CARING NURSES, INC.
ROC HHRG
Patient: PICKARD, ALECIA- MR# 900004280
Chart: 4 Episode: 3
Patient Care Assistant: dad
Visit Date: 05/14/2026
Problems:
NEPHROSTOMY TUBE COMPLICATION

Tests
CLOX:

05/14/2026
OASIS-D
Brittany Kelley
Assessor
(M0030) Start of Care Date:
12/28/2025

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

(M1033) Therapies the patient receives at home: (Mark all that apply.).
3 - Multiple hospitalizations (2 or more) in the past 6 months
4 - Multiple emergency department visits (2 or more) in the past 6 months
5 - Decline in mental, emotional, or behavioral status in the past 3 months
6 - Reported or observed history of difficulty complying with any medical instructions (for example, medications, diet, exercise) in the past 3 months
7 - Currently taking 5 or more medications
8 - Currently reports exhaustion

(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?
2 - With moderate exertion (e.g., while dressing, using commode or bedpan, walking distances less than 20 feet)

(M1610) Urinary Incontinence or Urinary Catheter Presence:
2 - Patient requires a urinary catheter (i.e., external, indwelling, intermittent, suprapubic) [ Go to M1620 ]

(M1620) Bowel Incontinence Frequency:
NA - Patient has ostomy for bowel elimination

(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?
1 - Patient's ostomy was not related to an inpatient stay and did not necessitate 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).
3 - Patient depends entirely upon someone else for grooming needs.

(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:
3 - Patient depends entirely upon another person to dress the upper body.

(M1820) Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes:
3 - Patient depends entirely upon another person to dress lower body.

(M1830) Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).
6 - Unable to participate effectively in bathing and is bathed totally by another person.

(M1840) Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.
4 - Is totally dependent in toileting.

(M1850) Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.
4 - Bedfast, unable to transfer but is able to turn and position self in bed.

(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.
6 - Bedfast, unable to ambulate or be up in a chair.

(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.
NA - No injectable medications prescribed.

ROC Verbal Orders for Modification
05/14/2026
Skilled Nursing Debbie Dios
Added by: Veltra 06/04/26 02:39 PM
1Week7
05/14/26 - 06/25/26
7
Primary Care Physician DR. GOPALAKRISHNA LEELA
PECOS Enrolled
Physician Scheduled Visit 04/23/2020: DR. KRISTINA JONES
04/30/2020: DR. KRISTINA JONES
05/14/2020: DR. KRISTINA JONES
05/20/2020: DR. BROCK WENTZ
05/28/2020: DR. KRISTINA JONES
06/04/2020: DR. KRISTINA JONES
06/11/2020: DR. KRISTINA JONES
06/18/2020: DR. KRISTINA JONES
06/25/2020: DR. KRISTINA JONES
07/02/2020: DR. KRISTINA JONES
07/09/2020: DR. KRISTINA JONES
07/15/2020: DR. KRISTINA JONES
07/23/2020: DR. KRISTINA JONES
07/30/2020: DR. KRISTINA JONES
08/06/2020: DR. KRISTINA JONES
08/13/2020: DR. KRISTINA JONES
08/20/2020: DR. KRISTINA JONES
08/27/2020: DR. KRISTINA JONES
09/03/2020: DR. KRISTINA JONES
09/10/2020: DR. KRISTINA JONES
09/17/2020: DR. KRISTINA JONES
09/24/2020: DR. KRISTINA JONES
10/01/2020: DR. KRISTINA JONES
10/08/2020: DR. KRISTINA JONES
10/15/2020: DR. KRISTINA JONES
10/22/2020: DR. KRISTINA JONES
10/29/2020: DR. KRISTINA JONES
11/12/2020: DR. KRISTINA JONES
12/03/2020: DR. KRISTINA JONES
12/10/2020: DR. KRISTINA JONES
12/17/2020: DR. KRISTINA JONES
12/24/2020: DR. KRISTINA JONES
12/31/2020: DR. KRISTINA JONES
02/18/2021: DR. KRISTINA JONES
02/25/2021: DR. KRISTINA JONES
03/04/2021: DR. KRISTINA JONES
03/11/2021: DR. KRISTINA JONES
03/18/2021: DR. KRISTINA JONES
03/25/2021: DR. KRISTINA JONES
04/01/2021: DR. KRISTINA JONES
04/08/2021: DR. KRISTINA JONES
04/22/2021: DR. KRISTINA JONES
04/29/2021: DR. KRISTINA JONES
05/06/2021: DR. KRISTINA JONES
05/13/2021: DR. KRISTINA JONES
05/20/2021: DR. KRISTINA JONES
05/27/2021: DR. KRISTINA JONES
06/10/2021: DR. KRISTINA JONES
06/24/2021: DR. KRISTINA JONES
07/01/2021: DR. KRISTINA JONES
07/15/2021: DR. KRISTINA JONES
07/22/2021: DR. KRISTINA JONES
07/29/2021: DR. KRISTINA JONES
08/12/2021: DR. KRISTINA JONES
08/19/2021: DR. KRISTINA JONES
08/26/2021: DR. KRISTINA JONES
09/02/2021: DR. KRISTINA JONES
09/09/2021: DR. KRISTINA JONES
10/21/2021: DR. KRISTINA JONES
10/28/2021: DR. KRISTINA JONES
11/04/2021: DR. KRISTINA JONES
11/11/2021: DR. KRISTINA JONES
10/19/2021: DR. GOPALAKRISHNA LEELA
11/18/2021: DR. KRISTINA JONES
12/02/2021: DR. KRISTINA JONES
12/09/2021: DR. KRISTINA JONES
12/16/2021: DR. KRISTINA JONES
12/23/2021: DR. KRISTINA JONES
12/30/2021: DR. KRISTINA JONES
01/06/2022: DR. KRISTINA JONES
01/13/2022: DR. KRISTINA JONES
01/20/2022: DR. KRISTINA JONES
01/27/2022: DR. KRISTINA JONES
02/03/2022: DR. KRISTINA JONES
02/10/2022: DR. KRISTINA JONES
02/17/2022: DR. KRISTINA JONES
02/24/2022: DR. KRISTINA JONES
03/03/2022: DR. KRISTINA JONES
03/10/2022: DR. KRISTINA JONES
09/04/2024: DR. GOPALAKRISHNA LEELA
12/22/2025: DR. MIT DAVE
Reported to: Veltra 05/26/2026 03:08 PM
Printed By/Date/Time: 06/06/2026 10:48 AM