No post-fall skilled assessment

The note logs the fall but shows no skilled workup.

Document the injury survey, protocol neuro checks, vitals, pain, and functional screen. (F689.)

No plan change after a fall

Same interventions repeat after a recurrent fall.

Add a specific new intervention and the root cause every time. (F689.)

Missing representative notification

Provider noted; representative not.

Notify the representative on the change of condition and document the time. (F580.)

MDS falls not supported

Section J codes a fall the record doesn’t detail.

Carry each fall event and injury level in the note (F641).