“Incontinent care given.”

No program, no continence outcome, no skin protection — reads as custodial.

The toileting-program model note in §3: scheduled program, continence outcome, skin status, and the Section H linkage.

“Foley patent.”

No medical indication, no site/output, no necessity review — a catheter-justification citation.

“Catheter for [documented indication]; patent, clear urine, secured, site clean, closed system, output adequate; necessity reviewed.”

“Resident confused.”

Misses that new confusion may be a UTI — no workup.

“New confusion from baseline with cloudy/foul urine and low-grade fever — UA/culture ordered, provider/representative notified.”