|
Form Date |
Patient |
OTHER Rec Date |
D/C Date |
Assessor |
Packet Status (for payroll) |
Plan of Care |
IQIES Due Date |
|
01/02/2024
|
NELSON,
JOANN
MRN:
900008776
|
|
01/22/2024
|
Lillian W.
Skilled Nurses
|
|
|
Past Due! |
|
01/04/2024
|
PERONO,
MICHAEL
MRN:
900008564
|
01/08/24 (Exported to State)
|
01/08/2024
|
Dana W.
|
|
Completed |
Past Due! |
|
01/04/2024
|
HICKEY,
JULIA
MRN:
12923
|
01/10/24 (Exported to State)
|
|
Dana W.
|
|
Completed |
Past Due! |
|
01/08/2024
|
MANGONE,
KATHERINE
MRN:
900004902
|
|
01/08/2024
|
Josh C.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
01/10/2024
|
PANG,
LIN
MRN:
900008445
|
|
|
Dana W.
|
|
Completed |
Past Due! |
|
01/15/2024
|
CHRISTIE,
RUTH
MRN:
900008466
|
01/16/24 (Exported to State)
|
|
Dana W.
|
|
Completed |
Past Due! |
|
02/01/2024
|
ROSE,
DEBORAH
MRN:
4104
|
02/01/24 (Deleted)
|
02/01/2024
|
Doris B.
|
|
Deleted |
Past Due! |
|
02/01/2024
|
ROSE,
DEBORAH
MRN:
4104
|
02/01/24 (Deleted)
|
02/01/2024
|
Ellie V.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
02/09/2024
|
CHOI,
TAE
MRN:
900005476
|
02/07/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
02/12/2024
|
aaa,
bbb
MRN:
7776
|
|
|
Gammy D.
Skilled Nurses
|
|
Exported to HAS |
Past Due! |
|
02/13/2024
|
RICKMAN,
LINDA
MRN:
900008572
|
02/12/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
02/21/2024
|
ALFONZO,
OFELIA
MRN:
900008768
|
|
02/20/2024
|
Jeanne J.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
03/10/2024
|
STORY,
JOYCE
MRN:
900002325
|
|
|
Soline L.
Skilled Nurses
|
|
Completed |
Past Due! |
|
03/13/2024
|
COPPICK,
GLENDA
MRN:
900008569
|
03/13/24 (Deleted)
|
03/13/2024
|
Kimberley R.
|
|
Deleted |
Past Due! |
|
03/13/2024
|
COPPICK,
GLENDA
MRN:
900008569
|
03/13/24 (Deleted)
|
03/13/2024
|
|
|
Deleted |
Past Due! |
|
03/18/2024
|
OUZENIAN,
AIDA
MRN:
900008842
|
|
03/18/2024
|
Joan L.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
03/20/2024
|
KING,
DAWN
MRN:
900003972
|
03/21/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
03/22/2024
|
GOMEZ,
DIANNA
MRN:
11837
|
03/21/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
03/29/2024
|
MARTIN,
BENJAMIN
MRN:
900008311
|
|
03/29/2024
|
Ellie V.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
04/07/2024
|
aaa,
bbb
MRN:
7776
|
04/12/24 (Deleted)
|
|
Gammy D.
Skilled Nurses
|
|
Exported to HAS |
Past Due! |
|
04/08/2024
|
BRAZIL,
PATSY
MRN:
900006561
|
|
04/14/2024
|
Doug W.
|
|
|
Past Due! |
|
04/12/2024
|
aaa,
bbb
MRN:
7776
|
|
|
Gammy D.
Skilled Nurses
|
|
Exported to HAS |
Past Due! |
|
04/22/2024
|
OLSEN,
DALE
MRN:
900009167
|
|
04/26/2024
|
Dana W.
|
|
|
Past Due! |
|
04/26/2024
|
ENGLERT,
ZONA
MRN:
900009107
|
|
04/26/2024
|
Judy R.
|
|
|
Past Due! |
|
04/26/2024
|
ENGLERT,
ZONA
MRN:
900009107
|
|
04/26/2024
|
Judy R.
|
|
|
Past Due! |
|
04/30/2024
|
BEATTY,
JANICE
MRN:
900008195
|
|
06/01/2024
|
Ellie V.
Skilled Nurses
|
|
|
Past Due! |
|
05/08/2024
|
WALTERS,
SUE
MRN:
900001191
|
|
05/09/2024
|
Mary G.
Skilled Nurses
|
|
Completed |
Past Due! |
|
05/14/2024
|
HOPPER,
DARLENE
MRN:
900003547
|
07/15/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
05/16/2024
|
BARNES,
LAWRENCE
MRN:
900008840
|
|
05/16/2024
|
Ellie V.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
05/18/2024
|
LAMONT,
BARBARA
MRN:
900000262
|
|
05/18/2024
|
Ellie V.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
05/21/2024
|
KING,
DAWN
MRN:
900003972
|
|
04/30/2024
|
Jeanne J.
