13
+
14
+ ### Legend
15
+ - X Not Scheduled
16
+ - * Multiple Documentations (see last section)
17
+ - NP Not Performed (see last section)
18
+ - – Not Documented
19
+
20
+ ---
21
+
22
+ ## Daily CNA Documentation (March 2025)
23
+
24
+ | Task / Time | Metric | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
25
+ |------------------|----------------------|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|-----|
26
+ | **10:10 p** | Self-Performance | 3 | 3 | 3 | NP | NP | X | 4 | 4 | 4 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
27
+ | | Support Provided | 2 | 2 | 2 | NP | NP | X | 2 | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
28
+ | | Bladder Continence | 1 | 1 | 1 | NP | NP | X | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 0 |
29
+ | | Bowel Continence | NA | NA | NA | NP | NP | X | NA | NA | 1 | NA | NA | 1 | NA | NA | 1 | NA | NA | 1 | NA | NA | 1 | NA | NA | 1 | NA | NA | 1 | NA | NA | NA | 0 |
30
+ | | Bowel Movement | 2 | 2 | 2 | NP | NP | X | 2 | 1 | 2 | 1 | 2 | 2 | 2 | 1 | 1 | 2 | 2 | 2 | 2 | 2 | 1 | 2 | 2 | 1 | 2 | 1 | 2 | 2 | 1 | 2 | 1 |
31
+ | | BM Type | NA | NA | NA | NP | NP | X | NA | S | NA | NA | S | NA | NA | S | NA | NA | S | NA | NA | S | NA | NA | S | NA | NA | S | NA | NA | S | NA | I |
32
+ | | BM Size | NA | NA | NA | NP | NP | X | NA | L | NA | NA | L | NA | NA | M | NA | NA | M | NA | NA | M | NA | NA | M | NA | NA | M | NA | NA | M | NA | L |
33
+ | | # of BM | 0 | 0 | 0 | NP | NP | X | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 0 | 1 | 2 |
34
+ | | Initials | TM20| AH17| GB10| OC3 | SM21| X | AH17| SM21| SM21| TM20| KW17| SM21| KH7 | SS55| SS55| SM21| EP10| ST17| JH10| SM21| SS55| SS55| SM21| DA18| JH10| TD23| SM21| SS55| SS55| SM21| TA11|
35
+ | **Transfer** | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
36
+ | 7:00 a – 3:00 p | Self-Performance | 1 | 1 | 1 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
37
+ | | Support Provided | 0 | 0 | 0 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
38
+ | | Initials | KM20| KM20| KM20| TM20| X | KM20| SM53| RA10| KM20| M218| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| RA10| M218| TA11| M218| NH11| SM21| TD22| | | |
39
+ | 3:00 p – 11:00 p | Self-Performance | 1 | 1 | 1 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
40
+ | | Support Provided | 0 | 0 | 0 | NP | X | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
41
+ | | Initials | TM20| AH17| GB10| OC3 | SM21| X | AH17| SM21| SM21| TM20| KW17| SM21| KH7 | SS55| SS55| SM21| EP10| ST17| JH10| SM21| SS55| SS55| SM21| DA18| JH10| TD23| SM21| SS55| SS55| SM21| TA11|
42
+ | 11:00 p – 7:00 a | Self-Performance | 1 | 8 | 1 | NP | NP | X | 3 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
43
+ | | Support Provided | 0 | 8 | 0 | NP | NP | X | 3 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
44
+ | | Initials | KT5 | KT5 | GB10| KT5 | X | RS23| BB17| KT5 | KM17| LC10| FB8 | SH9 | SH9 | SH9 | SH9 | TA12| SH9 | SH9 | SH9 | BB17| BB17| SH9 | – | LN12| SH9 | SH9 | SH9 | SH9 | LC10| |
45
+ | **Walk in Corridor** | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
46
+ | 7:00 a – 3:00 p | Self-Performance | 1 | 1 | 1 | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
47
+ | | Support Provided | 1 | 1 | 1 | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
48
+ | | Distance (feet) | 0 | 0 | 0 | NP | X | 0 | 0 | 0 | 0 | 0 | 0 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
49
+ | | Initials | KM20| KM20| KM20| TM20| X | KM20| SM53| RA10| KM20| M218| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| NH11| RA10| M218| TA11| M218| NH11| SM21| TD22| | | |
50
+ | 3:00 p – 11:00 p | Self-Performance | 1 | 1 | 1 | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
51
+ | | Support Provided | 1 | 1 | 1 | NP | X | 8 | 8 | 8 | 8 | 8 | 8 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
52
+ | | Distance (feet) | 0 | 0 | 0 | NP | X | 0 | 0 | 0 | 0 | 0 | 0 | NA | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | 8 | 8 | 8 |
53
+ | | Initials | TM20| AH17| GB10| OC3 | SM21| X | AH17| SM21| SM21| TM20| KW17| SM21| KH7 | SS55| SS55| SM21| EP10| ST17| JH10| SM21| SS55| SS55| SM21| DA18| JH10| TD23| SM21| SS55| SS55| SM21| TA11|
54
+
55
+ ---
56
+
57
+ v2 SigmaCare by MatrixCare  Generated by Anash, Nikol on 4/17/2025 at 9:36 am  Page 6 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_7.md ADDED
@@ -0,0 +1,52 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ | **Resident:** | Barksdale, Clydia | **Unit / Room / Bed:** | M1 – 114 – A |
6
+ |------------------------|-------------------------|------------------------|------------------|
7
+ | **DOB:** | 6/15/1928 (96 y) | **System / Facility ID:** | 19302 / 041353 |
8
+
9
+ **Legend**
10
+ - X Not Scheduled
11
+ - * Multiple Documentations (see last section)
12
+ - NP Not Performed (see last section)
13
+ - – Not Documented
14
+
15
+ **Selection:** Month: March; Year: 2025
16
+
17
+ | **Task** | **Time** | **Entry** | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 | 31 |
18
+ |------------------|----------------|-------------|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|----|-------|-------|-------|-------|
19
+ | **Walk in Room** | 7:00 a – 3:00 p | Task | a | a | a | a | NP | X | b | b | a | b | b | a | a | a | a | a | a | a | NA | a | a | NA | a | NA | a | NA | a | NH11 | NH11 | SM21 | TD22 |
20
+ | | | Initials | KM20 | KM20 | KM20 | KM20 | TM20 | X | KM20 | KM20 | SM53 | RA10 | KM20 | KM20 | KM20 | TM18 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | SM21 | SM21 | TD22 |
21
+ | | 3:00 p – 11:00 p | Task | a | a | a | a | NP | X | b | a | a | b | b | a | NA | NA | b | b | NA | b | NA | NA | b | b | NA | b | b | NA | b | b | NA | b | b |
22
+ | | | Initials | TM20 | AH17 | GB10 | OC3 | SM21 | X | AH17 | SM21 | SM21 | TM20 | KM17 | SM21 | KH7 | SS55 | SS55 | EP10 | ST17 | JH10 | SM21 | SS55 | SS55 | SM21 | DA18 | JH10 | TD23 | SM21 | SS55 | SS55 | SM21 | TA11 |
23
+ | | 11:00 p – 7:00 a | Task | b | b | b | NP | NP | X | NA | a | b | a | b | b | b | NA | b | b | NA | b | b | NA | b | b | NA | b | b | NA | b | b | b | b | b |
24
+ | | | Initials | KT5 | KT5 | KT5 | KT5 | KT5 | X | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 | SH9 | LC10 |
25
+
26
+ | **Behavior** | 7:00 a – 3:00 p | Behaviors | x | x | x | h, l | NP | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x | x |
27
+ | | | Initials | KM20 | KM20 | KM20 | TM20 | X | KM20 | SM53 | RA10 | KM20 | KM20 | TM18 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
28
+ | | 3:00 p – 11:00 p | Behaviors | h, l | h, l | x | x | NP | X | i, x | x | x | x | x | x | c | i | a, l | d, l | x | b, i | a | x | c | d, l | i | b, i | x | x | b, i | x | — | x |
29
+ | | | Initials | TM20 | AH17 | GB10 | OC3 | SM21 | X | AH17 | SM21 | SM21 | TM20 | KM17 | SM21 | KH7 | SS55 | SS55 | EP10 | ST17 | JH10 | SM21 | SS55 | SS55 | SM21 | DA18 | JH10 | TD23 | SM21 | SS55 | SS55 | TA11 |
30
+ | | 11:00 p – 7:00 a | Behaviors | h, l | h, l | h, l | NP | NP | X | NA | x | x | x | x | x | x | b, c, i | d, l | d, l | b, i | x | x | c, d, i | i | c, l | i | x | x | – | – | – | – |
31
+ | | | Initials | KT5 | KT5 | KT5 | KT5 | KT5 | X | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 | LC10 |
32
+
33
+ | **Safety** | 7:00 a – 3:00 p | Task | a | a | a | a | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
34
+ | | | Initials | KM20 | KM20 | KM20 | TM20 | X | KM20 | SM53 | RA10 | KM20 | KM20 | TM18 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
35
+ | | 3:00 p – 11:00 p | Task | a | a | a | a | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
36
+ | | | Initials | TM20 | AH17 | GB10 | OC3 | SM21 | X | AH17 | SM21 | SM21 | TM20 | KM17 | SM21 | KH7 | SS55 | SS55 | EP10 | ST17 | JH10 | SM21 | SS55 | SS55 | SM21 | DA18 | JH10 | TD23 | SM21 | SS55 | SS55 | TA11 |
37
+ | | 11:00 p – 7:00 a | Task | a | a | a | NP | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
38
+ | | | Initials | KT5 | KT5 | KT5 | KT5 | KT5 | X | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 | LC10 |
39
+
40
+ | **Skin Check / Care** | 7:00 a – 3:00 p | Skin Condition | NP | X | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
41
+ | | | Task | a | a | a | a | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
42
+ | | | Initials | KM20 | KM20 | KM20 | TM20 | X | KM20 | SM53 | RA10 | KM20 | KM20 | TM18 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
43
+ | | 3:00 p – 11:00 p | Skin Condition | NP | X | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
44
+ | | | Task | a | a | a | a | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
45
