Annual Utilization Report of Home Health Agencies / Hospices
Facility Name:ADVENTIST HEALTH HOME CARE AND HOSPICE SVCS - MENDO CTY
OSHPD ID:406234033Report Status:Submitted
License Category:Home Health AgencyReport Year:2016
Table of Contents
Click on any of the links listed below to view the corresponding section.
Section 1 - General Information
Section 2 - Home Health Agency
Section 3 - Home Health Agency Patients and Visits
Section 4 - Health Care Utilization
Section 5 - Hospice Description
Section 6 - Hospice Services
Section 7 - Hospice Patient Information
Section 8 - Hospice Utilization
Section 9 - Hospice Care And Source Of Payment
Section 10 - Hospice Income and Expenses Statement
Section 11 - Hospice Inpatient Facility/Unit
General Comments
View Errors and Warnings
Section 1 - General Information
1.Facility Name:ADVENTIST HEALTH HOME CARE AND HOSPICE SVCS - MENDO CTY
2.OSHPD ID Number:406234033
3.Street Address:100 SAN HEDRIN CIR
4.City:WILLITS
5.Zip:95490
6.Facility Phone No.:( 707) 459 - 1818 ext.
7.Administrator Name:Nancy Runyan
8.Administrator E-mail Address:nancy.runyan@ah.org
9.Was this agency in operation at any time during the year?:Yes
10.Operation Open From:1/1/2016
11.Operation Open To:12/31/2016
12.Name of Parent Corporation:Western Health Resources
13.Corporate Business Address:2100 Douglas Blvd.
14.City:Roseville
15.State:CA
16.Zip:95661 -
17.Person Completing Report:NANCY RUNYAN
18.Phone No.:707-456-3242
19.Fax No.:707-459-9298
20.E-mail Address:RUNYANNL@AH.ORG
25.Entity Type:Home Health Agency with Hospice Program
26.Entity RelationSole Facility
30.Submitted by:adventil95
31.Submitted Date and Time:3/9/2017 4:47:10 PM
Section 2 - Home Health Agency
LICENSEE TYPE OF CONTROL
Line
No.		(1)
1.Select the one category that best describes the licensee type of control of your home health agency:Non-profit Corporation (incl. Church-related)
Medicare/Medi-Cal Certification
Line
No.		(1)
Certification
5.Medicare and Medi-Cal
Agency Accreditation Status
Line
No.		(1)
Accreditation Status
10.Accredited by ACHCNone
11.Accredited by CHAPNone
12.Accredited by JCAHOAccredited
13.Accredited by otherNone
Home Infusion Therapy / Pharmacy Only
Line
No.		(1)
15.Is your agency a licensed Pharmacy?No
16.Do you have a Registered Nurse on staff who makes home visits?No
Note: If the facility is a licensed Pharmacy that only provides home infusion equipment, check “No” on line 40, then submit the report to OSHPD. The rest of the report is not applicable.
Special Services
Line
No.		(1)
20.AIDS ServicesNo
21.Blood TransfusionsNo
22.Enterostomal TherapyNo
23.IV Therapy (Includes Chemo and TPN)No
24.Mental Health CounselingNo
25.PediatricNo
26.Psychiatric NursingNo
27.Respiratory / Pulmonary TherapyNo
28.Non-hospice Palliative CareNo
29.OtherNo
Persons Receiving Services
Line
No.		(1)
30.Number of unduplicated persons seen by your agency during the reporting year.963
Home Health Care
Line
No.		Other Home Health Visits(1)
No. of Visits
31.Pre-Admission Screening / Evaluations0
32.Outpatient Visits0
33.Other0
34.Total0
Other Home Health Services (Home Care Service, e.g. Continous Care)
Note: Do not complete lines 50-54 if these services were provided by an organization other than your licensed agency
Line
No.		(1)
40.Did your agency perform other Home Care Services?No
41.How many total hours of other Home Care did your agency provide?0
Other Home Care Services, Staff, and Functions
Line
No.		(1)
50.Certified Nurse Assistant (CNA)No
51.Home Health AideNo
52.Homemaker ServicesNo
53.Non-intermittent Nursing (RN / LVN)No
54.OtherNo
Section 3 - Home Health Agency Patients And Visits
Patients And Visits By Age
Line
No.		Age(1)
Patients		(2)
Visits
1.0 - 10 Years00
2.11 - 20 Years14
3.21 - 30 Years19193
4.31 - 40 Years24310
5.41 - 50 Years29281
6.51 - 60 Years1311,236
7.61 - 70 Years2603,119
