“Dressing changed. Wound healing.”

No stage, measurements, wound-bed detail, or comparison — no proof of skilled assessment or trajectory.

The Stage 3 model note in §3: technique, stage, measurements vs prior week, wound-bed %, exudate, periwound, and the healing conclusion.

“Skin intact.”

No risk context, no surveillance rationale, no POA/plan linkage.

“Skin intact over all bony prominences, Braden 16, repositioning q2h and support surface per plan, heels floated — no new injury; supports Section M and the skin goal.”

“New pressure area noted.”

No stage, size, etiology, POA status, or notification.

The facility-acquired model note in §4: stage, measurements, POA status, notification, plan intensification, Section M coding, and avoidability determination.