+ | | | Initials | TM20 | AH17 | GB10 | OC3 | SM21 | X | AH17 | SM21 | SM21 | TM20 | KM17 | SM21 | KH7 | SS55 | SS55 | EP10 | ST17 | JH10 | SM21 | SS55 | SS55 | SM21 | DA18 | JH10 | TD23 | SM21 | SS55 | SS55 | TA11 |
46
+ | | 11:00 p – 7:00 a | Skin Condition | NP | NP | X | – | NP | X | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – | – |
47
+ | | | Task | a | a | a | NP | NP | X | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
48
+ | | | Initials | KT5 | KT5 | KT5 | KT5 | KT5 | X | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 | SH9 | LC10 |
49
+
50
+ ---
51
+
52
+ *v2 SigmaCare by MatrixCare*  Generated by Anash, Nikol on 4/17/2025 at 9:36 am  Page 7 of 15
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_8.md ADDED
@@ -0,0 +1,135 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Resident CNA Documentation Record
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1-114-A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ ---
10
+
11
+ ## Legend
12
+ - X Not Scheduled
13
+ - * Multiple Documentations (see last section)
14
+ - NP Not Performed (see last section)
15
+ - – Not Documented
16
+
17
+ **Selection:** Month: March; Year: 2025
18
+
19
+ ---
20
+
21
+ ## CNA Care Provided
22
+
23
+ ### 5:00 a m – 6:30 a m
24
+ | Day | Status | Initials |
25
+ |:---:|:------:|:--------:|
26
+ | 1 | a | A017 |
27
+ | 2 | a | KT5 |
28
+ | 3 | a | KT5 |
29
+ | 4 | a | KT5 |
30
+ | 5 | NP | KT5 |
31
+ | 6 | X | KT5 |
32
+ | 7 | a | RS23 |
33
+ | 8 | a | BB17 |
34
+ | 9 | a | KT5 |
35
+ | 10 | a | KM17 |
36
+ | 11 | a | LC10 |
37
+ | 12 | a | FB8 |
38
+ | 13 | a | SH9 |
39
+ | 14 | a | SH9 |
40
+ | 15 | a | SH9 |
41
+ | 16 | a | SH9 |
42
+ | 17 | a | TA12 |
43
+ | 18 | a | SH9 |
44
+ | 19 | a | SH9 |
45
+ | 20 | a | SH9 |
46
+ | 21 | a | SH9 |
47
+ | 22 | a | BB17 |
48
+ | 23 | a | BB17 |
49
+ | 24 | a | SH9 |
50
+ | 25 | a | LN12 |
51
+ | 26 | a | SH9 |
52
+ | 27 | a | SH9 |
53
+ | 28 | a | SH9 |
54
+ | 29 | a | SH9 |
55
+ | 30 | a | SH9 |
56
+ | 31 | a | SH9 |
57
+
58
+ ---
59
+
60
+ ### 1:00 p m – 2:30 p m
61
+ | Day | Status | Initials |
62
+ |:---:|:------:|:--------:|
63
+ | 1 | a | KM20 |
64
+ | 2 | a | KM20 |
65
+ | 3 | a | KM20 |
66
+ | 4 | NP | KM20 |
67
+ | 5 | X | X |
68
+ | 6 | a | AG36 |
69
+ | 7 | a | RA10 |
70
+ | 8 | a | KM20 |
71
+ | 9 | a | KM20 |
72
+ | 10 | a | MT18 |
73
+ | 11 | a | NH11 |
74
+ | 12 | a | NH11 |
75
+ | 13 | a | NH11 |
76
+ | 14 | a | NH11 |
77
+ | 15 | a | NH11 |
78
+ | 16 | a | NH11 |
79
+ | 17 | a | RA10 |
80
+ | 18 | a | RA10 |
81
+ | 19 | a | MT18 |
82
+ | 20 | a | TA11 |
83
+ | 21 | a | MT18 |
84
+ | 22 | a | CP23 |
85
+ | 23 | a | MT18 |
86
+ | 24 | a | NH11 |
87
+ | 25 | a | SM21 |
88
+ | 26 | a | TD22 |
89
+ | 27 | a | |
90
+ | 28 | a | |
91
+ | 29 | a | |
92
+ | 30 | a | |
93
+ | 31 | a | |
94
+
95
+ ---
96
+
97
+ ### 9:00 p m – 10:30 p m
98
+ | Day | Status | Initials |
99
+ |:---:|:------:|:--------:|
100
+ | 1 | a | TM20 |
101
+ | 2 | a | AH17 |
102
+ | 3 | a | GB10 |
103
+ | 4 | NP | OC3 |
104
+ | 5 | a | SM21 |
105
+ | 6 | X | X |
106
+ | 7 | a | AH17 |
107
+ | 8 | a | SM21 |
108
+ | 9 | a | TM20 |
109
+ | 10 | a | KT7 |
110
+ | 11 | a | SM21 |
111
+ | 12 | a | KH7 |
112
+ | 13 | a | SSS5 |
113
+ | 14 | a | SSS5 |
114
+ | 15 | a | SM21 |
115
+ | 16 | a | EP10 |
116
+ | 17 | a | ST17 |
117
+ | 18 | a | JH10 |
118
+ | 19 | a | SM21 |
119
+ | 20 | a | SSS5 |
120
+ | 21 | a | SM21 |
121
+ | 22 | a | DA18 |
122
+ | 23 | a | JH10 |
123
+ | 24 | a | TD23 |
124
+ | 25 | a | SM21 |
125
+ | 26 | a | SSS5 |
126
+ | 27 | a | SSS5 |
127
+ | 28 | a | SSS5 |
128
+ | 29 | a | SM21 |
129
+ | 30 | a | TA11 |
130
+ | 31 | a | TA11 |
131
+
132
+ ---
133
+
134
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
135
+ *Page 8 of 15*
MarkdownOutput/CNA_Surveyor_(CNA_Accountability_Record)_page_9.md ADDED
@@ -0,0 +1,58 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Resident CNA Documentation Record
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia        **Unit-Room-Bed:** M1 – 114 – A
8
+ **DOB:** 6/15/1928 (96 y)        **System/Facility ID:** 19302 / 041353
9
+
10
+ ---
11
+
12
+ ## Legend
13
+ X Not Scheduled
14
+ * Multiple Documentations (see last section)
15
+ NP Not Performed (see last section)
16
+ – Not Documented
17
+
18
+ ---
19
+
20
+ **Selection:** Month: March; Year: 2025
21
+
22
+ ---
23
+
24
+ | **Task** | **March** | **1** | **2** | **3** | **4** | **5** | **6** | **7** | **8** | **9** | **10** | **11** | **12** | **13** | **14** | **15** | **16** | **17** | **18** | **19** | **20** | **21** | **22** | **23** | **24** | **25** | **26** | **27** | **28** | **29** | **30** | **31** |
25
+ |---------------------|-----------|-------|-------|-------|-------|-------|-------|-------|-------|-------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
26
+ | **Turn & Position** | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
27
+ | 12:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
28
+ |  Initials | | x | x | x | x | x | x | x | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 |
29
+ | 2:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
30
+ |  Initials | | x | x | x | x | x | x | x | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 |
31
+ | 4:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
32
+ |  Initials | | x | x | x | x | x | x | x | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 |
33
+ | 6:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
34
+ |  Initials | | x | x | x | x | x | x | x | RS23 | BB17 | KT5 | KM17 | LC10 | FB8 | SH9 | SH9 | SH9 | TA12 | SH9 | SH9 | SH9 | SH9 | BB17 | BB17 | SH9 | LN12 | SH9 | SH9 | SH9 | SH9 | SH9 |
35
+ | 8:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
36
+ |  Initials | | x | x | x | x | x | x | x | SM53 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
37
+ | 10:00 a **Task** | | x | x | x | x | x | x | x | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP | a | a | a | a | a | a | a | a | a |
38
+ |  Initials | | x | x | x | x | x | x | x | SM53 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
39
+ | 12:00 p **Task** | | x | x | x | x | x | x | x | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP |
40
+ |  Initials | | x | x | x | x | x | x | x | SM53 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
41
+ | 2:00 p **Task** | | x | x | x | x | x | x | x | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP |
42
+ |  Initials | | x | x | x | x | x | x | KM20 | AG36 | RA10 | KM20 | KM20 | MT18 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | NH11 | RA10 | RA10 | MT18 | TA11 | MT18 | CP23 | MT18 | NH11 | SM21 | TD22 |
43
+ | 4:00 p **Task** | | x | x | x | x | x | x | a | a | a | a | a | NP | a | a | a | a | a | a | a | a | NP | a | a | a | a | a | a | a | a | a |
44
+ |  Initials | | x | x | x | x | x | x | AH17 | SM21 | SM21 | TM20 | KW17 | SM21 | KH7 | S555 | S555 | SM21 | EP10 | ST17 | JH10 | SM21 | S555 | RA10 | SM21 | DA18 | JH10 | TD23 | SM21 | S555 | S555 | TA11 |
45
+ | 6:00 p **Task** | | x | x | x | x | x | x | a | a | NP | NP | NP | a | a | NP | NP | a | a | NP | NP | a | a | NP | NP | a | a | NP | NP | a | a | NP |
46
+ |  Initials | | x | x | x | x | x | x | AH17 | SM21 | SM21 | TM20 | KW17 | SM21 | KH7 | S555 | S555 | SM21 | EP10 | ST17 | JH10 | SM21 | S555 | DA18 | JH10 | TD23 | SM21 | S555 | S555 | SM21 | SM21 | TA11 |
47
+ | 8:00 p **Task** | | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
48
+ |  Initials | | x | x | x | x | x | x | AH17 | SM21 | SM21 | TM20 | KW17 | SM21 | KH7 | S555 | S555 | SM21 | EP10 | ST17 | JH10 | SM21 | S555 | DA18 | JH10 | TD23 | SM21 | S555 | S555 | SM21 | SM21 | TA11 |
49
+ | 10:00 p **Task** | | x | x | x | x | x | x | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a | a |
50
+ |  Initials | | x | x | x | x | x | x | AH17 | SM21 | SM21 | TM20 | KW17 | SM21 | KH7 | S555 | S555 | SM21 | EP10 | ST17 | JH10 | SM21 | S555 | DA18 | JH10 | TD23 | SM21 | S555 | S555 | SM21 | SM21 | TA11 |
51
+
52
+ ---
53
+
54
+ **Not Performed**
55
+
56
+ ---
57
+
58
+ *v2 SigmaCare by MatrixCare*          *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*   Page 9 of 15
MarkdownOutput/Care_Plans_page_1.md ADDED
@@ -0,0 +1,72 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia
8
+ **DOB:** 6/15/1928 (96 y)
9
+ **Unit-Room-Bed:** M1 - 114 - A
10
+ **System/Facility ID:** 19302 / 041353
11
+
12
+ **Selection:**
13
+ - Scheduled Date: 3/11/2025
14
+ - With Corrections: From 3/5/2025
15
+
16
+ ---
17
+
18
+ ## Focus
19
+ **(121 – RA) – NURSING – Alteration in Oral Cavity (Admission)**
20
+
21
+ - [ ] Potential
22
+ - [x] Actual
23
+
24
+ ### As Evidenced By:
25
+ - [ ] Resists mouth care
26
+ - [ ] Poorly fitting dentures
27
+ - [ ] Edentulous
28
+ - [ ] Oral lesion/ulcer
29
+ - [ ] Broken dentures
30
+ - [ ] Bleeding gums
31