8.71 - 80 Years2803,757
9.81 - 90 Years2573,129
10.91 Years and Older1301,904
15.Total1,131 13,933
Admissions By Source Of Referral
Line
No.		Source Of Referral(1)
Admissions
21.Another Home Health Agency4
22.Clinic42
23.Family / Friend0
24.Hospice3
25.Hospital (Discharge Planner, etc.)675
26.Local Health Department1
27.Long Term Care Facility (SN / IC)90
28.MSSP0
29.Payer (Insurance, HMO, etc.)0
30.Physician314
31.Self0
32.Social Service Agency0
34.Other2
35.Total1,131
Discharges By Reasons
Line
No.		Reason for Discharge(1)
Discharges
41.Admitted to Hospital57
42.Admitted to SN / IC Facility9
43.Death10
44.Family / Friends Assumed Responsibility174
45.Lack of Funds0
46.Lack of Progress4
47.No Further Home Health Care Needed572
48.Patient Moved out of Area3
49.Patient Refused Service8
50.Physician Request6
51.Transferred to Another HHA1
52.Transferred to Home Care (Personal Care)0
53.Transferred to Hospice54
54.Transferred to Outpatient Rehabilitation5
59.Other2
60.Total905
Visits By Type Of Staff
Line
No.		Type of Staff(1)
Visits
71.Home Health Aide1,397
72.Nutritionist (Diet Counseling)0
73.Occupational Therapist637
74.Physical Therapist3,327
75.Physician0
76.Skilled Nursing8,270
77.Social Worker167
78.Speech Pathologist / Audiologist114
79.Spiritual and Pastoral Care21
84.Other0
85.Total13,933
Visits By Primary Source Of Payment
Line
No.		Source Of Payment(1)
Visits
91.Medicare10,478
92.Medi-Cal1,527
93.TRICARE (CHAMPUS)162
94.Other Third Party (Insurance, etc.)617
95.Private (Self Pay)0
96.HMO / PPO (Includes Medicare and Medi-Cal HMOs)1,149
97.No Reimbursement0
99.Other (Includes MSSP)0
100.Total13,933
Section 4 - Health Care Utilization
Patients And Visits By Principal Diagnosis For Which Care Was Given*
Line
No.		Principal Diagnosis
ICD-10-CM Codes
Patients
(1)		Visits
(2)
1.Infectious and Parasitic diseases (exclude HIV)A00-B99 (exclude B20)18139
2.HIV infectionsB2000
3.Malignant neoplasms: LungC34, C78.0, C7A.090, D02.20-D02.22515
4.Malignant neoplasms: BreastC50, C79.2, C79.80- C79.89, D05.90-D05.92354
5.Malignant neoplasms: IntestinesC17-C21, C26.0, C78.4, C78.5, C7A.010-C7A.029, D01.0-D01.49656
6.Malignant neoplasms: All other sites, excluding those in #3, 4, 5C00-D09*19306
7.Non-malignant neoplasms: All sitesD10-D4900
8.Diabetes mellitusE08-E1335348
9.Endocrine, metabolic, and nutritional diseases; Immunity disordersE00-E07, E15-E8813168
10.Diseases of blood and blood forming organsD50-D77, D80-D89964
11.Mental disorderF01-F9911150
12.Alzheimer's diseaseG30.0-G30.9321
13.Disease of nervous system and sense organsG00-G26, G31-G96, G98-H57, H60-H9445557
14.Diseases of cardiovascular systemI10-I11, I13, I20-I521031,120
15.Diseases of cerebrovascular systemI60-I6932562
16.Diseases of all other circulatory systemI00, I02.9, I12, I15, I70-I96, I9924363
17.Diseases of respiratory systemJ00-J94, J96-J991251,282
18.Diseases of digestive systemK00-K90, K9243482
19.Diseases of genitourinary systemN00-N53, N70-N9729443
20.Diseases of breastN60-N6500
21.Complications of pregnancy, childbirth, and the puerperiumO00-O9A216
22.Diseases of skin and subcutaneous tissueL00-L75, L80-L99721,476
23.Diseases of musculosketal system and connective tissue (include pathological fx, malunion fx, and nonunion fx)M00-M95, M9969670
24.Congenital anormalies and perinatal conditions (include birth fractures)P00-P96, Q00-Q9900
25.Symptoms, signs, and ill-defined conditions (exclude HIV positive test)R00-R9940415
26.Fractures (exclude birth fx, pathological fx, malunion fx, nonunion fx)S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92851,141
27.All other injuries, *excluding fracturesS00-T34* , T51-T7925389
28.Poisonings and adverse effects of external causesT36-T50319
29.Complications of surgical and medical careD78, E89, G97, H59, H95, I97, J95, K91, K94, L76, M96, N98-N99, T80-T8834444
