Falls and accidentsFalls, follow-up, hazards
Pressure injuriesWounds tracked to healing
Pain managementReassessment documented
Continence and UTIInfections and continence
Infection control and antibioticsAntibiotic use reviewed
Infection surveillance line listEvery case tracked
Infection preventionist activityIP work documented
ImmunizationsVaccines offered, documented
Change in condition watchUnassessed changes flagged
Critical lab resultsResults needing action
Labs ordered, not resultedMissing results found
Behavior monitoringPsychotropic purpose documented
Trauma-informed careScreened and care planned
Nutrition and weightWeight loss, meals, diets
Hospice coordinationAgreement and shared plan
Dialysis communicationEvery session, both ways
Care ordered and deliveredGaps between them
Care plan and documentationPlan matches charting
Care plan timingBaseline, comprehensive, IDT
Resident risk flaggingHigh-risk residents surfaced
Physician visitsDue and overdue
Decision-maker gapsMissing representatives found
Shift note completenessMissing notes found