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Section Navigation Part 18 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next Restraint / psychotropic documentation gap Fails: a restraint with no medical symptom or release plan, a PRN physical-restraint order, or a psychotropic with no indication, monitoring, or GDR consideration (F604/F605/F758). Survives: restraint documented with symptom, least-restrictive alternatives, order, consent, monitoring, and reduction plan; psychotropic with indication, target symptoms, monitoring, non-pharm-first, and a GDR schedule or a documented clinical contraindication. Section Navigation Part 18 of 20 1. General Section 2. 6.1 “WNL” alone 3. What changed 4. 6.2 Vague daily-skilled need (the homebound-replacement failure) 5. What changed 6. 6.3 Teaching without mastery 7. What changed 8. Extended recurring patterns (SNF) 9. The daily-skilled gap 10. Cloned / carried-forward note 11. Reference to “baseline” with no value 12. Unquantified outcome 13. MDS not supported by the record 14. Care plan not individualized or not updated 15. Restorative program not documented 16. Open-loop coordination or missed notification 17. Maintenance coverage misframed 18. Restraint / psychotropic documentation gap 19. Notice not issued or not documented 20. Sources and clinical references Previous Next 