Skip to content AO Ada Okafor Registered dietitian
Ask anything about this resident. A language model reasons over their computed facts: weights, trend, drugs, alerts and what the record does not contain. It never sees their name.
Why is the weight moving? Could a medication explain this? What would justify ruling it expected? What should I do first? Fixed questions are answered by the rules engine. Anything else is reasoned by a language model over de-identified computed facts. No name, room or date of birth leaves the building, and every figure is checked.
Survey sample Residents with a significant unplanned loss in the last 90 days with, for each, whether it was noticed, assessed, care-planned and acted on, and the weights behind it.
significant loss, last 90 days
23 residents crossed a threshold in the last 90 days; the 12 worst are shown. "Noticed" is the date the alert opened; "Note after" and "Care plan after" are days from that date to the first note and care plan seen in PointClickCare.
13 weights on file in the last 180 days.
Date Weight (lb) 11 May 107.1 11 Jun 104.1 9 Jul 102.5 8 Aug 99.4 17 Aug 99 22 Aug 98.1 30 Aug
13 weights on file in the last 180 days.
Date Weight (lb) 11 May 141.3 11 Jun 138.7 12 Jul 135.1 9 Aug 132.1 16 Aug 131.4 23 Aug 130.7 30 Aug
14 weights on file in the last 180 days.
Date Weight (lb) 6 May 140.2 5 Jun 136.7 4 Jul 134 3 Aug 131.2 12 Aug 129.9 21 Aug 129.2 27 Aug
13 weights on file in the last 180 days.
Date Weight (lb) 9 May 216.3 8 Jun 216.3 7 Jul 215.8 5 Aug 215.6 13 Aug 216.1 19 Aug 216.1 28 Aug
13 weights on file in the last 180 days.
Date Weight (lb) 11 May 139.6 10 Jun 140.7 8 Jul 139.8 6 Aug 136.7 14 Aug 135.4 21 Aug 135.1 29 Aug
6 weights on file in the last 180 days.
Date Weight (lb) 13 May 194.9 12 Jun 194 12 Jul 194.2 13 Aug 194.4 13 Sep 195.1 12 Oct 194.2
6 weights on file in the last 180 days.
Date Weight (lb) 14 May 140 15 Jun 140.2 16 Jul 139.6 14 Aug 140 13 Sep 140 12 Oct 140.4
13 weights on file in the last 180 days.
Date Weight (lb) 12 May 108.2 12 Jun 107.4 11 Jul 107.4 11 Aug 107.4 16 Aug 108.2 24 Aug 107.1 31 Aug
14 weights on file in the last 180 days.
Date Weight (lb) 8 May 159 8 Jun 158.7 7 Jul 158.7 6 Aug 155.6 14 Aug 155 23 Aug 153.2 29 Aug
13 weights on file in the last 180 days.
Date Weight (lb) 12 May 142 10 Jun 142.6 10 Jul 142.2 8 Aug 138.9 15 Aug 137.3 23 Aug 136.2 29 Aug
13 weights on file in the last 180 days.
Date Weight (lb) 15 May 187.4 13 Jun 184.7 12 Jul 182.1 10 Aug 178.6 19 Aug 177.9 25 Aug 176.8 31 Aug
6 weights on file in the last 180 days.
Date Weight (lb) 13 May 183.2 12 Jun 183.2 13 Jul 183.2 13 Aug 184.3 11 Sep 183.2 11 Oct 184.3
Cedar Ridge Care Center · generated 19 Oct 17:36 ET · 149 rows. Every figure comes from the rules engine, not from the copilot.
42 CFR 483.25(g) · F692 · surveyor's resident sample · ruleset f692-2026.09-v2, metrics flow-2026.09-v1
-10.8% / 180d 15 Sep Expected change None seen None seen None -10.4% / 180d 8 Sep Confirmed change None seen None seen None -10.1% / 180d 9 Sep Expected change None seen None seen None -9.6% / 90d 13 Oct New None seen None seen None -8% / 90d 25 Sep Confirmed change None seen None seen None -7.9% / 30d 11 Sep New None seen None seen None -7.9% / 30d 31 Jul Confirmed change None seen None seen None -7.8% / 90d 7 Oct New None seen None seen Magic Cup Frozen Nutritional Supplement -7.8% / 90d 30 Sep Wrong weight None seen None seen None -7.7% / 90d 29 Sep Confirmed change None seen None seen None -7.5% / 30d 18 Sep Confirmed change None seen None seen Ensure Enlive Oral Liquid -7.3% / 30d 4 Sep Confirmed change None seen None seen None
Castellano, Bernice 73 y · M · Cedar (skilled) · 128-A
Weight 126.1 lb 8 days ago
BMI 19.5
Of ideal 84% Watch Readmission Waiting 6 days Real risk, plan it1 Managed2
Why the weight may be moving Diagnoses Alzheimer's disease, unspecified · cognitive Major depressive disorder, single episode, unspecified · appetite
In place now No supplement or tube feed ordered. Labs, 90 days Albumin 3.4 g/dLlow · 5 Oct History 22 events 1 never answered 13 Oct 10:35 ET NourishNet rules Readmission · Readmission risk: 6 points from 2 factors Raised and never answered. 11 Oct 10:35 ET PointClickCare Weighed 126.1 lb 4 Oct 10:35 ET PointClickCare Weighed 127 lb 29 Sep 10:35 ET PointClickCare Weighed 127.2 lb 24 Sep 10:35 ET PointClickCare Weighed 127 lb 15 Sep 10:35 ET PointClickCare
Weighed 127.9 lb
15 Sep 02:09 ET PCC sync Chart action observed in PointClickCare · 10% in 180 days
11 Sep 10:30 ET Ada Okafor Verdict recorded · Confirmed change · 10% in 180 days
8 Sep 10:35 ET NourishNet rules Loss · 10% in 180 days
8 Sep 10:35 ET PointClickCare Weighed 129.6 lb
30 Aug 18:01 ET PCC sync Chart action observed in PointClickCare · 7.5% in 90 days
30 Aug 10:35 ET PointClickCare Weighed 130.3 lb
28 Aug 12:25 ET Priya Shah Verdict recorded · Confirmed change · 7.5% in 90 days
23 Aug 10:35 ET NourishNet rules Loss · 7.5% in 90 days
23 Aug 10:35 ET PointClickCare Weighed 130.7 lb
16 Aug 10:35 ET PointClickCare Weighed 131.4 lb
9 Aug 10:35 ET PointClickCare Weighed 132.1 lb
12 Jul 10:35 ET PointClickCare Weighed 135.1 lb
11 Jun 10:35 ET PointClickCare Weighed 138.7 lb
11 May 10:35 ET PointClickCare Weighed 141.3 lb
12 Apr 10:35 ET PointClickCare Weighed 144.2 lb
12 Mar 10:35 ET PointClickCare Weighed 144.6 lb