EPUAP/NPIAP/PPPIA International Pressure Injury Prevention and Treatment Guideline (2019) and WOCN guidance (verify edition); Braden Scale.
42 CFR 483 §483.25(b) (skin integrity) with State Operations Manual Appendix PP F686; F684; F687.
CMS MDS 3.0 RAI User’s Manual v1.20.1 (eff. 1 Oct 2025), Section M (pressure ulcers/injuries; POA; healing).
CMS Pub. 100-02 Chapter 8 (skilled wound care as a covered service). DiraChart Foundations 1.1–1.11.
Standing flags. Model notes are scaffolds — fill with the shift’s actual values and confirm every threshold against current orders and the care plan. Coverage rules, MDS item sets, and F-tag guidance change; verify against the current published source. MAC/LCD and accreditation items are facility-fill.