30.Health services related to reproduction and developmentZ00.1-Z00.3, Z30-Z36, Z39, Z7600
31.Infants born outside hospital (infant care)Z38.1, Z38.2, Z38.4, Z38.5, Z38.7, Z38.800
32.Health hazards related to communicable diseases (exclude HIV test result)Z21-Z28, Z77-Z9900
33.Other health services for specific procedures and aftercareZ40-Z532783,233
34.Visits for Evaluation and AssessmentZ00.0, Z01-Z18, Z55-Z6800
45.Total1,13113,933
** The list of ICD-10-CM codes excluded: V00-Y99, Z37, and Z52.
How many of the patients you reported in Section 3 "Patients and Visits by Age" Table had a principal or secondary diagnosis of HIV or Alzheimer's Disease and how many health care visits were made to them? The principal diagnosis for which an HIV or Alzheimer's patient was visited may have been a fracture, a skin infection, cancer, or any number of principal diagnoses. What we are asking relates to the number of HIV or Alzheimer's patients among your total patient load, regardless of the nature of the treatment received or the principal diagnosis of the patient.
Line
No.		ICD-10-CM Code(1)
Patients		(2)
Visits
51.HIVB20212
52.Alzheimer's DiseaseG30.0-G30.915201
Section 5 - Hospice Description
LICENSEE TYPE OF CONTROL
Line
No.		(1)
1.Select the one category that best describes the licensee type of control of your hospice from drop down list:Non-profit Corporation (incl. Church-related)
Medicare/Medi-Cal Certification
Line
No.		(1)
Certification
5.Medicare and Medi-Cal
Hospice Accreditation Status
Line
No.		(1)
Accreditation Status
10.Accredited by ACHCNone
11.Accredited by CHAPNone
12.Accredited by JCAHOAccredited
13.Accredited by otherNone
Agency Type As Reported On Medicare Cost Report
Line
No.		(1)
20.Home Health based
Location of Service Delivery
Line
No.		(1)
25.Primarily Rural
Section 6 - Hospice Services
Bereavement Services
Line
No.		Bereavement Services(1)
People Served
1.Survivors of hospice patients723
2.Survivors of persons not receiving hospice care0
Volunteer Services
Line
No.		Volunteer Services(2)
Volunteer Hours
3.Patient / Family Services275
4.Bereavement184
5.Administrative1,020
6.Medicare Reportable Hours
(sum lines 3-5)		1,479
7.Fundraising102
9.Other0
10.Total1,581
Additional And Specialized Services
Check all services directly provided by OR contracted for by the hospice.
Line
No.		Additional and Specialized Hospice Services(1)
Services
11.Hospice Inpatient Facility / UnitNo
12.Specialized Pediatric ProgramNo
13.Bereavement services to survivors of persons not receiving hospice careYes
14.Adult Day CareNo
15.Hospice Physician Consultation VisitsNo
16.Non-hospice Palliative Care Service ProvidedNo
17.Other ServicesNo
(1) If Line 11 is checked then complete Section 11, Lines 1 through 20.
Visits By Type Of Staff
(Include After-Hours and Bereavement Visits)
Line
No.		Type of Staff(1)
Visits
21.Nursing - RN1,702
22.Nursing - LVN780
23.Social Services714
24.Hospice Physician Services0
25.Homemaker and Home Health Aide1,193
26.Chaplain195
29.Other Clinical Services11
30.Total4,595
Section 7 - Hospice Patient Information
Unduplicated Hospice Patients By Gender And Age Category
Line
No.		Age
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
1.0 - 1 Years0000
2.2 - 5 Years0000
3.6 - 10 Years0000
4.11 - 20 Years0000
5.21 - 30 Years2002
6.31 - 40 Years0101
7.41 - 50 Years2103
8.51 - 60 Years101011
9.61 - 70 Years2421045
10.71 - 80 Years3223055
11.81 - 90 Years4139080
12.91 + Years1439053
15.Total1251250250
Unduplicated Hospice Patients By Gender and Race
Line
No.		Race
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
21.White1081030211
22.Black1001
23.Native American4206
24.Asian / Pacific Islander0101
25.Other / Unknown38011
26.More than one race911020
30.Total1251250250
Unduplicated Hospice Patients By Gender And Ethnicity
Line
No.		Ethnicity
(1)

