Health inspection·August 13, 2025

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interview and record review, the facility failed to ensure each resident received adequate supervision for 1 of 2 residents (Resident #1) reviewed for accidents. Resident #1 walked out of the facility unattended with a wander guard on and was missing for approximately 10 - 20 minutes on 05/01/2025.The noncompliance was identified as a PNC. The IJ began on 05/01/2025 and ended on 05/02/2025. The facility had corrected the noncompliance before the investigation began. This failure could place residents at risk for serious injury or death. Findings Include: Record review of Resident #1's face sheet dated 08/12/2025 revealed he was a [AGE] year-old male admitted to the facility on [DATE]. Resident discharged to another from facility on 05/03/2025. Admitting diagnosis was Metabolic Encephalopathy (a condition where brain's dysfunction occurs due to issues with the body's metabolism, which can manifest confusion, impaired thinking, or even coma); Cerebral Infarction, Unspecified (a stroke where there is an unspecified blockage of blood flow to the brain, resulting in brain tissue damage); Aphasia following Cerebral Infarction (a language disorder that affects the ability to communicate, stemming from damage to the brain's language centers). Record review of Resident #1's admission MDS assessment dated [DATE] revealed his BIMS score to be 03 indicating severe cognitive function. Resident #1 exhibited inattention which caused resident to have difficulty focusing attention, was easily distracted, and had difficulty keeping track on what was being said to him. Resident #1 had disorganized or incoherent thinking which led to rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject. Resident #1 ambulated independently. Record review of Resident #1's care plan initiated 04/02/2025 revealed resident was an elopement risk/wanderer r/t impaired safety awareness. Resident wandered aimlessly. Goals were to maintain resident's safety through next review. Interventions: distract resident from wandering, identify pattern of wandering; provide structured activities; wander guard left ankle; monitor closely when sister would leave due to being a trigger for increased wandering and elopement; picture and personal information update placed in elopement notebook at nurse's station and receptionist desk; resident placed on 1:1 on 05/01/2025; Wander Guard placement was checked each shift with functionality. Record review of Resident #1's Order Summary Report revealed resident required a Wander Guard r/t exit seeking behavior. Check Wander Guard placement every shift. Order date: 04/02/2025. End Date 04/29/2025 Wander Guard Placement Secured LEFT ANKLE CHECK FOR PLACEMENT Q SHIFT CODE ALERT#9000-0413M every shift for Wander Guard Placement Secured. Order date: 04/29/2025. End date: 05/02/2025 Wander Guard Placement Secured Right ANKLE CHECK FOR PLACEMENT Q SHIFT CODE ALERT#9000-0413M Expiration date 030228 every shift for Wander Guard Placement Secured. Order Date: 05/02/2025. End date: 05/03/2025. Wander Guard three times a day for check Wander Guard. Verbal 04/01/2025 Discontinued 04/02/2025 updated Resident requires a Wander Guard r/t exit seeking behavior every shift for check Wander- guard. Verbal Discontinued 04/02/2025 04/02/2025 04/27/2025. Record review of Resident #1's Page 1 of 8 455617 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Elopement assessment dated [DATE] revealed he was a high risk of elopement. Resident #1 was cognitively impaired with poor decision-making skills, ambulated independently, and was a new admission who did not accept the new situation. Elopement assessment dated [DATE] revealed he continued to be a high risk of elopement with cognitively impaired with poor decision-making skills and ambulated independently. Record review of Resident #1's social services note dated 03/31/2025 at 4:30 PM p.m. signed by the SW revealed she met with Family Member #1 and Family Member #2 of Resident #1 the day of admission. During the conversation, one of the Family Members stated, Do not be surprised if he tries to leave. SW asked Family Member in the conversation if Resident #1 tried to leave the hospital and Family Member said no but he did not like being there. SW notified nursing staff that Resident #1 was an elopement risk. Record review of Resident #1's progress note dated 04/01/2025 at 11:46 a.m. and signed by DON revealed Resident #1 continued to be confused at baseline and able to walk through the community unsupervised. Resident #1's family members had discussed the safety of Resident #1 and came to the agreement that he would be safer on the secured unit. Resident #1 transferred to the secured unit due to confusion and