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CRCM Analysis completed for Ellis v. Oakwood Care and Rehabilitation Center
Risk score: 0.82 (high) — 3 representative review points in this synthetic matter
Evidence upload: 147 records from brookdale-care-partners-llc
Phase 3 — Evidence Collection: nursing notes, MARs, incident reports
Causation Alert: Potential standard-of-care deviation in miller-v-oak-haven-snf
PRN medication delay: order 0800, administered 1430 (6.5 hr gap)
Wound timeline report generated for Ellis v. Oakwood Care and Rehabilitation Center
Three-stage pressure-injury progression documented across 14 weeks
System Health
API Status
Operational
Last Sync
30s ago
AI Features
New in v1.11Recipe Search
Knowledge Graph
Knowledge Graph: Case Entities and Relationships
| Entity ID | Type | Description | Related Entities |
|---|
Medical Entity Extraction
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Your case at a glance
Follow your case's progress, review the clinical timeline, and download the reports and deliverables your LNC Nexus team has approved for you.
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Case: Ellis v. Oakwood Care and Rehabilitation Center
Case finding detail
Finding
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AI Clinical Analysis
Review the case timeline, extracted entities, and deviations identified across the evidence.
Analysis results are case-scoped and loaded from the live API
Clinical Timeline with Deviation Markers
03/12/2023 — Admission
Resident admitted with unspecified dementia, type 2 diabetes, coronary atherosclerosis, and osteoporosis. Braden Scale: 14 (moderate risk). Admission skin assessment records intact skin; the CMP calls for individualized repositioning and daily skin review.
04/15/2023 — First wound documentation
Nursing note: "blanching erythema, sacral area, 2×3 cm." Photo taken.
⚠ 04/22/2023 — Stage II pressure ulcer documented
Sacral wound now Stage II: "partial-thickness skin loss, 3×4 cm." Review point: No wound-care consult order appears in the sampled record by 05/17, although the facility CMP calls for escalation within 24 hours.
05/01/2023 — Braden reassessment
Score: 12 (high risk). 50 days since the admission score — compare the gap with the facility policy version in force.
⚠ 05/18/2023 — Wound care consult (26-day delay)
Wound-care clinician recommends off-loading, moisture management, dressing selection, nutrition screening, and follow-up. Review point: The consult occurred 26 days after the Stage II note; the complete treatment-order trail is not in the sample.
⚠ 06/08/2023 — Fall incident
Resident found on the floor near the dining room; no injury was reported in the incident note. The timing of the post-fall assessment and care-plan review should be verified against the complete chart.
⚠ 08/02/2023 — Wound progression to Stage IV
Sacral wound now Stage IV: "8×6 cm with 3 cm undermining." Review point: The record documents progression despite a wound-care plan; the available sample does not establish a single cause.
⚠ 08/15/2023 — Hospital transfer
Transferred to Memorial General Hospital for surgical debridement and IV antibiotics; the hospital record reflects a 12-day admission.
⚠ 09/15/2023 — Hospice referral
After hospital discharge and a goals-of-care discussion, the facility documented a hospice referral. The referral reason and any causal connection to the wound require independent review.
Medications
7 activeq4h PRN pain · 7-hour interval after a 7/10 score; request, reason, and reassessment are not in the sample
Daily · Last K+ 3.8 (normal)
Daily for depression/anxiety
Daily · GERD prophylaxis
Diagnoses
5 trackedDocumented at admission; severity and trajectory require chart review
Documented at admission; no acute event asserted in this demo
Chronic condition documented at admission
Stage sequence documented 04/22 → 08/02; acquisition and causation require review
Procedures / Interventions
4 noted05/18/2023 · NP wound specialist
05/18 · off-loading, moisture management, dressings, nutrition screening
2 documented scores across 187 days; compare with facility policy
09/15/2023 · referral after hospital discharge and family discussion
Case Timeline
Dated events from your case chronology — read-only, case-scoped data loaded from the live API
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