.FUNC_NORMAL

Skilled functional assessment: ADLs at baseline assistance ({levels}); IADLs {independent/with support}; transfers/gait at baseline with {device}, safe; no new decline; DME appropriate and used correctly; caregiver support adequate. RN judgment applied to grade assistance, assess transfer safety, and link to plan/homebound given {dx}. Continued skilled monitoring indicated.

.FUNC_ADL

Bathing {level}; dressing {level}; grooming {level}; toileting {level}; transferring {level}; feeding {level}; ambulation {level/distance/device}; change from baseline {none/...}.

.FUNC_IADL

Meal prep {ability}; medication management {ability}; housekeeping {ability}; shopping {ability}; finances {ability}; transportation {ability}; phone {ability}; caregiver support {scope}.

.FUNC_SKILL

Graded assistance and trend; assessed transfer/gait safety; evaluated DME fit/use; trained {transfer technique/device}; coordinated {PT/OT}; trained caregiver; linked to homebound.

.FUNC_TEACH

Reviewed safe {transfer/device use/energy conservation} with {pt/cg}; method {return-demo}; mastery {##}%.

.FUNC_COORD

Provider notified at {time} re {functional decline/transfer safety/caregiver gap}; reported {content}; order received {PT/OT/support}; reassessment {when}.

.FUNC_SAFETY

Call for a functional decline, an unsafe transfer, or unmet care needs; 911 for a fall with injury or a sudden inability to move a limb.

.FUNC_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.