+ - [x] Missing teeth/dentures
32
+ - [ ] Mouth pain
33
+ - [ ] Gum recession/inflamed gums
34
+ - [ ] c/o Pain
35
+ - [ ] Broken teeth
36
+ - [ ] Mouth ulcer
37
+ - [ ] Cavities
38
+ - [ ] Refusal to wear dentures
39
+ - [x] Decayed teeth
40
+
41
+ ### Related To:
42
+ - [ ] Chemo therapy
43
+ - [ ] Periodontal disease
44
+ - [ ] New dentures
45
+ - [ ] Recent dental work
46
+ - [ ] Dilantin
47
+ - [ ] Anticoagulants
48
+ - [ ] Antihistamines
49
+ - [ ] Abscess
50
+ - [ ] Ca of mouth
51
+ - [ ] NPO/G.T. Feedings
52
+ - [x] Other: Upper jaw edentulous, lower jaw with own natural teeth, several missing
53
+ - [x] Advanced aging
54
+
55
+ ---
56
+
57
+ ## Entered By
58
+ **CUMMINGS, ROBERT, RN**
59
+
60
+ ## Status / Date
61
+ - Active
62
+ - Effective: 11/08/2021
63
+ - Entered On: 3/07/2025
64
+ - Entered By: CUMMINGS, ROBERT, RN
65
+
66
+ ---
67
+
68
+ [ ] = Historical Item
69
+
70
+ v4 SigmaCare by MatrixCare
71
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
72
+ Page 1 of 464
MarkdownOutput/Care_Plans_page_10.md ADDED
@@ -0,0 +1,68 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:**
11
+ - Scheduled Date: 3/11/2025
12
+ - With Corrections: From 3/5/2025
13
+
14
+ ---
15
+
16
+ ## Focus
17
+ (122 – RA) NURSING – Drug Related Complications (Admission)
18
+ - [x] Potential
19
+ - [ ] Actual
20
+
21
+ ### AS EVIDENCED BY:
22
+ - [ ] Nausea/vomiting
23
+ - [ ] Body rash
24
+ - [ ] Hypotension
25
+ - [ ] Syncope
26
+ - [ ] Gait disturbance
27
+ - [ ] Deterioration in ADLs
28
+ - [ ] Movement disorder
29
+ - [ ] Tardive Dyskinesia
30
+ - [ ] Parkinson’s like disease
31
+ - [ ] Delirium/disordered thinking
32
+ - [ ] Hallucinations/delusions
33
+ - [ ] Edema of: ______
34
+ - [ ] Respiratory difficulties
35
+ - [ ] Shock
36
+ - [ ] Oversedation
37
+ - [ ] Falls
38
+ - [ ] Urine retention
39
+ - [ ] Dry mouth
40
+ - [ ] Constipation
41
+ - [ ] Other: ______
42
+
43
+ ### RELATED TO:
44
+ - [x] Multiple medical problems
45
+ - [ ] Use of 9 or more medications
46
+ - [ ] Psychotropic drug use
47
+ - [ ] Known allergy to (Specify) ______
48
+ - [ ] Hypnotic drug use
49
+ - [ ] Opioid use
50
+ - [x] Other: Anticoagulant and blood pressure medication
51
+
52
+ ---
53
+
54
+ **Entered By:**
55
+ Peguero, Jazmin
56
+
57
+ **Status / Date:**
58
+ - Discharged
59
+ - Entered On: 3/06/2025
60
+ - Entered By: Peguero, Jazmin
61
+
62
+ ---
63
+
64
+ ▢ = Historical Item
65
+
66
+ v4 SigmaCare by MatrixCare
67
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
68
+ Page 10 of 464
MarkdownOutput/Care_Plans_page_100.md ADDED
@@ -0,0 +1,31 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ ---
12
+
13
+ | Notes | Status / Date |
14
+ |---|---|
15
+ | **Nutrition Assessment:** 94 y/o F with Active dx/PMHx: Chronic atrial fibrillation, HCVD with chronic diastolic CHF, Generalized OA, Dementia, DM2, Tricuspid regurgitation, Pulmonary HTN as per MD 8/31/22.
16
+ Current weight is 132,4# (9/6/22), BMI 26.7: Category: Overweight. Diet is: PROVIDE SUGAR SUBSTITUTES AND DIET CONDIMENTS TO AID IN DM MANAGEMENT, Regular Level 7 (Regular) consistency.
17
+ Labs: 8/10/22: Glu 102 H, A1C 6.7 H, and adequate for age. Rx of Metformin noted to manage DM, therapeutic liberalize diet appropriate. Juice at lunch d/c, NGS will provide water instead prn. Fluid intake adequate with 75 % - 100 % as per ECNAAR to maintain hydration. No visible s/s of fluid deficit noted.
18
+ No edema, Skin; No PU/PI, and not GI disturbances reported, and malnutrition as per MD 8/31/22 r/t comorbidities, advance age. Medications receive by resident with potential negative effect on appetite and weight are (metformin, Cardiac, Metformin, Antithrombotic, Diuretics, Tylenol). Monitoring and POC continue. | **Created On:** 9/06/2022<br>**Entered On:** 9/06/2022<br>**Entered By:** Tetteh, Augustina |
19
+ | **Nutrition Assessment Competed** for 94 y/o female with Active Dx: Chronic atrial fibrillation, HCVD with chronic diastolic CHF, Generalized OA, Dementia, DM2, Tricuspid regurgitation, Pulmonary HTN, Mild Malnutrition as per MD 12/8/22.
20
+ Resident continue to present gradual/beneficial weight gain this period. KH Labs: 12/13/22: Glu 128 H. DM meds; rx Metformin noted. PO intake is encouraged by NSG on the unit to aid with hydration and skin turgor; fluid intake also varies as well, however overall intake if adequate 100 %, 75 %, and some 50 % as per ECNAAR. No visible s/s of fluid deficit noted. Skin is intact, and no edema. Resident with Mild Malnutrition as per MD 12/8/22. Medications with potential negative effect on appetite and weight are (Tylenol, metformin, Cardiac, Metformin, Antithrombotic, Diuretics). Monitoring and POC continue. | **Created On:** 12/19/2022<br>**Entered On:** 12/19/2022<br>**Entered By:** Tetteh, Augustina |
21
+ | 94 y/o female with NKFA, with Dx:/PMHx: Chronic atrial fibrillation, HCVD with chronic diastolic CHF, Generalized OA, Dementia, DM2, Tricuspid regurgitation, Pulmonary HTN, Mild Malnutrition, Hyperkalemia, as per MEDs 3/10/23, and 2/22/23.
22
+ Resident noted with stable wt in 1 month, and slightly with gain of +3.9#/± 2.7 % in 3 months, and weight gain of +11.7#/± 7.7 % in 6 months (weight changes is not significant). KH labs 3/13/23: K+ 5.2 H. MD aware. No hydration labs to report at this time. Noted with mostly 100 % and 75 % or less acceptance of PO fluid as per ECNAAR, and encouragements ongoing to optimize hydration. PO intake is encouraged by NSG on the unit to aid with hydration and skin turgor; fluid intake also varies as well, As per MEDs 2/22/23 resident with no edema, Skin: No PU/PI, and no gi disturbances. Estimated nutritional/fluid needs met with current dietary regimen to deter risk. Will continue to monitor and intervene prn. POC continue. | **Created On:** 3/17/2023<br>**Entered On:** 3/17/2023<br>**Entered By:** Tetteh, Augustina |
23
+ | Resident is a: 95 y/o female with NKFA. PMHx: A-fib HCVD with chronic diastolic CHF-off Lasix, OA, dementia, DM2, Pulmonary HTN, Mild dysphagia-per speech 6/15/23. Appetite is good-eating varies between 50 - 75 % of meals with set up/supervision. Resident eats most food groups on a liberalized diet Soft & Bite Sized Level 6 (Mechanical soft). Is PROVIDED SUGAR SUBSTITUTES/DIET CONDIMENTS. Resident will continue to benefit from HiCal/HiPro foods: 6 oz hi-cal/pro cereal @ B (253 cals, 7 g pro); 2 oz hi-cal/pro eggs @ B (287 cal, 17 g pro) to optimize nutritional needs and stabilize weight; encourage fluids to optimize hydration. Current weight is 144.6# (3/1/23), BMI 29.4; Overweight. Goal is weight stability x 30 days. Skin intact. Resident on polypharmacy-potential effect on weight and appetite such as (Cardiac, Metformin, Antithrombotic, Tylenol). Estimated nutritional needs met with current dietary regimen to deter risk. Will continue to monitor and intervene prn. POC continue. | **Created On:** 6/19/2023<br>**Entered On:** 6/19/2023<br>**Entered By:** Ronco, Lisa |
24
+
25
+ ---
26
+
27
+ [ ] = Historical Item
28
+
29
+ *v4 SigmaCare by MatrixCare
30
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
31
+ Page 100 of 464*
MarkdownOutput/Care_Plans_page_101.md ADDED
@@ -0,0 +1,24 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1 – 114 – A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ | Notes | Status / Date |
12
+ |-------|---------------|
13
+ | ▪️ ***(Historical Item)***<br>Resident is a 95 y/o female with NKFA. PMH: A-fib HCVD with chronic diastolic CHF-no diuretics, OA, dementia, DM2, Pulmonary HTN, Mild dysphagia per speech 6/15/23. Appetite is variable good-eating between 50-75-5 of meals with set up/supervision. Resident eats most food groups on a liberalized diet Soft & Bite Sized Level 6 (Mechanical soft). Is PROVIDED SUGAR SUBSTITUTES/DIET CONDIMENTS. Resident will continue to benefit from HiCal/HiPro foods: 6-oz hi-cal/pro cereal @ B (253 cals, 7 g pro); 2 oz hi-cal/pro eggs @ B (287 cal, 17 g pro) to optimize nutritional needs and stabilize weight, encourage fluids to optimize hydration. Current weight is 144.6 # (3/1/23) BMI 29.4; Overweight. Goal is weight stability x 30 days. Skin intact. Resident on polypharmacy-potential effect on weight and appetite such as (Cardiac, Metformin, Antithrombotic, Tylenol). Estimated nutritional needs met with current dietary regimen to deter risk. Will continue to monitor and intervene prn. POC continue. | Entered On: 6/19/2023<br>Entered By: Roncev |
14
