CARING NURSES, INC.
SOC HHRG
Patient: CORDY, WILMA- MR# 900011191
Chart: 2 Episode: 1
Patient Care Assistant: husband is assisting with care.
Visit Date: 08/03/2026
Problems:
Dysphagia, CVA w/ right hemiparesis, Peg tube, HTN, AMS, HLD, Fall, Deep tissue injury of both heels, Stage 2 pressure ulcer of coccyx

Tests
CLOX:
fail

08/03/2026
OASIS-D
Joan Leyderos
Assessor
(M0030) Start of Care Date:
08/03/2026

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

(M1033) Therapies the patient receives at home: (Mark all that apply.).
1 - History of falls (2 or more falls - or any fall with an injury - in the past 12 months)
2 - Unintentional weight loss of a total of 10 pounds or more in the past 12 months
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
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:
1 - Patient is incontinent

(M1620) Bowel Incontinence Frequency:
2 - One to three times weekly

(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?
0 - Patient does not have an ostomy for bowel elimination.
(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.
3 - Unable to transfer self and is unable to bear weight or pivot when transferred by another person.

(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.
5 - Chairfast, unable to ambulate and is unable to wheel self.

(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.

Home Health Certification and Plan of Care
08/03/2026
Skilled Nursing Joan Leyderos
Added by: Ron 08/03/26 01:43 PM
2Week2
08/03/26 - 08/14/26
4
1Week7
08/15/26 - 10/01/26
7
PRN
08/03/26 - 10/01/26
2
Physical Therapy
1/ X 4WKS CVA w/ right hemiparesis 		Maria Consolo
Added by: Ron 08/03/26 04:16 PM
Eval
08/03/26 - 09/30/26
1
Speech Therapy
1/WK X 1WK for eval 		Phyllis Porcaro
Added by: Ron 08/04/26 09:56 AM
Eval
08/03/26 - 09/30/26
1
Primary Care Physician DR. BRANDI HERMES
PECOS Enrolled
Physician Scheduled Visit 06/24/2026: DR. FARZIN FARHANG
Reported to: Ron 08/03/2026 01:43 PM
Printed By/Date/Time: 08/06/2026 12:37 PM