Male
(2)

Female		(3)
Other / Unknown
(4)

Total
31.Hispanic75012
32.Non-Hispanic1151120227
33.Unknown38011
35.Total1251250250
Hospice Patients Discharged By Reason
Line
No.		Reason for Discharge(1)
Patients
61.Death195
62.Patient Moved Out of Area2
63.Patient Refused Service9
64.Transferred to Another Local Hospice1
65.Prognosis Extended13
66.Patient Desired Curative Treatment7
69.Other1
70.Total228
Hospice Patients Discharged By Length Of Stay
Line
No.		Length of Stay
(Days)		(1)
Patients
71.0-7 Days54
72.8-30 Days60
73.31-90 Days84
74.91-179 Days19
75.180+ Days11
85.Total228
Hospice Patient Admissions By County And Discharges By Disposition
Line
No.
(1)
County of Patients's
Residence at Time of Admission
(2)

No. of
Admissions
(3)

No. of
Deaths		(4)
No. of
Non-Death Discharges		(5)
No. of
Patients Served
91.Mendocino25019533265
92.0000
93.0000
94.0000
95.0000
96.0000
97.0000
98.0000
99.0000
100.Total25019533265
Number Of Hospice Admissions By Diagnosis
Line
No.		Diagnosis
ICD-10-CM Codes

No. of New
Admissions

(1)
Re-admissions
Previously Seen
by Another
Hospice
Program

(2)
Re-admissions
Previously Seen
by This
Hospice
Program
(3)
Total
Admissions
(1)+(2)+(3)
(4)
101.CancerC00-D09850085
102.HeartA01.02, A18.84, A32.82, A36.81, A39.5, A52.00, A52.03, A52.06, A54.83, B26.82, B33.2, B37.6, B58.81, I01-I09, I10-I11, I13, I20-I52, I97.0-I97.1, I97.3-I97.7, M05.3, M32.11-M32.12, T82.0-T82.2, T82.5-T82.9, T86.2-T86.3420042
103.Dementia & Cerebral
Degeneration		A50.17, F01-F09, F10.27, F10.97, F13.27, F13.97, F18.27, F18.97, F19.27, F19.97, G30-G32290029
104.Lung, excluding cancerA01.03, A02.22, A15, A22.1, A36.0-A36.2, A37, A42.0, A43.0, A54.5, A54.84, B00.2, B01.2, B05.2, B06.81, B08.5, B25.0, B37.1, B38.0-B38.2, B59, B77.81, J00-J99, M32.13, T81.82, T86.8240024
105.Kidney, excluding cancer
and diabetic
kidney disease
A02.25, A18.11, A36.84, A54.21, A51.44, I12, I15.0-I15.1, M32.14-M32.15, N00-N29, T82.4, T86.15005
106.Liver, excluding cancerA06.4, A51.45, A52.74, B00.81, B15-B19, B25.1, B26.81, B58.1, B67.0, B67.5, B67.8, K00-K77, K91.81, T86.46006
107.HIVB201001
108.Brain Stroke and late effectsA52.04, A52.05, G45, I60-I69, I97.81-I97.82200020
109.Coma, with or without brain injuryR40.0-R40.4, S060000
110.DiabetesE08-E131001
111.ALS*G12.213003
112.GI disease, excluding cancerK25-K63, K920000
113.Multiple SclerosisG350000
114.Congenital DefectsQ00.0 - Q99.90000
115.General Debility and Failure to ThriveG93.3, R41.81, R53.8, R54, R62.51, R62.70000
119.OtherAll other codes that are not in lines 101-115120012
120.TOTAL22800228
*Amytrophic lateral sclerosis (ALS), also called Lou Gehrig's Disease
Section 8 - Hospice Utilization
Please provide the number of patients discharged during calendar year reported regardless of payment source. Count the patient only under the principal diagnosis for which the patient was admitted for hospice care. Report each patient only once. The ICD-10-CM codes are provided only as a guide to you. You may use definitions for diagnosis groups or the Local Medical Review Policy (LMRP) diagnosis codes from your fiscal intermediary, provided they match in a general way with the ICD-10-CM codes.
Discharged Hospice Patients, Visits And Patient Days By Diagnosis
Line
No.		Diagnosis
ICD-10-CM Codes
Number of Live Discharges