+ | A 95 y/o female continues on L/T care. Labs on 7/29/23: Glu 106H, GFR 38L, Na/K/Alb/BUN/H/H wnl. PO intake of fluids is good; no visible s/s fluid deficit noted. Skin: no PU/PIs. No GI complaints voiced out. Resident on meds with a potential effect on appetite/weight: DM-related, tylenol, cardiac. Resident remains at risk for altered nutrition and hydration status give the advanced age of 95 and presence of co-morbidities, including DM, HTN, dementia. Current diet and supplementation regimen provides for ≥ estimated needs to maintain weight and deter nutritional risks. | Created On: 9/16/2023<br>Entered On: 9/16/2023<br>Entered By: Ovcharova, Irina |
15
+ | 95 y/o female with NKFA. As per MD on 11/21/23; resident has oral dysphagia 2/2 decayed teeth, Chronic atrial fibrillation, HCVD with chronic diastolic CHF, Generalized OA, Dementia, DM2, Tricuspid regurgitation, Pulmonary HTN, Mild Malnutrition / Malnutrition as per MD. Slightly weight changes noted this period, however not significant. Resident maintain adequate PO fluid acceptance with 100%, 75% as per ECNAAR and encouragements continue to maintain hydration. No visible s/s of fluid deficit noted. No edema., Skin with No PU/PI, and no GI disturbance reported. MD rx of Metformin continue for DM management, and Liberalized DM also appropriate at this time. Other meds with potential negative effect on appetite and weight are (Tylenol, Cardiac, Metformin, Antithrombotic). Resident is a risk due polypharmacy and advance age. Will continue to monitor and f/u prn. | Created On: 12/11/2023<br>Entered On: 12/11/2023<br>Entered By: Tetteh, Augustina |
16
+ | Consuming meals on unit where her/his intake is 50% to 100%. As per observation and CNAAR, intake is adequate to meet nutrient and fluid requirements. Appearance is obvious well-nourished resident. Weight is 141.6 lbs and represents a fairly stable weight at 141 lbs ± 2 lbs X 6 months.<br><br>Per MD on 02/08/2024 indicates no edema, no PU/PI, No visible fluid deficits, and no GI discomfort. No current labs.<br><br>Resident is at nutrition risk for malnutrition related to multiple co-morbidities including Dementia, DM-2, Pulmonary HTN, and Oral dysphagia. | Created On: 3/01/2024<br>Entered On: 3/01/2024<br>Entered By: Flores, Domenica |
17
+ | Resident is a 95-year-old female receiving a Liberalized diet approach through provision of SUGAR SUBSTITUTES AND DIET CONDIMENTS TO AID IN diabetes management with fortified foods and Soft and Bite Sized Level 6 (Mechanical soft) diet.<br><br>Consuming meals on unit where her intake is variable at 25% to 75%. As per observation and CNAAR, intake is adequate to meet nutrient and fluid requirements as evidenced by weight stability. Weight is 145 lbs. and represents at 143 lbs. ± 2 lbs. X 6 months. Stable X 1/m, gain 3.4 lbs. X 3 m, and gain of 2.2 lbs. X 6 months.<br>Weight history: 145.2 lbs. (4/03/24), 141.6 lbs. (2/03/24), 142.8 lbs. (11/03/23) BMI 28.48 is overweight status.<br><br>Per MD on 5/18/2024, no edema, PU/PI., no visible fluid deficits noted, and no GI discomfort.<br>Labs: 3/4/2024 BUN WNL, Albumin WNL | Created On: 5/21/2024<br>Entered On: 5/21/2024<br>Entered By: Flores, Domenica |
18
+
19
+ ---
20
+
21
+ ▪️ = Historical Item
22
+
23
+ > _Generated by Anash, Nikol on 4/17/2025 at 9:36 am_
24
+ > _Page 101 of 464_
MarkdownOutput/Care_Plans_page_102.md ADDED
@@ -0,0 +1,61 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 – 114 – A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ ---
13
+
14
+ ## Activity Notes
15
+
16
+ ### Entry 1
17
+ **Created On:** 8/22/2024
18
+ **Entered On:** 8/22/2024
19
+ **Entered By:** Arias, Winnie
20
+
21
+ **Notes:**
22
+ 96 y/o F with PMHX of T2DM, Anemia, CHF, OA, Afib, Depression, Dementia, Pulmonary HTN, Dysphagia.
23
+ PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 8/1/24. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.
24
+
25
+ ---
26
+
27
+ ### Entry 2
28
+ **Created On:** 11/07/2024
29
+ **Entered On:** 11/07/2024
30
+ **Entered By:** Arias, Winnie
31
+
32
+ **Notes:**
33
+ PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 10/15/24. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.
34
+
35
+ ---
36
+
37
+ ### Entry 3
38
+ **Created On:** 1/31/2025
39
+ **Entered On:** 1/31/2025
40
+ **Entered By:** Arias, Winnie
41
+
42
+ **Notes:**
43
+ PO intake: >50% all meals and fluids. No changes in chewing/swallowing reported. No edema or PI/PU as per MD note from 1/22/25. NO GI symptoms reported. No significant wt changes x 1 mo, 3 mo, 6 mo. POC updated and ongoing.
44
+
45
+ ---
46
+
47
+ ### Entry 4
48
+ **Created On:** 3/08/2025
49
+ **Entered On:** 3/08/2025
50
+ **Entered By:** Wilson, Sheree
51
+
52
+ **Notes:**
53
+ PO: 25–100% for fluids as per CNAAR. No new food preferences voiced or observed at present. Substantial weight loss noted x 34 days; x 96 days; x 187 days. Weight maintenance is the goal at this time. Labs on; 1/29/25; A1C(H). No visible s/s fluid deficit. No reported GI disturbances. Skin intact. Res on the following medications w/ potential for effect on nutritional status: Apixaban, Atorvastatin, Losartan, Metformin, Metoprolol, Pantoprazole. Will continue w/ POC and intervene as needed.
54
+
55
+ ---
56
+
57
+ **Legend**
58
+ \[ \] = Historical Item
59
+
60
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
61
+ *Page 102 of 464*
MarkdownOutput/Care_Plans_page_103.md ADDED
@@ -0,0 +1,75 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1-114-A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ ---
12
+
13
+ | Focus | Entered By | Status / Date |
14
+ |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------|----------------------------------------------------------------------|
15
+ | **(170 - RA) - NURSING - Evacuation Preparedness (Admission)**<br>Potential risk for complication during evacuation process related to:<br><br>- [x] Dependence on staff for ADLS.<br>- [x] Cognitive/Communication deficits.<br>- [ ] Aggressive behavior<br>- [x] Wandering risk for elopement<br>- [x] Cardiovascular conditions<br>- [x] Diabetes<br>- [ ] Dialysis<br>- [ ] Neurological Disorder<br>- [ ] Pulmonary Condition<br>- [ ] Infection<br>- [ ] Ulcer/Wound Care<br>- [ ] Other (Specify): __________________ | CUMMINGS, ROBERT, RN | Active<br>Effective: 11/08/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
16
+
17
+ ---
18
+
19
+ ## Historical Items
20
+ > **= Historical Item**
21
+
22
+ <details>
23
+ <summary><strong>(170 - RA) - NURSING - Evacuation Preparedness (Admission)</strong>
24
+ Entered By: Peguero, Jazmin Status: Discharged</summary>
25
+
26
+ **Potential risk for complication during evacuation process related to:**
27
+
28
+ - [x] Dependence on staff for ADLS.
29
+ - [x] Cognitive/Communication deficits.
30
+ - [ ] Aggressive behavior
31
+ - [x] Wandering risk for elopement
32
+ - [x] Cardiovascular conditions
33
+ - [x] Diabetes
34
+ - [ ] Dialysis
35
+ - [ ] Neurological Disorder
36
+ - [ ] Pulmonary Condition
37
+ - [ ] Infection
38
+ - [ ] Ulcer/Wound Care
39
+ - [ ] Other (Specify): __________________
40
+
41
+ **Discharged**
42
+ Entered On: 3/06/2025
43
+ Entered By: Peguero, Jazmin
44
+ </details>
45
+
46
+ <details>
47
+ <summary><strong>(170 - RA) - NURSING - Evacuation Preparedness (Admission)</strong>
48
+ Entered By: Mustapher, Nikkia Status: Active</summary>
49
+
50
+ **Potential risk for complication during evacuation process related to:**
51
+
52
+ - [x] Dependence on staff for ADLS.
53
+ - [x] Cognitive/Communication deficits.
54
+ - [ ] Aggressive behavior
55
+ - [x] Wandering risk for elopement
56
+ - [x] Cardiovascular conditions
57
+ - [x] Diabetes
58
+ - [ ] Dialysis
59
+ - [ ] Neurological Disorder
60
+ - [ ] Pulmonary Condition
61
+ - [ ] Infection
62
+ - [ ] Ulcer/Wound Care
63
+ - [ ] Other (Specify): __________________
64
+
65
+ **Active**
66
+ Entered On: 11/25/2024
67
+ Entered By: Mustapher, Nikkia
68
+ </details>
69
+
70
+ ---
71
+
72
+ v4 SigmaCare by MatrixCare
73
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
74
+ Page 103 of 464
75
+ (“Med R 115” watermark)
MarkdownOutput/Care_Plans_page_104.md ADDED
@@ -0,0 +1,105 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1 - 114 - A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:**
10
+ - Scheduled Date: 3/11/2025
11
+ - With Corrections: From 3/5/2025
12
+
13
+ ---
14
+
15
+ ## Goals
16
+
17
+ 1. **Type:** Long-term
18
+ **Goal:** Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
19
+ **Time frame:** 90 days
20
+ **Status / Dates:**
21
+ - Active
22
+ - Effective: 11/09/2021
23
+ - Review: 5/19/2025
24
+ - Entered On: 3/07/2025
25
+ - Entered By: CUMMINGS, ROBERT, RN
26
+
27
+ 2. ~~**Type:** Long-term
28
+ **Goal:** Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
29
+ **Time frame:** 90 days
30
+ **Status / Dates:**
31
+ - Discharged
32
+ - Review: 5/19/2025
33
+ - Entered On: 3/06/2025
34
+ - Entered By: Peguero, Jazmin~~
35
+
36
+ 3. ~~**Type:** Long-term
37
+ **Goal:** Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time.
