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The consultant's 23-item scorecard, with every item the record can answer already judged and the evidence behind it, every list the audit asks for pulled, and the items PointClickCare cannot supply named as such.
Cedar Ridge Care Center · generated 19 Oct 16:53 ET · 66 rows. Every figure comes from the rules engine, not from the copilot.
42 CFR 483.60 · F692 · Nutrition Systems Audit · ruleset f692-2026.09-v2, metrics flow-2026.09-v1
| Method |
|---|
| 1 | Quality assurance: Program in place, documented. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| 2 | CASPER: Available; action taken if % equal to or higher than state/federal. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| 3 | High-risk meetings: High-risk residents reviewed; meeting notes and interventions documented. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| 4 | Policies & procedures / diet manual: Available, signed annually, followed. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| 5 | Director of Food & Nutrition Services: CDM, certified, DTR, BS, RD, or experience per requirements. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| 6 | HIPAA: Adhered to. | Not in the record: you score | Not recorded | Not recorded | Observation. NourishNet's own access log is under Settings. |
| 7 | New residents: Screened; preferences obtained. | Not available from PointClickCare | Not recorded | Not recorded | Clinical notes are not mirrored for this facility yet. |
| 8 | Assessments current: Initial, quarterly, annual, change of condition, MDS, high-risk; nutritional factors used. | Not available from PointClickCare | Not recorded | Not recorded | Clinical notes are not mirrored for this facility yet. |
| 9 | Recommendations / interventions: Ordered correctly, provided per order, changed when not effective. | Prioritize attention | 0 | 5 of 12 residents on a supplement are still losing weight past the review point: the orders the unit manager needs to hear about. 8 reviews are overdue. | Supplement register: weight response after the 30/60/90-day review point. |
| 10 | 48-hour baseline care plan: Accurate, resident-centered, provided to resident. | Not available from PointClickCare | Not recorded | Not recorded | Care plans are not mirrored for this facility yet. |
| 11 | Weights / heights: Accurate, timely; a system in place to identify weight variance %. | Prioritize attention | 0 | 0 of 7 admissions were weighed on three consecutive days. Heights on file for 48 of 52 residents. 5 residents have no current weight, so no variance rule can see them. | Weights and admissions in PointClickCare; the variance system is NourishNet. |
| 12 | Pressure injury reports: Current, accurate. | Evidence supplied: you score | Not recorded | 5 residents carry a pressure injury on the problem list. | Pressure injuries coded on the problem list. |
| 13 | Tube feedings / parenteral nutrition: Assessments accurate; RD notified timely. | Evidence supplied: you score | Not recorded | 2 residents have an enteral or parenteral order. | Medication orders classified as enteral nutrition. |
| 14 | Dialysis: Assessment(s). | Evidence supplied: you score | Not recorded | 2 residents are on dialysis by the problem list. | Conditions coded N18.6, Z99.2 or Z49. |
| 15 | Abnormal labs: RD notified. | Evidence supplied: you score | Not recorded | 16 residents have an out-of-range result in the last 90 days. | Out-of-range laboratory results in the last 90 days, against our reference intervals; PointClickCare sends none. |
| 16 | Hydration protocol: Followed; fluid restrictions adhered to. | Not applicable | Not recorded | Not recorded | Disregarded at the consultant's instruction. |
| 17 | HS snacks: Offered to residents; documented. | Not available from PointClickCare | Not recorded | Not recorded | Acceptance is in the MAR; MedicationAdministration is not exposed. |