wandering. On 04/01/2025 at 7:15 p.m., his family requested Resident #1 to be moved off secured unit due to resident not adjusting well to the change. Resident #1 was confused and wandering. Wander Guard was placed on Resident #1's ankle. Record review of Resident #1 Licensed Nurse MAR for April 2025 and May 2025 indicated staff checked his Wander Guard device on ankle every shift to ensure it was activated and working correctly. Record review of Resident #1's progress notes report dated 04/29/25 at 11:50 a.m. prepared by the ADON reported that the resident tried to follow his visitors out to the parking lot. Family Member #3, Family Member #4, and CNA were there. CNA redirected the resident back into the building without incident. Physician, DON, ADM were aware of occurrence. Wander Guard had been ordered to be removed from left ankle on 04/27/2025 due to slight swelling of ankle by MD. New order given to place left ankle Wander Guard back on Resident #1. Record review of Resident #1's nursing noted dated 05/01/2025 at 3:05 p.m. written by DON noted that Resident #1 was back in the facility with Family Member #3 at side. Resident #1 went to his room with a nurse and family member. A head-to-toe assessment was completed with no injuries or s/s of distress. No c/o pain or discomfort voiced. ROM to all ext. noted. Resident #1 ambulating without difficulty. Wander Guard intact and functioning to left ankle. Resident #1 answered simple questions and conversed with Family Member #3 and staff without difficulty. Resident #1 refused for vital signs to be taken. Resident #1 was placed on 1:1 immediately with staff. MD entered facility and made aware. Call placed to Family Member #1, and she was aware of resident leaving. Progress note did not indicate resident eloped from the facility. In an interview on 08/12/2025 at 12:29 p.m. Family Member #1 stated Family Member #3 and Family Member #4 looked after Resident #1 while he was at the facility because they resided nearby. She stated she knew Resident #1 was always talking about wanting to go back home. The day that he eloped from the facility, Family Member #4 was coming to see him at the facility. She found him at the stop light outside the facility gate. Family Member #4 stopped and asked him what he was doing, and he replied that he was going home. Family Member #4 was able to get him in her car and took him back to the facility. She stated the elopement occurred Thursday, 05/01/2025, but she not sure of the time. She stated maybe early afternoon because she was at work. She stated she came in town on 05/03/2025 and took Resident #1 to the hospital. He is now at another long-term care facility. He has not tried to elope there. He was placed on the 3rd floor and now he was on the 2nd floor. She stated she had never experienced having a loved one in a nursing home, so she really did not know what to expect. In an interview on 08/12/2025 at 2:20 p.m. with the DON revealed Resident #1 eloped around 2 p.m. on 05/01/2025. She stated Resident #1 would ambulate throughout 455617 Page 2 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few the facility. He was located by the gates up front of property but was still on the property. His Family Member was coming to visit and found him by the gates. No injuries noted. This was the only time Resident #1 left the building. Drills were completed quarterly now with the staff. Pink binders are at the nurse's station and the code is Code Pink for elopement. She stated she had been employed since April 07, 2025. She stated she had read that Resident #1's Family Members did not want him back on the unit. The facility placed a Wander Guard on the resident. On 08/13/2025 at 11:28 a.m., in a second phone interview with the DON, revealed in completing the documentation r/t Resident #1's return to the building with Family Member on 05/01/2025, she did not mention he had eloped from the facility but did not give a reason for not including the elopement in documentation. She stated the elopement book was put in place on 05/01/2025. The staff were instructed to document daily on each shift. She stated that the facility was no longer going to accept residents with Wander Guards. The resident would have to qualify for the memory care unit to be admitted to facility should that resident be an elopement risk. In an interview on 08/12/2025 at 2:37 p.m. with the ADM revealed she was on vacation the week of May 5th for 2 weeks. She stated Resident #1 left the building and was found by the gate on the property. He had no injuries. The cameras showed that he was still on property. She stated she would not be able to provide the camera footage. She stated that the receptionist would not have known if the resident was a possible visitor or an independent living