38
+ **Time frame:** 90 days
39
+ **Status / Dates:**
40
+ - Active
41
+ - Review: 5/19/2025
42
+ - Entered On: 2/18/2025
43
+ - Entered By: Woodhouse, Theresa~~
44
+
45
+ ---
46
+
47
+ ## Interventions
48
+
49
+ 1. **Intervention:** Resident’s evacuation destination will be to a:
50
+ - [ ] Hospital
51
+ - [x] Other Nursing Home
52
+ - [ ] Family
53
+ - [ ] Assisted living
54
+ - [ ] Community Center
55
+ - [ ] Other: __________
56
+ **Disciplines:** Nursing, Social Services
57
+ **Status / Dates:**
58
+ - Active
59
+ - Effective: 11/09/2021
60
+ - Entered On: 3/07/2025
61
+ - Entered By: CUMMINGS, ROBERT, RN
62
+
63
+ 2. ~~**Intervention:** Resident’s evacuation destination will be to a:
64
+ - [ ] Hospital
65
+ - [x] Other Nursing Home
66
+ - [ ] Family
67
+ - [ ] Assisted living
68
+ - [ ] Community Center
69
+ - [ ] Other: __________
70
+ **Disciplines:** Nursing, Social Services
71
+ **Status / Dates:**
72
+ - Discharged
73
+ - Entered On: 3/06/2025
74
+ - Entered By: Peguero, Jazmin~~
75
+
76
+ 3. ~~**Intervention:** Resident’s evacuation destination will be to a:
77
+ - [ ] Hospital
78
+ - [x] Other Nursing Home
79
+ - [ ] Family
80
+ - [ ] Assisted living
81
+ - [ ] Community Center
82
+ - [ ] Other: __________
83
+ **Disciplines:** Nursing, Social Services
84
+ **Status / Dates:**
85
+ - Active
86
+ - Entered On: 1/23/2022
87
+ - Entered By: Morton, Toni~~
88
+
89
+ 4. **Intervention:** External transportation options include:
90
+ - [ ] Ambulance
91
+ - [x] Ambulette
92
+ - [ ] Regular vehicle
93
+ **Disciplines:** Nursing, Social Services
94
+ **Status / Dates:**
95
+ - Active
96
+ - Effective: 11/09/2021
97
+ - Entered On: 3/07/2025
98
+ - Entered By: CUMMINGS, ROBERT, RN
99
+
100
+ > ■ = Historical Item
101
+
102
+ ---
103
+ *v4 SigmaCare by MatrixCare*
104
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
105
+ *Page 104 of 464*
MarkdownOutput/Care_Plans_page_105.md ADDED
@@ -0,0 +1,133 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ ---
13
+
14
+ ## Interventions
15
+
16
+ ### 1. External transportation options include:
17
+ - [ ] Ambulance
18
+ - [x] Ambulette
19
+ - [ ] Regular vehicle
20
+
21
+ **Disciplines:** Nursing, Social Services
22
+ **Status:** Discharged
23
+ **Entered On:** 3/06/2025
24
+ **Entered By:** Peguero, Jazmin
25
+
26
+ ### 2. External transportation options include:
27
+ - [ ] Ambulance
28
+ - [x] Ambulette
29
+ - [ ] Regular vehicle
30
+
31
+ **Disciplines:** Nursing, Social Services
32
+ **Status:** Active
33
+ **Entered On:** 1/23/2022
34
+ **Entered By:** Morton, Toni
35
+
36
+ ### 3. Transportation method (TAL – Transportation Assistance Levels):
37
+ - [ ] Ambulatory (green – TAL1)
38
+ - [x] with assist
39
+ - [ ] without assist
40
+ - [ ] Stretcher/Gerichair (red – TAL3)
41
+ - [ ] Wheelchair (yellow – TAL2)
42
+
43
+ **Disciplines:** Nursing, Social Services
44
+ **Status:** Active
45
+ **Effective:** 11/09/2021
46
+ **Entered On:** 3/07/2025
47
+ **Entered By:** CUMMINGS, ROBERT, RN
48
+
49
+ ### 4. Critical supplies for resident are:
50
+ - [ ] Oxygen tank
51
+ - [x] Medications
52
+ - [ ] Wound Care Supplies
53
+ - [ ] Tube feeding formula
54
+ - [ ] Ostomy Care Supplies
55
+ - [ ] Peritoneal dialysis supplies
56
+ - [ ] Trach care supplies
57
+ - [ ] Others (Specify): __________________
58
+
59
+ **Disciplines:** Nursing, Social Services
60
+ **Status:** Active
61
+ **Effective:** 11/09/2021
62
+ **Entered On:** 3/07/2025
63
+ **Entered By:** CUMMINGS, ROBERT, RN
64
+
65
+ ---
66
+
67
+ ## Historical Items
68
+
69
+ > _These items are marked as historical (no longer active)._
70
+
71
+ ### ~~External transportation options include:~~
72
+ - ~~[ ] Ambulance~~
73
+ - ~~[x] Ambulette~~
74
+ - ~~[ ] Regular vehicle~~
75
+
76
+ **Disciplines:** Nursing, Social Services
77
+ **Status:** Discharged
78
+ **Entered On:** 3/06/2025
79
+ **Entered By:** Peguero, Jazmin
80
+
81
+ ---
82
+
83
+ ### ~~Transportation method (TAL – Transportation Assistance Levels):~~
84
+ - ~~[ ] Ambulatory (green – TAL1)~~
85
+ - ~~[x] with assist~~
86
+ - ~~[ ] without assist~~
87
+ - ~~[ ] Stretcher/Gerichair (red – TAL3)~~
88
+ - ~~[ ] Wheelchair (yellow – TAL2)~~
89
+
90
+ **Disciplines:** Nursing, Social Services
91
+ **Status:** Discharged
92
+ **Entered On:** 3/06/2025
93
+ **Entered By:** Peguero, Jazmin
94
+
95
+ ---
96
+
97
+ ### ~~Transportation method (TAL – Transportation Assistance Levels):~~
98
+ - ~~[ ] Ambulatory (green – TAL1)~~
99
+ - ~~[x] with assist~~
100
+ - ~~[ ] without assist~~
101
+ - ~~[ ] Stretcher/Gerichair (red – TAL3)~~
102
+ - ~~[ ] Wheelchair (yellow – TAL2)~~
103
+
104
+ **Disciplines:** Nursing, Social Services
105
+ **Status:** Active
106
+ **Entered On:** 1/23/2022
107
+ **Entered By:** Morton, Toni
108
+
109
+ ---
110
+
111
+ ### ~~Critical supplies for resident are:~~
112
+ - ~~[ ] Oxygen tank~~
113
+ - ~~[x] Medications~~
114
+ - ~~[ ] Wound Care Supplies~~
115
+ - ~~[ ] Tube feeding formula~~
116
+ - ~~[ ] Ostomy Care Supplies~~
117
+ - ~~[ ] Peritoneal dialysis supplies~~
118
+ - ~~[ ] Trach care supplies~~
119
+ - ~~[ ] Others (Specify):__~~
120
+
121
+ **Disciplines:** Nursing, Social Services
122
+ **Status:** Discharged
123
+ **Entered On:** 3/06/2025
124
+ **Entered By:** Peguero, Jazmin
125
+
126
+ ---
127
+
128
+ :heavy_minus_sign: = Historical Item
129
+
130
+ ---
131
+
132
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
133
+ *Page 105 of 464*
MarkdownOutput/Care_Plans_page_106.md ADDED
@@ -0,0 +1,32 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:**
11
+ Scheduled Date: 3/11/2025
12
+ With Corrections: From 3/5/2025
13
+
14
+ ---
15
+
16
+ | Intervention | Disciplines | Status / Date |
17
+ |--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------|----------------------------------------------------------------------|
18
+ | **Critical supplies for resident are:**<br> - [ ] Oxygen tank<br> - [x] Medications<br> - [ ] Wound Care Supplies<br> - [ ] Tube feeding formula<br> - [ ] Ostomy Care Supplies<br> - [ ] Peritoneal dialysis supplies<br> - [ ] Trach care supplies<br> - [ ] Others (Specify): __________ | Nursing, Social Services | **Active**<br>Entered On: 1/23/2022<br>Entered By: Morton, Toni |
19
+ | POC in place for the resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time. | | Created On: 12/08/2021<br>Entered On: 12/08/2021<br>Entered By: Morton, Toni |
20
+ | Inclusive of ARD 1/15, POC in place for the resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation within the allotted time. | | Created On: 1/23/2022<br>Entered On: 1/23/2022<br>Entered By: Morton, Toni |
21
+ | Plans remain in place for resident to be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation. | | Created On: 4/05/2022<br>Entered On: 4/05/2022<br>Entered By: CUMMINGS, ROBERT, RN |
22
+ | Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. Limited assist/HHA off unit, continue with POC. | | Created On: 6/23/2022<br>Entered On: 6/23/2022<br>Entered By: BAILEY, DEBBIEANN |
23
+ | Inclusive of ARD 9/16 and its lookback period, plan remained in place to safely evacuate within the allotted time. | | Created On: 9/22/2022<br>Entered On: 9/22/2022<br>Entered By: MORALES, BLANCA |
24
+ | Evacuation plan remained in place to safely evacuate within the allotted time. | | Created On: 12/20/2022<br>Entered On: 12/20/2022<br>Entered By: Forbes, Denise |
25
+
26
+ ---
27
+
28
+ ⬜ = Historical Item
29
+
30
+ v4 SigmaCare by MatrixCare
31
+ Generated by Anash, Nikol on 4/17/2025 at 9 :36 am
32
+ Page 106 of 464
MarkdownOutput/Care_Plans_page_107.md ADDED
@@ -0,0 +1,30 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ ---
13
+
14
+ | Notes | Status / Date |
15
+ |-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------|
16
+ | Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. | Created On: 3/21/2023<br>Entered On: 3/21/2023<br>Entered By: Bernard, GILLIAN |
17
+ | Resident will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. | Created On: 9/08/2023<br>Entered On: 9/08/2023<br>Entered By: Bernard, GILLIAN |
18
+ | Ms Barksdale will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. | Created On: 12/18/2023<br>Entered On: 12/18/2023<br>Entered By: Hall, Marlone |
19
+ | Ms Barksdale will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. | Created On: 3/21/2024<br>Entered On: 3/21/2024<br>Entered By: Hall, Marlone |
20
+ | Ms. Barksdale will be safely transferred to an alternate area with necessary critical supplies in the event of an evacuation including medications within the allotted time. | Created On: 5/31/2024<br>Entered On: 5/31/2024<br>Entered By: Hall, Marlone |
21
+ | Resident will be transported to alternate level of care with necessary supplies if evacuation needed. | Created On: 8/27/2024<br>Entered On: 8/27/2024<br>Entered By: McPherson, Paula |
22
+ | Annual Review – Ms. Barksdale will be transported to alternate level of care with necessary supplies if evacuation needed. | Created On: 11/19/2024<br>Entered On: 11/19/2024<br>Entered By: Woodhouse, Theresa |
23
+ | Ms. Barksdale will be transported to alternate level of care with necessary supplies if evacuation needed. | Created On: 2/18/2025<br>Entered On: 2/18/2025<br>Entered By: Woodhouse, Theresa |
24
+
25
+ ---
26
+
27
+ □ = Historical Item
28
+
29
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
30
+ *Page 107 of 464*
MarkdownOutput/Care_Plans_page_108.md ADDED
@@ -0,0 +1,82 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ ---
5
+
6
+ **Resident:** Barksdale, Clydia
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **DOB:** 6/15/1928 (96 y)
9
+ **System/Facility ID:** 19302 / 041353
10
+
11
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
12
+
13
+ ---
14
+
15
+ ## Notes
16
+ Resident readmitted to facility from Albert Einstein hospital with dx of stroke. Evacuation plan remains in place.
