1. Visit-level requirements

• Visit date, time-in, and time-out documented.
• Persons present (patient, caregivers, others) identified.
• Interpreter use documented, if applicable.
• Consent verified.
• Homebound status reaffirmed with a patient-specific reason (not boilerplate).
• POC goals/orders linked to today’s interventions by name or number.
• Vital signs documented with technique context (rest time, cuff size, position).
• Pain assessed (PQRST if any pain is present).
• Medication reconciliation completed against current bottles.
• OTC/supplement/herbal screening documented.