resident. Resident #1 did not use a walker to ambulate. He looked like an ordinary person. She stated that Elopement Drills were now implemented. Notebooks were placed at each nurse's station in pink notebooks r/t residents who were at risk for elopement. Resident #1 was the only resident with a Wander Guard in the building. In an interview on 08/12/2025 at 3:25 p.m. with Family Member #3 revealed that Family Member #4 was the one who found Resident #1 at the stop light in front of the property outside the gate. She stated she just happened to be coming to visit him and drove up to the traffic light to turn into the facility property and spotted Resident #1 standing at the traffic light. She stated they were not satisfied with the facility while he was there. They placed Resident #1 on the secured unit which depressed him. The staff requested Family Member #3 to sit with resident at night because of not enough staff to watch him. She stated that was the facility's job. In an interview on 08/12/2025 at 3:36 p.m. with Family Member #4 revealed that she was the Family Member who found Resident #1 at the traffic light outside the property of the facility. She drove up to visit resident at the facility. When she came up to the light, she noticed resident standing at the curb. The traffic light was red. She rolled down her car window and asked him what he was doing, and he replied he was going home to his apartment. She told him to get in the car, and he did. She took him back in the building and the alarm went off when he walked through the front door. She proceeded down the hall with him towards the nurse's station and alarm continued to sound. A housekeeper passed them in the hallway and turned off the alarm. No nursing staff came to meet them. She told them where she found him. They had no idea he was missing. She stated it was after 2:00 PM when she arrived at the facility, but she was not certain of the exact time. In an interview on 08/13/2025 at 10:13 a.m. with Receptionist revealed she was at the desk when the alarm sounded. She stated the alarm went off at the entry door going out to the parking lot. The alarm does not go off near the receptionist desk. She admitted she was not familiar with the residents, but more familiar with Family Members. She was familiar with Resident #1's Family Member #3 and family member #4. Family Member #4 came in that day on 05/01/2025 with Resident #1. She stated when she heard the alarm, she walked down towards the front entrance door to look to see if there was a resident outside. Receptionist stated she did not see anyone. There was a gentleman from Assisted Living, who would walk pass the reception desk and down pass the breezeway 455617 Page 3 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few and set off the alarm. She stated she would reset the alarm. She looked up walked down the breezeway and cut alarm off. She did not see a resident anywhere outside. She stated that staff would respond to door alarm when they go off. They can see from the staff entrance on [NAME], named for the 2100 Hall. She stated she did not inform the nurses that she cut off the alarm. In an interview on 08/13/2025 at 12:00 p.m. with RN A revealed he was working on [NAME], named for the 2100 Hall for the 6:00 a.m. - 3:00 p.m. shift on 05/01/2025. He stated he was familiar with Resident #1. RN A was scheduled to work the hall on 05/01/2025. He was not the nurse providing direct care for Resident #1 that day. Resident #1 would watch TV and was usually calm. He stated Resident #1 had dementia and was ambulatory. He would use a walker or a wheelchair at times but usually would ambulate throughout the building. Wander Guard was in place around resident's ankle daily. He stated that if Resident #1 would go near an exit door the panel indicates which exit door was set off. He stated that the alarm only indicates which door for a few seconds. The nurses would go the door that was triggered by Wander Guard to search for resident, begin a head count of all the residents on the halls, check all the rooms, shower rooms, and other places residents may wander to. He stated that he was not sure if any staff responded to door alarm, because he was completing a discharge on another resident at the time. He stated he did not stop what he was doing to search for Resident #1. He stated when Family Member brought resident back to the hall is when he realized Resident #1 was missing. He states that all staff have been in-serviced and trained on elopements and the steps to follow. Staff were in-serviced recently. There are pink notebooks at nurse's station with pictures and names of residents, face sheets, and other pertinent information about residents who are high elopement risk. The code for an eloped resident is Code