17
+
18
+ **Status / Date**
19
+ - Created On: 3/07/2025
20
+ - Entered On: 3/07/2025
21
+ - Entered By: CUMMINGS, ROBERT, RN
22
+
23
+ ---
24
+
25
+ ## Focus
26
+ **(130 - RA) – NURSING – Skin Impairment – Potential/Actual (Admission)**
27
+ - [x] Potential for alteration in skin integrity
28
+ - [ ] Actual skin impairment
29
+
30
+ **AS EVIDENCED BY:**
31
+ - [ ] Abscess
32
+ - [ ] Abrasions/bruises
33
+ - [ ] Blister(s)
34
+ - [ ] Skin tear
35
+ - [ ] Stasis ulcer(s)
36
+ - [ ] Arterial ulcer(s)
37
+ - [ ] Diabetic foot ulcer(s)
38
+ - [ ] Gangrene
39
+ - [ ] Pressure ulcer
40
+ - [ ] Stage I
41
+ - [ ] Stage II
42
+ - [ ] Stage III
43
+ - [ ] Stage IV
44
+ - [ ] Unstageable secondary to nonremovable dressing/device
45
+ - [ ] Unstageable secondary to slough and/or eschar
46
+ - [ ] Unstageable secondary to deep tissue injury
47
+ - [ ] Excoriation
48
+ - [ ] Cellulitis to ____________________
49
+ - [ ] Wound
50
+ - [ ] Rash
51
+ - [ ] Surgical wound
52
+ - [ ] Burn(s)
53
+ - [ ] Open lesion(s) other than ulcers, rashes, cuts (e.g. cancer lesion)
54
+ - [ ] Vascular Ulcer
55
+ - [ ] Moisture Associated Skin Damage (MSAD)
56
+ - [ ] Other ________________________
57
+
58
+ **RELATED TO:**
59
+ - [ ] Terminal illness
60
+ - [ ] PVD
61
+ - [x] Diabetes
62
+ - [ ] MS
63
+
64
+ ▢ = Historical Item
65
+
66
+ ---
67
+
68
+ **Entered By:**
69
+ CUMMINGS, ROBERT, RN
70
+
71
+ **Status / Date**
72
+ - Active
73
+ - Effective: 11/08/2021
74
+ - Entered On: 3/07/2025
75
+ - Entered By: CUMMINGS, ROBERT, RN
76
+
77
+ ---
78
+
79
+ *v4 SigmaCare by MatrixCare*
80
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
81
+ *Page 108 of 464*
82
+ *Med Rec 120*
MarkdownOutput/Care_Plans_page_109.md ADDED
@@ -0,0 +1,80 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia
8
+ **DOB:** 6/15/1928 (96 y)
9
+ **Unit-Room-Bed:** M1 - 114 - A
10
+ **System/Facility ID:** 19302 / 041353
11
+
12
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
13
+
14
+ ---
15
+
16
+ - [ ] Hemiparesis/Hemiplegia
17
+ - [ ] Impaired sensory perception
18
+ - [ ] Hx stasis/pressure ulcers
19
+ - [ ] Use of restraint
20
+ - [ ] Dementia/Alzheimer’s Disease
21
+ - [x] Incontinence
22
+ - [ ] Bed mobility problems
23
+ - [ ] Splint/Cast/Device to (Specify) ____________________
24
+ - [ ] Use of antidepressants, antianxiety, hypnotics, & antipsychotics
25
+ - [ ] Contractures
26
+ - [ ] S/P Fracture Specify: ____________________________
27
+ - [ ] Edema
28
+ - [ ] Impaired mobility
29
+ - [ ] S/P Surgery
30
+ - [ ] Weight loss
31
+ - [ ] Malnutrition/low body weight/obesity
32
+ - [ ] Trauma
33
+ - [x] Advanced age
34
+ - [ ] Bed rest
35
+ - [ ] Prolonged hospitalization
36
+ - [ ] Eczema/Psoriasis/Rash/Dermatitis
37
+ - [ ] Fragile skin
38
+ - [ ] Cancer
39
+ - [ ] History of previous breakdown
40
+ - [ ] Hypoalbuminemia
41
+ - [ ] LBM
42
+ - [ ] ESRD
43
+ - [ ] Anemia
44
+ - [ ] Depression
45
+ - [ ] Neuropathy
46
+ - [ ] Friction
47
+ - [ ] Shear
48
+ - [x] Other: Mycotic toenails
49
+
50
+ ---
51
+
52
+ ~~(130 – RA) NURSING – Skin Impairment – Potential/Actual (Admission)~~
53
+ *Discharged*
54
+ **Caregiver:** Peguero, Jazmin
55
+ **Entered On:** 3/06/2025
56
+ **Entered By:** Peguero, Jazmin
57
+
58
+ ~~- [x] Potential for alteration in skin integrity
59
+ - [ ] Actual skin impairment~~
60
+
61
+ **AS EVIDENCED BY:**
62
+ ~~- [ ] Abscess
63
+ - [ ] Abrasions/bruises
64
+ - [ ] Blister(s)
65
+ - [ ] Skin tear
66
+ - [ ] Stasis ulcer(s)
67
+ - [ ] Arterial ulcer(s)
68
+ - [ ] Diabetic foot ulcer(s)
69
+ - [ ] Gangrene
70
+ - [ ] Pressure ulcer
71
+ - [ ] Stage I
72
+ - [ ] Stage II~~
73
+
74
+ > ■ = Historical Item
75
+
76
+ ---
77
+
78
+ v4 SigmaCare by MatrixCare
79
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
80
+ Page 109 of 464
MarkdownOutput/Care_Plans_page_11.md ADDED
@@ -0,0 +1,60 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:**
11
+ Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
12
+
13
+ ---
14
+
15
+ | Focus | Entered By | Status / Date |
16
+ |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------|-----------------------------------------------|
17
+ | ~~(122_RA) NURSING Drug-Related Complications (Admission)~~
18
+ - [x] Potential
19
+ - [ ] Actual
20
+ | Mustapher, Nikkia | **Active**
21
+ |
22
+ | **~~AS EVIDENCED BY:~~**
23
+ ~~- [ ] Nausea/vomiting
24
+ - [ ] Body rash
25
+ - [ ] Hypotension
26
+ - [ ] Syncope
27
+ - [ ] Gait disturbance
28
+ - [ ] Deterioration in ADLs
29
+ - [ ] Movement disorder
30
+ - [ ] Tardive Dyskinesia
31
+ - [ ] Parkinson’s-like disease
32
+ - [ ] Delirium/disordered thinking
33
+ - [ ] Hallucinations/delusions
34
+ - [ ] Edema of ____________
35
+ - [ ] Respiratory difficulties
36
+ - [ ] Shock
37
+ - [ ] Oversedation
38
+ - [ ] Falls
39
+ - [ ] Urine retention
40
+ - [ ] Dry mouth
41
+ - [ ] Constipation
42
+ - [ ] Other ______________]~~ | | Entered On: 11/25/2024
43
+ | | Entered By: Mustapher, Nikkia |
44
+ | **~~RELATED TO:~~**
45
+ - [x] Multiple medical problems
46
+ - [ ] Use of 9 or more medications
47
+ - [ ] Psychotropic drug use
48
+ - [ ] Known allergy to (Specify) ____________
49
+ - [ ] Hypnotic drug use
50
+ - [ ] Opioid use
51
+ - [x] Other: Anticoagulant and blood pressure medication | | |
52
+
53
+ ---
54
+
55
+ ▫ = Historical Item
56
+
57
+ v4 SigmaCare by MatrixCare
58
+
59
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
60
+ Page 11 of 464
MarkdownOutput/Care_Plans_page_110.md ADDED
@@ -0,0 +1,70 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:**
11
+ Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
12
+
13
+ ---
14
+
15
+ - [ ] Stage III
16
+ - [ ] Stage IV
17
+ - [ ] Unstageable secondary to nonremovable dressing/device
18
+ - [ ] Unstageable secondary to slough and/or eschar
19
+ - [ ] Unstageable secondary to deep tissue injury
20
+ - [ ] Excoriation
21
+ - [ ] Cellulitis to __________________________
22
+ - [ ] Wound
23
+ - [ ] Rash
24
+ - [ ] Surgical wound
25
+ - [ ] Burn(s)
26
+ - [ ] Open lesion(s) other than ulcers, rashes, cuts (e.g. cancer lesion)
27
+ - [ ] Vascular Ulcer
28
+ - [ ] Moisture Associated Skin Damage (MASD)
29
+ - [ ] Other ________________________________
30
+
31
+ ### RELATED TO:
32
+ - [ ] Terminal illness
33
+ - [ ] PVD
34
+ - [x] Diabetes
35
+ - [ ] MS
36
+ - [ ] Hemiparesis/Hemiplegia
37
+ - [ ] Impaired sensory perception
38
+ - [ ] Hx stasis/pressure ulcers
39
+ - [ ] Use of restraint
40
+ - [ ] Dementia/Alzheimer’s Disease
41
+ - [x] Incontinence
42
+ - [ ] Bed mobility problems
43
+ - [ ] Splint/Cast/Device to (Specify) __________________
44
+ - [ ] Use of antidepressants, antianxiety, hypnotics, & antipsychotics
45
+ - [ ] Contractures
46
+ - [ ] S/P Fracture Specify: __________________________
47
+ - [ ] Edema
48
+ - [ ] Impaired mobility
49
+ - [ ] S/P Surgery
50
+ - [ ] Weight loss
51
+ - [ ] Malnutrition/low body weight/obesity
52
+ - [ ] Trauma
53
+ - [x] Advanced age
54
+ - [ ] Bed rest
55
+ - [ ] Prolonged hospitalization
56
+ - [ ] Eczema/Psoriasis/Rash/Dermatitis
57
+ - [ ] Fragile skin
58
+ - [ ] Cancer
59
+ - [ ] History of previous breakdown
60
+ - [ ] Hypoalbuminemia
61
+ - [ ] LBM
62
+ - [ ] ESRD
63
+
64
+ ⬜ = Historical Item
65
+
66
+ ---
67
+
68
+ _generated by Anash, Nikol on 4/17/2025 at 9:36 am_
69
+ _v4 SigmaCare by MatrixCare_
70
+ _Page 110 of 464_
MarkdownOutput/Care_Plans_page_111.md ADDED
@@ -0,0 +1,73 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1 - 114 - A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ ■ = Historical Item
12
+
13
+ ---
14
+
15
+ ## Problems / Conditions
16
+ ~~- [ ] Anemia~~
17
+ ~~- [ ] Depression~~
18
+ ~~- [ ] Neuropathy~~
19
+ ~~- [ ] Friction~~
20
+ ~~- [ ] Shear~~
21
+ - [x] Other: Mycotic toenails
22
+
23
+ ~~(130 – RA) NURSING – Skin Impairment – Potential/Actual (Admission)~~
24
+
25
+ - [x] Potential for alteration in skin integrity
26
+ - [ ] Actual skin impairment
27
+
28
+ ---
29
+
30
+ ## AS EVIDENCED BY:
31
+ ~~- [ ] Abscess~~
32
+ ~~- [ ] Abrasions/bruises~~
33
+ ~~- [ ] Blister(s)~~
34
+ ~~- [ ] Skin tear~~
35
+ ~~- [ ] Stasis ulcer(s)~~
36
+ ~~- [ ] Arterial ulcer(s)~~
37
+ ~~- [ ] Diabetic foot ulcer(s)~~
38
+ ~~- [ ] Gangrene~~
39
+ ~~- [ ] Pressure ulcer~~
40
+   ~~- [ ] Stage I~~
41
+   ~~- [ ] Stage II~~
42
+   ~~- [ ] Stage III~~
43
+   ~~- [ ] Stage IV~~
44
+ ~~- [ ] Unstageable secondary to nonremovable dressing/device~~
45
+ ~~- [ ] Unstageable secondary to slough and/or eschar~~
46
+ ~~- [ ] Unstageable secondary to deep tissue injury~~
47
+ ~~- [ ] Excoriation~~
48
+ ~~- [ ] Cellulitis to ____________~~
49
+ ~~- [ ] Wound~~
50
+ ~~- [ ] Rash~~
51
+ ~~- [ ] Surgical wound~~
52
+ ~~- [ ] Burn(s)~~
53
+ ~~- [ ] Open lesion(s) other than ulcers, rashes, cuts (e.g., cancer lesion)~~
54
+ ~~- [ ] Vascular ulcer~~
55
+ ~~- [ ] Moisture Associated Skin Damage (MASD)~~
56
+ ~~- [ ] Other ________________~~
57
+
58
+ ---
59
+
60
+ ## RELATED TO:
61
+ ~~- [ ] Terminal illness~~
62
+ ~~- [ ] PVD~~
63
+ - [x] Diabetes
64
+ ~~- [ ] MS~~
65
+ ~~- [ ] Hemiparesis/Hemiplegia~~
66
+ ~~- [ ] Impaired sensory perception~~
67
+ ~~- [ ] Hx stasis/pressure ulcers~~
68
+
69
+ ---
70
+
71
+ v4 SigmaCare by MatrixCare
72
+ **Generated by** Anash, Nikol **on** 4/17/2025 at 9:36 am
73
+ **Page 111 of 464**
MarkdownOutput/Care_Plans_page_112.md ADDED
@@ -0,0 +1,74 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Facility:** Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:**