Skilled Nurses
|
Completed
|
|
Past Due! |
|
06/12/2024
|
MONSIVAIS,
BETH
MRN:
900009169
|
|
06/12/2024
|
Angel D.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
07/21/2024
|
KAMAI,
CAROL
MRN:
900009229
|
|
07/21/2024
|
Yani C.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
08/07/2024
|
PASI AFOA,
ALOFA
MRN:
900009008
|
08/29/24 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Completed |
Past Due! |
|
08/09/2024
|
MARTINEZ,
JUBENTINO
MRN:
900003164
|
|
08/09/2024
|
Jeanne J.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
08/13/2024
|
SZABO,
WILLIAM
MRN:
900007447
|
08/21/24 (Exported to State)
|
|
Ken S.
Skilled Nurses
|
|
Completed |
Past Due! |
|
08/14/2024
|
COPPICK,
GLENDA
MRN:
900008569
|
|
08/14/2024
|
Angel D.
Skilled Nurses
|
|
|
Past Due! |
|
08/15/2024
|
FANTACCI,
RETA
MRN:
900004209
|
08/15/24 (Deleted)
|
08/15/2024
|
MJ O.
Skilled Nurses
|
|
|
Past Due! |
|
08/15/2024
|
FANTACCI,
RETA
MRN:
900004209
|
08/15/24 (Deleted)
|
08/15/2024
|
Mary G.
Skilled Nurses
|
Completed
|
|
Past Due! |
|
09/02/2024
|
SCHWAB,
WILLIAM
MRN:
900008627
|
|
09/02/2024
|
Ellie V.
Skilled Nurses
|
|
Completed |
Past Due! |
|
09/06/2024
|
REEVES,
JENNETH
MRN:
900009228
|
|
09/06/2024
|
July S.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
09/24/2024
|
ITKIS,
YURI
MRN:
900007106
|
|
09/24/2024
|
Ken S.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
09/30/2024
|
BURNIAS,
JOSEFINA
MRN:
900009480
|
|
09/30/2024
|
Lillian W.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
10/24/2024
|
HOFFMAN,
TAMARA
MRN:
900009172
|
|
10/27/2024
|
MJ O.
Skilled Nurses
|
|
Completed |
Past Due! |
|
11/04/2024
|
AGUILAR,
DONNABELLE
MRN:
900008433
|
|
11/04/2024
|
Ellie V.
Skilled Nurses
|
|
Completed |
Past Due! |
|
11/16/2024
|
SIMS,
BEATRICE
MRN:
900009614
|
|
11/16/2024
|
Ellie V.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
12/09/2024
|
PRAUS,
JULIUS
MRN:
900007721
|
|
12/09/2024
|
Angel D.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
12/20/2024
|
DOREMUS JR,
FRED
MRN:
900007460
|
12/19/24 (Exported to State)
|
|
Josh C.
Skilled Nurses
|
|
Completed |
Past Due! |
|
01/20/2025
|
NOTI,
JAMILE
MRN:
900009650
|
|
01/20/2025
|
Mary G.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
01/20/2025
|
DANSKER,
CARYN
MRN:
900005639
|
|
01/21/2025
|
Jeanne J.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
01/24/2025
|
COPPEDGE,
JEWELL
MRN:
10755
|
|
01/24/2025
|
Jeanne J.
Skilled Nurses
|
|
|
Past Due! |
|
01/27/2025
|
GOULD,
PAMELA
MRN:
900009815
|
|
01/27/2025
|
Kay K.
|
|
Deleted |
Past Due! |
|
03/12/2025
|
CONSTANTINE,
KAREN
MRN:
900007319
|
|
03/14/2025
|
Joan L.
Skilled Nurses
|
|
Completed |
Past Due! |
|
04/03/2025
|
MOORE,
JERRY
MRN:
900002240
|
|
04/03/2025
|
Yani C.
Skilled Nurses
|
|
Deleted |
Past Due! |
|
04/25/2025
|
DOW,
RALPH
MRN:
900008939
|
04/22/25 (Exported to State)
|
|
Joan L.
Skilled Nurses
|
|
Completed |
Past Due! |
|
05/03/2025
|
STORY,
JOYCE
MRN:
900002325
|
|
05/05/2025
|
Soline L.
Skilled Nurses
|
Completed
|
Deleted |
Past Due! |
|
05/21/2025
|
WILLIAMS,
ROCELIOUS
MRN:
900009804
|
|
05/21/2025
|
Joan L.
Skilled Nurses
|
|
Exported to HAS |
Past Due! |
|
05/31/2025
|
CHOI,
TAE
MRN:
900005476
|
06/01/25 (Exported to State)
|
|
Jeanne J.
Skilled Nurses
|
|
Uploaded |
Past Due! |