CARING NURSES, INC.
SOC HHRG
Patient: DUMMY, PATIENT- MR# 900000185
Chart: 1 Episode: 1
Visit Date: 05/01/2025
Problems:

Tests
CLOX:

05/01/2025
OASIS-D
Nurse2 Nurse2
Assessor
(M0030) Start of Care Date:
05/01/2025

(M1030) Therapies the patient receives at home: (Mark all that apply.)

(M1033) Therapies the patient receives at home: (Mark all that apply.).

(M1200) Vision (with corrective lenses if the patient usually wears them):

(M1242) Frequency of Pain Interfering with patient's activity or movement:

(M1400) When is the patient dyspneic or noticeably Short of Breath?

(M1610) Urinary Incontinence or Urinary Catheter Presence:

(M1620) Bowel Incontinence Frequency:

(M1630) Ostomy for Bowel Elimination: Does this patient have an ostomy for bowel elimination that (within the last 14 days): a) was related to an inpatient facility stay, or b) necessitated a change in medical or treatment regimen?
(M1800). Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).

(M1810) Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps:

(M1820) Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes:

(M1830) Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).

(M1840) Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.

(M1850) Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.

(M1860) Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.

(M2030) Management of Injectable Medications: Patient's current ability to prepare and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals. Excludes IV medications.

Home Health Certification and Plan of Care
05/01/2025
Skilled Nursing Nurse2 Nurse2
Added by: Arnold 03/14/25 01:19 PM
1Week10
05/01/25 - 06/29/25
10
Home Health Aide Dummy Aide
Added by: Arnold 05/23/25 04:04 PM
Virginia Smith
Added by: Arnold 05/30/25 04:11 PM
Jasmine Haugen
Added by: Arnold 05/28/25 12:54 PM
Julie Alcala
Added by: Arnold 06/05/25 01:46 PM
Nicole Lopez
Added by: Arnold 05/28/25 12:54 PM
Christine Simbrat
Added by: Daniel 06/13/25 12:53 PM
Teranisha Taylor
Added by: Arnold 06/05/25 01:46 PM
Nancy Simmers-Henry
Added by: Arnold 06/05/25 01:46 PM
Jahka Westerfield
Added by: Arnold 06/19/25 09:01 AM
Fatia Page
Added by: Arnold 06/19/25 09:01 AM
Jeannetta Jackson
Added by: Arnold 06/19/25 09:01 AM
Rukaya Harrold
Added by: Cathie 06/19/25 04:22 PM
7Week10
05/01/25 - 06/29/25
70
Primary Care Physician DR. LEO CAPOBIANCO
PECOS Enrolled
Reported to: Arnold 03/14/2025 01:19 PM
Printed By/Date/Time: 07/06/2025 05:05 PM