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Run: Resident Weight Variance Tracking Log

Track resident weights, calculate 30-day and 180-day variance, and flag clinically significant loss for dietitian review and care plan follow-up. This log he...

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Inspection Details

Resident identifier recorded

Document the resident name or facility-approved identifier for the weight log entry.

Measurement date recorded critical (required)

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 critical (required)

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 critical (required)

Record the percent change from the resident's weight 30 days ago.

180-day weight variance calculated critical (required)

Record the percent change from the resident's weight 180 days ago.

5% loss in 30 days flagged when applicable critical (required)

Flag if the resident has lost 5% or more of body weight within the last 30 days.

Yes No N/A

10% loss in 180 days flagged when applicable critical (required)

Flag if the resident has lost 10% or more of body weight within the last 180 days.

Yes No N/A

Clinical Review and Risk Factors

Dietitian review initiated for significant weight loss critical (required)

Confirm referral or review by the dietitian when significant weight loss criteria are met.

Yes No N/A

Appetite or intake concerns documented

Document whether reduced appetite, poor oral intake, or feeding assistance needs are present.

Yes No N/A

Note (optional)

Relevant clinical contributors reviewed

Select factors that may contribute to weight loss.

Note (optional)

Hydration status reviewed

Confirm whether hydration concerns were assessed as part of the weight variance review.

Yes No N/A

Care Plan Intervention and Follow-Up

Care plan updated for weight loss risk critical (required)

Confirm the care plan was updated when significant weight loss or related concerns were identified.

Yes No N/A

Interventions documented

Select interventions initiated or continued in response to weight variance.

Note (optional)

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.

Yes No N/A

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.

Yes No N/A

Variance calculations match source weights critical (required)

Confirm the percent loss calculations are consistent with the recorded current and prior weights.

Yes No N/A

Inspector or reviewer signature critical (required)

Signature of the nurse, dietary staff member, or reviewer completing the log review.

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