Resident Weight Variance Tracking Log

Monthly skilled nursing facility inspection log to track resident weights, calculate variance from prior measurements, and flag clinically significant weight loss for dietitian review and care plan intervention.

Inspection Details

• Resident identifier recorded
  Document the resident name or facility-approved identifier for the weight log entry.
• Measurement date recorded
  Record the date and time the weight was obtained.
• Weighing method and scale used documented
  Note the scale location, device identifier, and whether the resident was weighed in a consistent manner per facility procedure.
• Current weight entered
  Enter the resident's current weight for this monthly assessment.
• Prior weight reference date documented
  Document the prior comparison date used for 30-day and 180-day variance calculations.

Weight Variance Calculation

• 30-day weight variance calculated
  Record the percent change from the resident's weight 30 days ago.
• 180-day weight variance calculated
  Record the percent change from the resident's weight 180 days ago.
• 5% loss in 30 days flagged when applicable
  Flag if the resident has lost 5% or more of body weight within the last 30 days.
• 10% loss in 180 days flagged when applicable
  Flag if the resident has lost 10% or more of body weight within the last 180 days.

Clinical Review and Risk Factors

• Dietitian review initiated for significant weight loss
  Confirm referral or review by the dietitian when significant weight loss criteria are met.
• Appetite or intake concerns documented
  Document whether reduced appetite, poor oral intake, or feeding assistance needs are present.
• Relevant clinical contributors reviewed
  Select factors that may contribute to weight loss.
• Hydration status reviewed
  Confirm whether hydration concerns were assessed as part of the weight variance review.

Care Plan Intervention and Follow-Up

• Care plan updated for weight loss risk
  Confirm the care plan was updated when significant weight loss or related concerns were identified.
• Interventions documented
  Select interventions initiated or continued in response to weight variance.
• Follow-up weight monitoring schedule set
  Document the follow-up frequency and target date for the next weight check or trend review.
• Resident or responsible party notified when indicated
  Confirm notification was completed when required by facility process or care plan.

Documentation Quality and Sign-Off

• Weight log entry is complete and legible
  Verify the entry contains all required fields and is readable for clinical follow-up.
• Variance calculations match source weights
  Confirm the percent loss calculations are consistent with the recorded current and prior weights.
• Inspector or reviewer signature
  Signature of the nurse, dietary staff member, or reviewer completing the log review.