| 18 | Food-first approach: Used in lieu of supplements. | Not available from PointClickCare | Not recorded | Not recorded | Diet orders are NutritionOrder resources; not exposed. |
| 19 | Supplements: Per physician order; documented in MAR; stored correctly. | Evidence supplied: you score | Not recorded | 12 residents on a supplement or tube feed by physician order; 6 have no weights to judge the order by. Consumption is in the MAR, which is not exposed. | Medication orders classified as supplements. |
| 20 | Resident meal intake documented: % consumed documented per policy. | Not available from PointClickCare | Not recorded | Not recorded | PointClickCare does not share meal intake. |
| 21 | Bowel program: In place; documented in MAR per policy. | Not available from PointClickCare | Not recorded | Not recorded | MAR; not exposed. |
| 22 | Unavoidable conditions documented: Weight loss, pressure injury, abnormal labs: noted and documented per policy. | Needs attention | 0.5 | 15 of 21 confirmed weight changes have documentation observed in PointClickCare; 6 still awaiting it. | Alerts the dietitian confirmed, against the notes and care-plan changes the sync has seen. |
| 23 | Informed consent: Risks, benefits and alternatives; care plan in place, per policy. | Not in the record: you score | Not recorded | Not recorded | Facility document: not in PointClickCare. |
| Resident | Admitted | First 4 days | 3 consecutive days | Care plan | Note |
|---|---|---|---|---|---|
Kaminski, Vivian Cedar (skilled) | 2026-10-13 | 0 | No | Not mirrored | Not mirrored |
Bhattacharya, Eleanor Cedar (skilled) | 2026-10-07 | 0 | No | Not mirrored | Not mirrored |
Castellano, Bernice Cedar (skilled) | 2026-10-05 | 0 | No | Not mirrored | Not mirrored |
Underwood, Harold Willow (memory care) | 2026-09-29 | 1 | No | Not mirrored | Not mirrored |
Petrov, Lorraine Cedar (skilled) | 2026-09-25 | 1 | No | Not mirrored | Not mirrored |
Kowalski, Doris Maple (long-term) | 2026-09-19 | 0 | No | Not mirrored | Not mirrored |
Nakamura, Clarence Cedar (skilled) | 2026-09-09 | 0 | No | Not mirrored | Not mirrored |
| Resident | Supplement | Days on | Review | Weight | Weighed | Change, 30d |
|---|---|---|---|---|---|---|
Kaminski, Doris Maple (long-term) | Ensure Enlive Oral Liquid | 141 | overdue | 172.4 lb | 2026-10-11 | -2.5% |
Abernathy, Mildred Cedar (skilled) | Ensure Enlive Oral Liquid | 139 | overdue | 107.6 lb | 2026-10-11 | -2.2% |
Kowalski, Bernice Willow (memory care) | Ensure Enlive Oral Liquid | 126 | overdue | 97.9 lb | 2026-10-12 | -1.6% |
Nakamura, Clarence Cedar (skilled) | Jevity 1.5 Cal Enteral Formula [tube feeding] | 79 | overdue | 118.6 lb | 2026-10-12 | -2.4% |
Underwood, Cecil Willow (memory care) | Magic Cup Frozen Nutritional Supplement | 31 | due | 153.4 lb | 2026-10-13 | -6.5% |
| Resident | Diagnosis | Weight | Weighed | Change, 30d |
|---|---|---|---|---|
Abernathy, Mildred Cedar (skilled) | PRESSURE ULCER OF SACRAL REGION, STAGE 2 | 107.6 lb | 2026-10-11 | -2.2% |
Kowalski, Doris Maple (long-term) | PRESSURE ULCER OF SACRAL REGION, STAGE 2 | 174.2 lb | 2026-10-12 | Not recorded |
Oyelaran, Mildred Maple (long-term) | PRESSURE ULCER OF SACRAL REGION, STAGE 2 | 97.9 lb | 2026-10-13 | -9.2% |
Petrov, Lorraine Cedar (skilled) | PRESSURE ULCER OF SACRAL REGION, STAGE 2 | 186.5 lb | 2026-10-12 | Not recorded |
Underwood, Harold Willow (memory care) | PRESSURE ULCER OF SACRAL REGION, STAGE 2 | 144.4 lb | 2026-10-12 | Not recorded |
| Resident | Order | Weight | Weighed | Change, 30d |
|---|---|---|---|---|
Kowalski, Bernice Willow (memory care) | Jevity 1.5 Cal Enteral Formula [tube feeding] | 97.9 lb | 2026-10-12 | -1.6% |
Nakamura, Clarence Cedar (skilled) | Jevity 1.5 Cal Enteral Formula [tube feeding] | 118.6 lb | 2026-10-12 | -2.4% |
