Ongoing monitoring
Three of the 54 categories are not walkthrough items. They describe the screening schedule that runs between visits — what is checked when a resident arrives, and what is repeated every month.
Category 10 of 54 · Ongoing Monitoring
The heading the two schedules below sit under. A walkthrough is a snapshot; residents change between snapshots, and most of what goes wrong in a facility develops quietly in the interval.
Category 11 of 54 · At intake
The source list reads: Intake STD, Quant TB, Urine Tox, RPR, Nasal PCR, Genetics Neurocognitive.
- STD screening — sexually transmitted infection screening on admission.
- Quant TB — a quantitative tuberculosis test rather than a skin test.
- Urine Tox — urine toxicology, which establishes what a resident is actually taking on arrival rather than what the transfer paperwork says.
- RPR — rapid plasma reagin, the screening serology for syphilis.
- Nasal PCR — nasal polymerase chain reaction testing for respiratory pathogens.
- Genetics Neurocognitive — neurocognitive genetic testing.
Category 12 of 54 · Monthly
The source list reads: Monthly Urine Tox, RTM, Nasal PCR.
- Urine Tox — repeated monthly, which is how a medication that is being taken by someone other than the resident becomes visible.
- RTM — remote therapeutic monitoring: device-reported data on a resident’s therapy and function between visits, rather than a point-in-time observation.
- Nasal PCR — repeated monthly, for the respiratory infections that move through a congregate setting before anyone has symptoms worth charting.
The pathogen panels
Where the schedule says PCR, the practical content is a set of multiplex panels rather than a single test: urinary tract infection genomics, respiratory pathogen panels, COVID-19, gastrointestinal pathogen panels and sexually transmitted infection testing. In a congregate setting the argument for panels over single-target tests is speed — an outbreak in a building with shared air, shared bathrooms and shared staff is measured in days.
Why an arrival baseline matters
A resident who arrives on eleven medications and is assessed six months later has no baseline to be compared to. The intake panel exists so that later change is measurable — which is also the precondition for any serious deprescribing work. DWARAA.
The monthly physical check
Alongside the schedule above, CareGuard 360 is the monthly whole-person look at each resident: skin and wound checks, unexplained bruising, cuts and scrapes. CareGuard 360.
This is one of seven groups in the review. The safety review · all 54 categories.
Ask for a safety review of your facility
A CareGuard safety review walks the building against 189 items in 54 categories and reports what it finds to you, not to your site manager. The registration form takes the facility and a contact for the ownership group; scope is settled in the conversation that follows.