Resource: Resident Decline Review Sheet

Review 10 residents against their recent baseline and identify changes that may deserve a closer look.

Workflow	What to Do
Establish baseline	Look back 2–4 weeks and understand the resident’s usual pattern.
Review last 7 days	Mark whether each of the 10 care signals changed from that baseline.
Connect the pattern	Do not overreact to one isolated item. Look for repeated changes or multiple signals moving together.
Clinical review	Record the evidence and let the appropriate clinical team decide whether meaningful decline is present.
Care plan + setting check	If meaningful decline is confirmed, compare current needs with the documented care plan and current care setting.

Workflow	What to Do
Mobility / transfers	More assistance, slower transfers, reduced ambulation, new instability
ADL support	More help needed with dressing, bathing, toileting, grooming, or morning/evening care
Nutrition / intake	Poor intake, appetite change, skipped meals, reduced fluids

Compare the last 7 days against each resident’s normal

Review 10 resident-change signals already documented by the team

Connect multiple small changes that may otherwise be missed

If decline is confirmed, check whether the care plan and care setting still match current needs