(1)
No. of Discharges due to Death

(2)
Total Number of Discharges

(3)
Visits for Discharged Patients

(4)
Discharged Patients Total Days of Care

(5)
1.CancerC00-D09085851,3552,885
2.HeartA01.02, A18.84, A32.82, A36.81, A39.5, A52.00, A52.03, A52.06, A54.83, B26.82, B33.2, B37.6, B58.81, I01-I09, I10-I11, I13, I20-I52, I97.0-I97.1, I97.3- I97.7, M05.3, M32.11-M32.12, T82.0-T82.2, T82.5-T82.9, T86.2-T86.3042427691,476
3.Dementia and Cerebral DegenerationA50.17, F01-F09, F10.27, F10.97, F13.27, F13.97, F18.27, F18.97, F19.27, F19.97, G30-G32029293841,547
4.Lung, excluding cancerA01.03, A02.22, A15, A22.1, A36.0-A36.2, A37, A42.0, A43.0, A54.5, A54.84, B00.2, B01.2 B05.2, B06.81, B08.5, B25.0, B37.1, B38.0-B38.2 B59, B77.81, J00-J99, M32.13, T81.82, T86.8024245902,725
5.Kidney, excluding cancerA02.25, A18.11, A36.84, A54.21, A51.44, I12, I15.0- I15.1, M32.14-M32.15, N00- N29, T82.4, T86.105558127
6.Liver, excluding cancerA06.4, A51.45, A52.74, B00.81, B15-B19, B25.1, B26.81, B58.1, B67.0, B67.5, B67.8, K00-K77, K91.81, T86.4066185378
7.HIVB2001144124
8.Brain Stroke and late effectsA52.04, A52.05, G45, I60- I69, I97.81-I97.8202020276349
9.Coma, with or without brain injuryR40.0-R40.4, S0600000
10.DiabetesE08-E1301166
11.ALS*G12.21033189316
12.GI disease, excluding cancerK25-K63, K9200000
13.Multiple SclerosisG3500000
14.Congenital DefectsQ00.0 - Q99.900000
15.General Debility and Failure to ThriveG93.3, R41.81, R53.8, R54, R62.51, R62.701212126343
19.OtherAll other codes that are not in lines 1-11.00000
20.Total02282283,98210,276
* Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's Disease
Section 9 - Hospice Care and Source of Payment
Please provide patient days for all patients served, including those in nursing facilities during the calendar year reported. Patients who change primary pay source during the calendar year reported should be reported for each pay source with the number of days of care recorded for each source (count each day only once even if there is more than one pay source on any one day).
Level of Care and Source of Payment
Line
No.		Source of Payment(1)
No. of Patients Served		(2)
Days of Routine Home Care		(3)
Days of Inpatient Care		(4)
Days of Inpatient Respite Care		(5)
Days of Continuous Care		(6)
Total Patient Care Days
1.Medicare2047,8750007,875
2.Medi-Cal45400054
3.Medi-Cal Managed Care257,3510007,351
4.Managed Care000000
5.Private Insurance141739000263
6.Self Pay000000
7.Charity000000
8.Veterans Administration33200032
9.Other*000000
10.Total25015,485900015,575
* Other payment sources may include but not limited to Workers Comp., Home Health benefit, etc.
Location of Care Provided
Line
No.		Location of Care(1)
No. of Patients Served		(2)
Days of Routine Home Care		(3)
Days of Inpatient Care		(4)
Days of Inpatient Respite Care		(5)
Days of Continuous Care
(6)