Pink. He states the negative outcome that could have occurred because of Resident #1's elopement was Resident #1 could have gotten really hurt. In an interview on 08/13/2025 at 12:20 p.m. the ADON revealed that she was familiar with Resident #1. Resident #1 was forgetful and would at times would go to the exit doors. She stated she could not remember if he was ever aggressive toward the staff. Resident #1 was ambulatory and would wander throughout the facility. ADON not aware if he had a history of elopement before admission to facility. She stated she was aware that Resident #1 had eloped from the building but did not how long he had been gone. She knew that he did not have any injuries. She stated she knew that Resident #1's Family Member found him when she was arriving at the facility to visit him. She stated she was not sure if any of the staff on the 2100 hall knew Resident #1 was missing because she was conducting an in-service on another hall with staff. She stated on 05/01/2025, she heard the alarm sound and then heard it cut off within a second or two. She stated she thought staff went to look for resident and a CNA brought him back in. She stated that staff are to look at panel at the nurse's station to see what door the alarm was set off at. Some staff are to report to that area and begin looking for resident. Other staff are to get a head count of all the residents on each hall and account for their residents. When staff determine which resident is missing, go to Pink Binder at that nurse's station and retrieve the information on the missing resident. Contact the ADM, DON, MD, Police, and Family Members. Continue looking in the building and surrounding area outside the building until resident is found. Management has provided recent trainings and in-services r/t elopement and how to prevent this from happening again. She stated the negative outcome that might have occurred with this elopement with Resident #1 could have been detrimental to the resident. In an interview on 08/13/2025 at 3:30 p.m. with RN B revealed that he was familiar with Resident #1. He stated he had only cared for him for one shift during his time at the facility. The main behavior Resident #1 would exhibit was wandering and restlessness. Resident #1 showed attributes of dementia and confusion. He was ambulatory but would use a wheelchair at times. He 455617 Page 4 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few stated, because he had a history of elopement, he kept him at the nurse's station with him. He stated he was not working 2100 hall on 05/01/2025 but was working on hall 300 in the memory care unit. He stated that he could not respond to alarm on 05/01/2025 because he was working the memory care unit. He stated he had received trainings and in-services on elopement recently. He stated the panel behind the nurse's station will indicate which door was set off by the Wander Guard. The staff should immediately respond to that area to search for resident who may have eloped. Begin a head count of residents on halls and determine which resident who may be missing. There are notebooks at the nurse's stations with information r/t residents who are at risk for elopement with their picture and a face sheet. Staff search for resident until the resident is located safely. He stated the negative outcome that could have occurred for Resident #1, he could have been hit by a car, or the police could have picked him up. In an interview on 08/13/2025 at 3:50 p.m. with CNA C revealed that she was familiar with Resident #1. She stated she worked on the memory care unit on hall 3. Resident #1 had only been there on Hall 3 for a few hours when he was placed there. He was not adjusting well to the memory care unit. Resident #1 was not exhibiting any behaviors except his Family Members did not want him there in the unit. He was moved off the unit the same day he arrived. She stated she did not remember what date this occurred. Resident #1 had dementia. He was ambulatory but used a wheelchair at times. She stated she was aware that a resident had eloped from the facility on 05/01/2025 but was not aware it was Resident #1. She stated she has been trained and attended in-services r/t elopement recently. She stated that when the alarm goes off, the nurse's look at the panel at the nurse's station which shows which door was set off. Staff are to go to that exit to search for the resident. Staff are to complete a head count to find out which resident is missing. There is an elopement book at the nurse's station with a picture and information about each resident who are an elopement risk. She stated the negative outcome that could have occurred with Resident #1's elopement would have been not too good because cars on the street speed on that street and