11
+ - **Scheduled Date:** 3/11/2025
12
+ - **With Corrections From:** 3/5/2025
13
+
14
+ ---
15
+
16
+ ## Risk Factors / Conditions
17
+ - [ ] Use of restraint
18
+ - [ ] Dementia/Alzheimer’s Disease
19
+ - [x] Incontinence
20
+ - [ ] Bed mobility problems
21
+ - [ ] Splint/Cast/Device to (Specify): ____________
22
+ - [ ] Use of antidepressants, antianxiety, hypnotics, & antipsychotics
23
+ - [ ] Contractures
24
+ - [ ] S/P Fracture (Specify): ____________
25
+ - [ ] Edema
26
+ - [ ] Impaired mobility
27
+ - [ ] S/P Surgery
28
+ - [ ] Weight loss
29
+ - [ ] Malnutrition/low body weight/obesity
30
+ - [ ] Trauma
31
+ - [x] Advanced age
32
+ - [ ] Bed rest
33
+ - [ ] Prolonged hospitalization
34
+ - [ ] Eczema/Psoriasis/Rash/Dermatitis
35
+ - [ ] Fragile skin
36
+ - [ ] Cancer
37
+ - [ ] History of previous breakdown
38
+ - [ ] Hypoalbuminemia
39
+ - [ ] LBM
40
+ - [ ] ESRD
41
+ - [ ] Anemia
42
+ - [ ] Depression
43
+ - [ ] Neuropathy
44
+ - [ ] Friction
45
+ - [ ] Shear
46
+ - [x] Other: Mycotic toenails
47
+
48
+ > _Note: Items shown in strikethrough are historical._
49
+
50
+ ---
51
+
52
+ ## Goals
53
+
54
+ | Goal | Time Frame | Type | Status / Date |
55
+ |--------------------------------------------------------------------------------------|------------|-----------|---------------------------------------------------------------------------------------------------------------------------------------------------|
56
+ | Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown. | 90 days | Long-term | **Active**
57
+ Effective: 11/09/2021
58
+ Review: 5/19/2025
59
+ Entered On: 3/07/2025
60
+ Entered By: CUMMINGS, ROBERT, RN |
61
+ | ~~Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown.~~ | ~~90 days~~ | Long-term | **Discharged**
62
+ Review: 5/19/2025
63
+ Entered On: 3/06/2025
64
+ Entered By: Peguero, Jazmin |
65
+ | ~~Ms. Barksdale’s skin integrity will be maintained as evidenced by no skin breakdown.~~ | ~~90 days~~ | Long-term | **Active**
66
+ Review: 5/19/2025
67
+ Entered On: 2/18/2025
68
+ Entered By: Woodhouse, Theresa |
69
+
70
+ ---
71
+
72
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
73
+ *Page 112 of 464*
74
+ *SigmaCare™ v4 by MatrixCare®*
MarkdownOutput/Care_Plans_page_113.md ADDED
@@ -0,0 +1,29 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ ## Kings Harbor Multicare Center
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ | Interventions | Disciplines | Status / Date |
13
+ |---------------------------------------------------------------------------------------------------------|-------------|----------------------------------------------------------------------------------------------------------------------------------------------------|
14
+ | Prompt incontinence care Q2-4H and PRN | Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
15
+ | Prompt incontinence care Q2-4H and PRN | Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
16
+ | Prompt incontinence care Q2-4H and PRN | Nursing | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
17
+ | Avoid restrictive clothing and/or socks | Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
18
+ | Avoid restrictive clothing and/or socks | Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
19
+ | Avoid restrictive clothing and/or socks | Nursing | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
20
+ | Wash, dry, and lubricate perineal area and bony prominence after every incontinent episode | Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
21
+ | Wash, dry, and lubricate perineal area and bony prominence after every incontinent episode | Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
22
+ | Wash, dry, and lubricate perineal area and bony prominence after every incontinent episode | Nursing | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
23
+
24
+ ▢ = Historical Item
25
+
26
+ ---
27
+
28
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
29
+ Page 113 of 464
MarkdownOutput/Care_Plans_page_114.md ADDED
@@ -0,0 +1,29 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1 - 114 - A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ | Interventions | Disciplines | Status / Date |
12
+ |----------------------------------------|--------------------|--------------------------------------------------------------------------------------------------|
13
+ | Monitor labs as per MD order | Medical, Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
14
+ | ■ Monitor labs as per MD order | Medical, Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
15
+ | ■ Monitor labs as per MD order | Medical, Nursing | **Active**<br>Entered On: 11/25/2024<br>Entered By: Mustapher, Nikkia |
16
+ | Avoid prolonged sitting | Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
17
+ | ■ Avoid prolonged sitting | Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
18
+ | ■ Avoid prolonged sitting | Nursing | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
19
+ | Provide adequate nutrition/hydration | Dietary, Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
20
+ | ■ Provide adequate nutrition/hydration | Dietary, Nursing | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
21
+ | ■ Provide adequate nutrition/hydration | Dietary, Nursing | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
22
+
23
+ ■ = Historical Item
24
+
25
+ ---
26
+
27
+ v4 SigmaCare by MatrixCare
28
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
29
+ Page 114 of 464
MarkdownOutput/Care_Plans_page_115.md ADDED
@@ -0,0 +1,31 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ **Kings Harbor Multicare Center**
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **DOB:** 6/15/1928 (96 y)
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ ---
12
+
13
+ | Intervention | Discipline | Status | Details |
14
+ |-------------------------------------------------|------------|------------|-------------------------------------------------------------|
15
+ | Assess skin condition daily during care | Nursing | **Active** | • Effective: 11/09/2021<br>• Entered On: 03/07/2025<br>• Entered By: CUMMINGS, ROBERT, RN |
16
+ | Assess skin condition daily during care _(H)_ | Nursing | Discharged | • Entered On: 03/06/2025<br>• Entered By: Peguero, Jazmin |
17
+ | Assess skin condition daily during care _(H)_ | Nursing | Active | • Entered On: 11/09/2021<br>• Entered By: PHILLIPS, DAISY M. |
18
+ | Keep skin dry and clean and well lubricated | Nursing | **Active** | • Effective: 11/09/2021<br>• Entered On: 03/07/2025<br>• Entered By: CUMMINGS, ROBERT, RN |
19
+ | Keep skin dry and clean and well lubricated _(H)_ | Nursing | Discharged | • Entered On: 03/06/2025<br>• Entered By: Peguero, Jazmin |
20
+ | Keep skin dry and clean and well lubricated _(H)_ | Nursing | Active | • Entered On: 11/09/2021<br>• Entered By: PHILLIPS, DAISY M. |
21
+ | Use caution when giving care | Nursing | **Active** | • Effective: 11/09/2021<br>• Entered On: 03/07/2025<br>• Entered By: CUMMINGS, ROBERT, RN |
22
+ | Use caution when giving care _(H)_ | Nursing | Discharged | • Entered On: 03/06/2025<br>• Entered By: Peguero, Jazmin |
23
+ | Use caution when giving care _(H)_ | Nursing | Active | • Entered On: 11/09/2021<br>• Entered By: PHILLIPS, DAISY M. |
24
+
25
+ **Legend:**
26
+ (H) = Historical Item
27
+
28
+ ---
29
+
30
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
31
+ Page 115 of 464
MarkdownOutput/Care_Plans_page_116.md ADDED
@@ -0,0 +1,29 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **Unit-Room-Bed:** M1 - 114 - A
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ | Interventions | Disciplines | Status / Date |
13
+ |------------------------------------------------------------------------------------|------------------|--------------------------------------------------------------------------------------------------------|
14
+ | Keep residents' nails clean and well trimmed | Nursing | **Active** <br> Effective: 11/09/2021 <br> Entered On: 3/07/2025 <br> Entered By: CUMMINGS, ROBERT, RN |
15
+ | ▫ Keep residents' nails clean and well trimmed | Nursing | **Discharged** <br> Entered On: 3/06/2025 <br> Entered By: Peguero, Jazmin |
16
+ | ▫ Keep residents' nails clean and well trimmed | Nursing | **Active** <br> Entered On: 11/09/2021 <br> Entered By: PHILLIPS, DAISY M. |
17
+ | Pressure relieving mattress device in bed | Nursing | **Active** <br> Effective: 11/09/2021 <br> Entered On: 3/07/2025 <br> Entered By: CUMMINGS, ROBERT, RN |
18
+ | ▫ Pressure relieving mattress device in bed | Nursing | **Discharged** <br> Entered On: 3/06/2025 <br> Entered By: Peguero, Jazmin |
19
+ | ▫ Pressure relieving mattress device in bed | Nursing | **Active** <br> Entered On: 11/09/2021 <br> Entered By: PHILLIPS, DAISY M. |
20
+ | Educate staff on the importance of reporting any skin problems promptly | Medical, Nursing | **Active** <br> Effective: 11/09/2021 <br> Entered On: 3/07/2025 <br> Entered By: CUMMINGS, ROBERT, RN |
21
+ | ▫ Educate staff on the importance of reporting any skin problems promptly | Medical, Nursing | **Discharged** <br> Entered On: 3/06/2025 <br> Entered By: Peguero, Jazmin |
22
+ | ▫ Educate staff on the importance of reporting any skin problems promptly | Medical, Nursing | **Active** <br> Entered On: 11/25/2024 <br> Entered By: Mustapher, Nikkia |
23
+
24
+ ▫ = Historical Item
25
+
26
+ ---
27
+
28
+ *Generated by Anash, Nikol on 4/17/2025 at 9:36 am*
