# Care Plan Activity Report  
Kings Harbor Multicare Center

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

**Selection:** Scheduled Date: 3/11/2025; With Corrections: From 3/5/2025

| Interventions                          | Disciplines        | Status / Date                                                                                     |
|----------------------------------------|--------------------|--------------------------------------------------------------------------------------------------|
| 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 |
| ■ Monitor labs as per MD order         | Medical, Nursing   | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin                             |
| ■ Monitor labs as per MD order         | Medical, Nursing   | **Active**<br>Entered On: 11/25/2024<br>Entered By: Mustapher, Nikkia                              |
| Avoid prolonged sitting                | Nursing            | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN   |
| ■ Avoid prolonged sitting              | Nursing            | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin                             |
| ■ Avoid prolonged sitting              | Nursing            | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M.                            |
| Provide adequate nutrition/hydration   | Dietary, Nursing   | **Active**<br>Effective: 11/09/2021<br>Entered On: 3/07/2025<br>Entered By: CUMMINGS, ROBERT, RN   |
| ■ Provide adequate nutrition/hydration | Dietary, Nursing   | **Discharged**<br>Entered On: 3/06/2025<br>Entered By: Peguero, Jazmin                             |
| ■ Provide adequate nutrition/hydration | Dietary, Nursing   | **Active**<br>Entered On: 11/09/2021<br>Entered By: PHILLIPS, DAISY M.                            |

■ = Historical Item

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