CHARTTRACE / SOURCE01
SYNTHETIC SNF NOTE

Functional
observation.

SELF-CARE / ORAL HYGIENE

Resident completed toothbrushing while seated at the sink.

The oral-hygiene activity was completed.

Confirm usual performance across the assessment window.
ILLUSTRATIVE EXCERPT · NO REAL PATIENT DATA
LITERAL EVIDENCE / LINE 02
“Staff provided verbal cues only; no physical assistance was needed.”

SNF nursing note Source preserved

Select a relationship to inspect its source.

ChartTracePROPOSED DETERMINATION
ORAL HYGIENE / GG0130B
04

Supervision or
touching assistance

“Verbal cues only”SNF note · line 02 → CMS Section GG

HUMAN REVIEW REQUIRED

Confirm usual performance and the assessment window.

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SYNTHETIC ILLUSTRATION / NO REAL PATIENT DATA

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01

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02

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03

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04

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SNF nursing note / Functional status01 / 01
SKILLED NURSINGSYNTHETIC EXAMPLE
FUNCTIONAL OBSERVATION SELF-CARE

Oral hygiene.

Clinical documentation / illustrative excerpt

01

Resident completed toothbrushing
while seated at the sink.

03

The oral-hygiene activity
was completed.

REVIEW REQUIREMENT

Confirm usual performance across the assessment window.

Click the highlighted sentence to follow its evidence.
02 / EVIDENCE HIGHLIGHTSentence located

This sentence
is the evidence.

Verbal cueing is the observed assistance. The source location stays attached.

LITERAL SOURCE / LINE 02
“Staff provided verbal cues only; no physical assistance was needed.”
ActivityOral hygiene
Observed assistanceVerbal cues only

Hover or select a stage · Click the source sentenceSynthetic SNF example · No claim submitted

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