resident could have been hit. In an interview on 08/13/2025 at 4:08 p.m. with CNA D revealed that she was not sure if she was familiar with Resident #1 because she never cared for him. She stated that she received training and in-services on elopement recently. She stated the steps to take in case a resident elopes from the building. She stated that when a resident with a Wander Guard goes near a door, the alarm will sound if the resident walks out the door. She stated there is a panel on the wall at the nurse's station that tells the nurse which door went off. There is a pink notebook at each nurse's station with the names of the residents who are elopement risk with their information in the book such as their picture and face sheet. She stated the negative outcome that could have occurred with this elopement could have been big trouble for resident and facility. On 08/13/2025, ADM provided the corrective action plan implemented after having an Emergent (QA) Meeting with Members r/t Resident #1. Elopement assessment would be reviewed and deemed still accurate, with care plan update to reflect current wandering issues. Wander Guard would be assessed in place and functioning with no issues. Maintenance performed on doors and Wander Guard checks on all exits. Based on elopement evaluation, elopement binders would be placed on the nurse's stations and front desk. In-services were started with staff on Wander Guard System, Code Pink Alert, Code Alarm System, Emergency Procedures-Missing Resident, Wandering/Elopement with completion with all employees currently working, and prior to their next scheduled workday. Elopement Drill complete on 05/02/2025, labeling system identified as missed labeled, maintenance fixed on 05/02/2025 after identification. On 05/02/2025 at 3:00 p.m. the ADM and DON provided a personal consultation and coachable moment with receptionist involved in incident by turning alarm off that was triggered by Wander Guard on 05/01/2025. Corrective action taken: Coachable Moment & 455617 Page 5 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0689 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Consultation on 5/2/2025, 1:1 Inservice with ADM and DON on 5/2/2025. In-service included: Wander Guard System, Code Pink Alert, Code Alarm System, Emergency Procedures-Missing Resident, Wandering/Elopement Risk and Alarms Sounding. Following elopement incident in-services were held on 05/01/2025 and 05/02/2025 r/t with staff on, Wander Guard System, Code Pink Alert, Code Alarm System, Emergency Procedures-Missing Resident, Wandering/Elopement Risk and Alarms Sounding. Approximately 73 employees were in attendance held on both days. Record review of facility's Wandering and Elopement Policy (revised March 2019) says in part, The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for residents. 1. If identified as at risk for wandering, elopement, or safety issues, the resident's care plan will include strategies and interventions to maintain the resident's safety. Observations revealed there were no other residents that were present with Wander Guards and no residents observed with exit-seeking behaviors. 455617 Page 6 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to ensure in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized for 1 (Resident #1) of 2 for accuracy of records. The facility failed to accurately document an incident of elopement in progress notes that occurred r/t Resident #1. The failure can affect residents by putting them at risk of preventing further elopements r/t the lack of accurate documentation of incident. Findings included: Record review of Resident #1's face sheet dated 08/12/2025 revealed he was a [AGE] year-old male admitted to the facility on [DATE]. Resident discharged to another from facility on 05/03/2025. Admitting diagnosis was Metabolic Encephalopathy (a condition where brain's dysfunction occurs due to issues with the body's metabolism, which can manifest confusion, impaired thinking, or even coma); Cerebral Infarction, Unspecified (a stroke where there is an unspecified blockage of blood flow to the brain, resulting in brain tissue damage); Aphasia following Cerebral Infarction (a language disorder that affects the ability to communicate, stemming from damage to the brain's language centers).Record review of Resident #1's admission MDS assessment dated [DATE] revealed his BIMS score to be 03 indicating severe cognitive function. Resident #1 exhibited inattention which caused resident to have difficulty focusing attention, was easily distracted, and had difficulty keeping track on what was being said to him. Resident #1 had disorganized or incoherent thinking which led to rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject. Resident #1 ambulated