| Resident | Diagnosis | Weight | Weighed | Change, 30d |
|---|---|---|---|---|
Ferreira, Raymond Cedar (skilled) | END STAGE RENAL DISEASE | 125.9 lb | 2026-10-13 | -0.7% |
Kowalski, Doris Cedar (skilled) | END STAGE RENAL DISEASE | 117.7 lb | 2026-10-13 | -6.2% |
| Resident | Out of range | Flagged | Weight | Weighed | Change, 30d |
|---|---|---|---|---|---|
Ferreira, Raymond Cedar (skilled) | Potassium 5.3 mEq/L (high, 2026-10-05); BUN 53.8 mg/dL (high, 2026-10-04); Creatinine 6.1 mg/dL (high, 2026-10-03); Albumin 3.2 g/dL (low, 2026-09-30) | 8 | 125.9 lb | 2026-10-13 | -0.7% |
Underwood, Cecil Willow (memory care) | Albumin 3.2 g/dL (low, 2026-10-01); Albumin 3.3 g/dL (low, 2026-08-13) | 2 | 153.4 lb | 2026-10-13 | -6.5% |
Oyelaran, Mildred Maple (long-term) | Albumin 3.4 g/dL (low, 2026-10-07); Hemoglobin 9.8 g/dL (low, 2026-10-02); Prealbumin 13.1 mg/dL (low, 2026-08-03); Albumin 3 g/dL (low, 2026-08-01) | 5 | 97.9 lb | 2026-10-13 | -9.2% |
Nakamura, Vernon Cedar (skilled) | Albumin 3.1 g/dL (low, 2026-07-31) | 1 | 127.2 lb | 2026-10-12 | -4% |
Castellano, Bernice Cedar (skilled) | Albumin 3.4 g/dL (low, 2026-10-05) | 1 | 126.1 lb | 2026-10-11 | -2.7% |
Nakagawa, Walter Maple (long-term) | Albumin 3 g/dL (low, 2026-10-02); Albumin 3.1 g/dL (low, 2026-08-11) | 2 | 123.2 lb | 2026-10-11 | -3.5% |
Delacroix, Walter Willow (memory care) | Albumin 3.4 g/dL (low, 2026-10-07) | 1 | 94.8 lb | 2026-10-11 | -2.9% |
Nakamura, Clarence Cedar (skilled) | BUN 27.4 mg/dL (high, 2026-10-07); Albumin 3.3 g/dL (low, 2026-10-02); BUN 23 mg/dL (high, 2026-08-05); Sodium 147.2 mEq/L (high, 2026-08-04) | 5 | 118.6 lb | 2026-10-12 | -2.4% |
Ferris, Lorraine Willow (memory care) | Albumin 3.2 g/dL (low, 2026-10-02); Albumin 3.3 g/dL (low, 2026-07-26) | 2 | 157.6 lb | 2026-10-13 | -1.4% |
Kowalski, Doris Cedar (skilled) | BUN 59.3 mg/dL (high, 2026-10-05); Creatinine 5.1 mg/dL (high, 2026-10-05); Potassium 5.5 mEq/L (high, 2026-08-12); Creatinine 6.2 mg/dL (high, 2026-08-12) | 6 | 117.7 lb | 2026-10-13 | -6.2% |
Petrov, Lorraine Cedar (skilled) | Hemoglobin 10.4 g/dL (low, 2026-10-03); Albumin 3.2 g/dL (low, 2026-09-30); Hemoglobin 10.6 g/dL (low, 2026-08-12); Albumin 2.7 g/dL (low, 2026-08-08) | 5 | 186.5 lb | 2026-10-12 | Not recorded |
Kowalski, Doris Maple (long-term) | Albumin 3.2 g/dL (low, 2026-10-03); Hemoglobin 11.1 g/dL (low, 2026-09-29); Prealbumin 11.5 mg/dL (low, 2026-07-31); Albumin 2.9 g/dL (low, 2026-07-28) | 5 | 174.2 lb | 2026-10-12 | Not recorded |
Underwood, Harold Willow (memory care) | Prealbumin 14.3 mg/dL (low, 2026-10-06); Hemoglobin 10 g/dL (low, 2026-09-29); Hemoglobin 10 g/dL (low, 2026-08-12); Prealbumin 13.3 mg/dL (low, 2026-08-06) | 5 | 144.4 lb | 2026-10-12 | Not recorded |
Abernathy, Mildred Cedar (skilled) | Hemoglobin 11.1 g/dL (low, 2026-10-06); Albumin 3.1 g/dL (low, 2026-10-03); Hemoglobin 9.9 g/dL (low, 2026-08-12); Prealbumin 13.5 mg/dL (low, 2026-08-05) | 5 | 107.6 lb | 2026-10-11 | -2.2% |
Kaminski, Doris Maple (long-term) | Albumin 3 g/dL (low, 2026-09-29); Albumin 3.4 g/dL (low, 2026-07-30) | 2 | 172.4 lb | 2026-10-11 | -2.5% |
Kowalski, Bernice Willow (memory care) | Sodium 145.8 mEq/L (high, 2026-10-02); BUN 27.9 mg/dL (high, 2026-09-29); Albumin 3.2 g/dL (low, 2026-08-10); Sodium 149.9 mEq/L (high, 2026-07-29) | 5 | 97.9 lb | 2026-10-12 | -1.6% |
| Resident | Confirmed | Change | Waiting (days) |
|---|---|---|---|
Sandoval, Gladys Cedar (skilled) | 2026-06-15 | -8.5% / 30d | 126 |
Ferreira, Beatrice Willow (memory care) | 2026-07-27 | -6.9% / 30d | 84 |
Castellano, Walter Willow (memory care) | 2026-08-10 | +8.5% / 90d | 70 |
Okonkwo, Frank Willow (memory care) | 2026-08-22 | -5.4% / 30d | 58 |
Kaminski, Doris Maple (long-term) | 2026-09-18 | -7.5% / 30d | 31 |
Sandoval, Cecil Maple (long-term) | 2026-09-29 | -7.7% / 90d | 20 |