29
+ *Page 116 of 464*
MarkdownOutput/Care_Plans_page_117.md ADDED
@@ -0,0 +1,30 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ **Resident:** Barksdale, Clydia
6
+ **Unit-Room-Bed:** M1 - 114 - A
7
+ **DOB:** 6/15/1928 (96 y)
8
+ **System/Facility ID:** 19302 / 041353
9
+
10
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
11
+
12
+ | Interventions | Disciplines | Status / Date |
13
+ |---------------------------------------|--------------------|-------------------------------------------------------------------------------------------------|
14
+ | **Podiatry consult as ordered** | Medical, Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
15
+ | ~~Podiatry consult as ordered~~ | ~~Medical, Nursing~~ | ~~Discharged<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin~~ |
16
+ | ~~Podiatry consult as ordered~~ | ~~Medical, Nursing~~ | ~~Active<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M.~~ |
17
+ | **Monitor skin condition during care**| Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
18
+ | ~~Monitor skin condition during care~~| ~~Nursing~~ | ~~Discharged<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin~~ |
19
+ | ~~Monitor skin condition during care~~| ~~Nursing~~ | ~~Active<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M.~~ |
20
+ | **Monitor for pain & manage accordingly** | Medical, Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
21
+ | ~~Monitor for pain & manage accordingly~~ | ~~Medical, Nursing~~ | ~~Discharged<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin~~ |
22
+ | ~~Monitor for pain & manage accordingly~~ | ~~Medical, Nursing~~ | ~~Active<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M.~~ |
23
+
24
+ \[ \] = Historical Item
25
+
26
+ ---
27
+
28
+ v4 SigmaCare by MatrixCare
29
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
30
+ Page 117 of 464
MarkdownOutput/Care_Plans_page_118.md ADDED
@@ -0,0 +1,60 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ markdown
2
+ # Care Plan Activity Report
3
+ **Kings Harbor Multicare Center**
4
+
5
+ ---
6
+
7
+ **Resident:** Barksdale, Clydia
8
+ **DOB:** 6/15/1928 (96 y)
9
+ **Unit–Room–Bed:** M1 – 114 – A
10
+ **System/Facility ID:** 19302 / 041353
11
+
12
+ **Selection:**
13
+ - Scheduled Date: 3/11/2025
14
+ - With Corrections: From 3/5/2025
15
+
16
+ ---
17
+
18
+ ## Interventions
19
+
20
+ | Intervention | Discipline | Status / Date |
21
+ |------------------------------------|------------|---------------------------------------------------------------------------------------------------|
22
+ | Keep clothing and bed sheets dry | Nursing | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN |
23
+
24
+ **Historical Items**
25
+ *(greyed out in original)*
26
+
27
+ | Intervention | Discipline | Status / Date |
28
+ |------------------------------------|------------|----------------------------------------------------------------------------------------|
29
+ | Keep clothing and bed sheets dry | Nursing | Discharged<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin |
30
+ | Keep clothing and bed sheets dry | Nursing | Active<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M. |
31
+
32
+ ---
33
+
34
+ ## Notes
35
+
36
+ | Note | Status / Date |
37
+ |---------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|
38
+ | Resident skin remain intact. Pressure injuries will be intact. | Created On: 12/10/2021<br>Entered On: 12/10/2021<br>Entered By: Morton, Toni |
39
+ | Inclusive of ARD 1/15 residents skin remains intact; resident receives prompt incontinence care. Pressure relief measures continues. | Created On: 1/23/2022<br>Entered On: 1/23/2022<br>Entered By: Morton, Toni |
40
+ | Resident’s skin integrity maintained as evidenced by no skin breakdown. | Created On: 4/07/2022<br>Entered On: 4/07/2022<br>Entered By: CUMMINGS, ROBERT, RN |
41
+ | Resident’s skin is clean, dry, and intact with mycotic nails. Staff will continue to monitor resident’s skin q shift and prn. Resident continues on lac hydrin lotion to bilateral lower extremities and feet bid. | Created On: 6/23/2022<br>Entered On: 6/23/2022<br>Entered By: BAILEY, DEBBIEANN |
42
+
43
+ **Historical Item**
44
+ *(greyed out in original)*
45
+
46
+ | Note | Status / Date |
47
+ |-----------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
48
+ | Resident’s skin is clean, dry, and intact with mycotic nails. Staff will continue to monitor resident’s skin q shift and prn. | Entered On: 6/23/2022<br>Entered By: BAILEY, DEBBIEANN |
49
+
50
+ ---
51
+
52
+ <span style="font-size:0.9em">**Legend:** ▢ = Historical Item</span>
53
+
54
+ ---
55
+
56
+ **Generated by** Anash, Nikol on 4/17/2025 at 9:36 am
57
+ **Page** 118 of 464
58
+
59
+ *SigmaCare by MatrixCare*
60
+ *Med Rec 130*
MarkdownOutput/Care_Plans_page_119.md ADDED
@@ -0,0 +1,26 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ ## Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit–Room–Bed:** M1 – 114 – A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ | Notes | Status / Date |
12
+ |------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------|
13
+ | Resident evaluated by Podiatry, Debridement of nails and callus bilaterally. Follow-up 9 weeks. | Created On: 7/07/2022<br>Entered On: 7/07/2022<br>Entered By: Fordimims, Marisa |
14
+ | Resident evaluated by Podiatry, Debridement of nails and callus bilaterally. Follow-up 9 weeks. | Created On: 7/07/2022<br>Entered On: 7/07/2022<br>Entered By: Fordimims, Marisa |
15
+ | Resident received new shoes, foot check x 3 days begins; monitoring of feet and toes for redness or open areas, no adverse effects noted at this time. Will continue to monitor and report change. | Created On: 8/11/2022<br>Entered On: 8/11/2022<br>Entered By: Fordimims, Marisa |
16
+ | For assessment period of 9/16, resident’s skin remained intact; however, she has Mycotic toenails. | Created On: 10/12/2022<br>Entered On: 10/12/2022<br>Entered By: MORALES, BLANCA |
17
+ | Resident remains free from skin impairments for the last quarter. | Created On: 12/20/2022<br>Entered On: 12/20/2022<br>Entered By: Forbes, Denise |
18
+ | Resident has Mycotic toenails – podiatry referral in place. | Created On: 12/23/2022<br>Entered On: 12/23/2022<br>Entered By: MORALES, BLANCA |
19
+ | Resident remains free from skin impairments for the last quarter. | Created On: 3/21/2023<br>Entered On: 3/21/2023<br>Entered By: Bernard, GILLIAN |
20
+ | Resident remains free from skin impairments for the last quarter. Plan of care continues. | Created On: 6/23/2023<br>Entered On: 6/23/2023<br>Entered By: Bernard, GILLIAN |
21
+
22
+ ■ = Historical Item
23
+
24
+ *SigmaCare by MatrixCare v4*
25
+ Generated by Anash, Nikol on 4/17/2025 at 9:36 am
26
+ Page 119 of 464
MarkdownOutput/Care_Plans_page_12.md ADDED
@@ -0,0 +1,61 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ # Care Plan Activity Report
2
+ ## Kings Harbor Multicare Center
3
+
4
+ **Resident:** Barksdale, Clydia
5
+ **Unit-Room-Bed:** M1 - 114 - A
6
+ **DOB:** 6/15/1928 (96 y)
7
+ **System/Facility ID:** 19302 / 041353
8
+
9
+ **Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025
10
+
11
+ ---
12
+
13
+ ## Goals
14
+
15
+ | Goals | Type | Status / Date |
16
+ |------------------------------------------------------------------------------------------------|-----------|-----------------------------------------------------------------------------------------------------------------------------------------------------|
17
+ | Ms. Barksdale will remain free of drug related complications.
18
+ Timeframe: 90 days. | Long-term | **Active**
19
+ Effective: 11/09/2021
20
+ Review: 5/19/2025
21
+ Entered On: 3/07/2025
22
+ Entered By: CUMMINGS, ROBERT, RN |
23
+ | ~~Ms. Barksdale will remain free of drug related complications.
24
+ Timeframe: 90 days.~~<br>_(Historical Item)_ | Long-term | **Discharged**
25
+ Review: 5/19/2025
26
+ Entered On: 3/06/2025
27
+ Entered By: Peguero, Jazmin |
28
+ | ~~Ms. Barksdale will remain free of drug related complications.
29
+ Timeframe: 90 days.~~<br>_(Historical Item)_ | Long-term | **Active**
30
+ Review: 5/19/2025
31
+ Entered On: 2/18/2025
32
+ Entered By: Woodhouse, Theresa |
33
+
34
+ ---
35
+
36
+ ## Interventions
37
+
38
+ | Interventions | Disciplines | Status / Date |
39
+ |--------------------------------------------------------------------|-------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------|
40
+ | Monthly reviews of medications | Medical, Nursing, Pharmacy | **Active**
41
+ Effective: 11/09/2021
42
+ Entered On: 3/07/2025
43
+ Entered By: CUMMINGS, ROBERT, RN |
44
+ | ~~Monthly reviews of medications~~<br>_(Historical Item)_ | Medical, Nursing, Pharmacy | **Discharged**
45
+ Entered On: 3/06/2025
46
+ Entered By: Peguero, Jazmin |
47
+ | ~~Monthly reviews of medications~~<br>_(Historical Item)_ | Medical, Nursing, Pharmacy | **Active**
48
+ Entered On: 11/09/2021
49
+ Entered By: ofosu, kwame |
50
+ | Monitor resident for adverse reactions and keep MD aware | Nursing | **Active**
51
+ Effective: 1/23/2022
52
+ Entered On: 3/07/2025
53
+ Entered By: CUMMINGS, ROBERT, RN |
54
+ | ~~Monitor resident for adverse reactions and keep MD aware~~<br>_(Historical Item)_ | Nursing | **Discharged**
55
+ Entered On: 3/06/2025
56
+ Entered By: Peguero, Jazmin |
57
+
58
+ ---
59
+
60
+ _Generated by Anash, Nikol on 4/17/2025 at 9:36 am_
61
+ _Page 12 of 464_