independently. Record review of Resident #1's care plan initiated 04/02/2025 revealed resident was an elopement risk/wanderer r/t impaired safety awareness. Resident wanders aimlessly. Goals will be to maintain resident's safety through next review. Interventions: distract resident from wandering, identify pattern of wandering; provide structured activities; wander guard left ankle; will monitor closely when sister leave due to being a trigger for increased wandering and elopement; picture and personal information update placed in elopement notebook at nurse's station and receptionist desk; resident placed on 1:1 on 05/01/2025; Wander Guard placement to be checked each shift with functionality. Record review of Resident #1's nursing noted dated 05/01/2025 at 3:05 p.m. written by DON revealed Resident #1 back in facility with Family Member #3 at side. Resident #1 went to room with nurse and family member. Head to toe assessment completed no injuries or s/s of distress. No c/o pain or discomfort voiced. ROM to all ext. noted. Resident #1 ambulating without difficulty. Wander Guard intact and functioning to left ankle. Resident #1 answering simple questions and conversing with Family Member#3 and staff without difficulty. Resident #1 refused for vital signs to be taken at this present time. Resident #1 placed on 1:1 immediately with staff. MD entered facility and made aware. Call placed to another Family Member #1, and she is aware of resident leaving. Progress note did not indicate resident eloped from the facility. Requested the incident/accident reported r/t Resident #1's elopement but did not receive it.In interview on 08/12/2025 at 2:20 p.m. with the DON revealed Resident #1 eloped around 2 p.m. on 05/01/2025. She stated Resident #1 would ambulate throughout the facility. He was located by the gates up front of property but was still on the property. His Family Member was coming to visit and found him by the gates. No injuries noted. This was the only time Resident #1 left the building. Drills were completed quarterly now with the staff. Pink binders are at the nurse's station, and the code is Code Pink for elopement. She stated she had been employed since April 07, 2025. She stated she had read that Resident #1's Family Members did not want him back on the unit. The facility 455617 Page 7 of 8 455617 08/13/2025 Christian Care Communities and Services Mesquite 1000 Wiggins Pkwy Mesquite, TX 75150

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few placed a Wander Guard on the resident. On 08/13/2025 at 11:28 a.m., in a second phone interview with the DON, revealed in completing the documentation r/t Resident #1's return to the building with Family Member on 05/01/2025, she did not mention he had eloped from the facility but did not give a reason for not including the elopement in documentation. She stated the elopement book was put in place on 05/01/2025. The staff were instructed to document daily on each shift. She stated that the facility was no longer going to accept residents with Wander Guards. The resident would have to qualify for the memory care unit to be admitted to facility should that resident be an elopement risk.In an interview on 08/12/2025 at 2:37 p.m. with the ADM revealed she was on vacation the week of May 5th for 2 weeks. She stated Resident #1 left the building and was found by the gate on the property. He had no injuries. The cameras showed that he was still on property. She stated she would not be able to provide the camera footage. She stated that the receptionist would not have known if the resident was a possible visitor or an independent living resident. Resident #1 did not use a walker to ambulate. He looked like an ordinary person. She stated that Elopement Drills were now implemented. Notebooks were placed at each nurse's station in pink notebooks r/t residents who were at risk for elopement. Resident #1 was the only resident with a Wander Guard in the building.In an interview on 08/13/2025 at 4:35 p.m. with ADM she stated that the facility thought that Resident was out on pass with Family Member when he was brought back into the facility. She stated that is why there was no elopement mentioned in the documentation. There was no documentation in Resident #1's file that he was out on pass with family.Record review of facility's policy for Charting and Documentation (revised July 2017) revealed in part, All services provided to the resident, progress towards the care plan goals, or any changes in the resident's medical, physical, physical, functional or psychosocial condition, shall be documented in the resident's medical record. The medical record should facilitate communication between the interdisciplinary team regarding the resident's condition and response of care. 455617 Page 8 of 8