Total Patient Care Days
21.Home23714,484014,484
22.Hospital17007
23.SNF72709000360
24.CLHF000000
25.RCFE / ARF / RCFCI57240724
26.ICF / MR0000
27.Prison0000
28.Homeless0000
29.Other000000
30.Total25015,485900015,575
Section 10 - Hospice Income and Expenses Statement
Detail Of Operating Expenses
Line
No.		(1)
Total
General Service Cost Centers
30.Administrative and General$337,843
Inpatient Care Service
31.Inpatient - General Care$223,747
32.Inpatient - Respite Care$13,769
Program Supervision
35.Hospice Program / Team Supervision (Non-visit wages)$134,937
Visiting Services
36.Physician Services$59,657
37.Nursing Care$298,257
38.Rehabilitation Services (PT, OT, Speech)$0
39.Medical Social Services - Direct$99,985
40.Spiritual Counseling$57,000
41.Dietary Counseling$0
42.Counseling - Other$0
43.Home Health Aides and Homemakers$22,639
44.Other Visiting Services$284
Hospice Service Cost Centers
45.Drugs, Biologicals and Infusion$92,968
46.Durable Medical Equipment / Oxygen$128,769
47.Patient Transportation$4,439
48.Imaging, Lab and Diagnostics$0
49.Medical Supplies$46,512
50.Outpatient Services (including ER Dept.)$0
51.Radiation Therapy$0
52.Chemotherapy$0
53.Other Hospice Service Costs$28,622
Other Hospice Costs
54.Bereavement Program Costs$1,683
55.Volunteer Program Costs$315
56.Fundraising$3,759
Other Costs
57.Other Program Costs*$0
59.Total Operating Expenses$1,555,185
* Program costs including community education and outreach program costs.
Hospice Income Statement
Line
No.		(1)
Total
Gross Patient Revenue
Gross Patient Revenue for Hospice Four Levels of Care
101.Medicare$1,945,827
102.Medi-Cal (Excluding SNF Room and Board)$11,873
103.Medi-Cal Managed Care (Excluding SNF Room and Board)$1,596
104.Managed Care (Non Medi-Cal)$0
105.Private Insurance$194,102
106.Self-Pay$0
109.Other Payers$0
110.Total Revenue for Hospices Four Levels of Care$2,153,398
Room & Board Revenue
1101.SNF Room & Board pass Through Receivable from Medi-Cal$0
1102.Medi-Cal Room & Board Contractual Payments to SNF( $0)
1103.Net Room & Board Revenue$0
1104.Total Gross Patient Revenue (Sum of Lines 110 and 1103)$2,153,398
Write-Offs and Adjustments
111.Contractual Adjustments$299,200
112.Denials / Bad Debt$0
113.Charity$0
119.Other Write-offs and Adjustments$0
120.Total Write-Offs and Adjustments (sum of lines 111 through 119)$299,200
125.Net Patient Revenue (line 1104 minus line 120)$1,854,198
Other Operating Revenue
131.Grants$0
132.Donations / Contributions$48,018
133.Unrelated Business Income$0
139.Other$0
140.Total Other Operating Revenue (sum of lines 131 through 139)$48,018
145.Total Operating Revenue (line 125 plus line 140)$1,902,216
Operating Expenses
160.Total Operating Expenses (from line 59)$1,555,185
165.Net from Operations (line 145 minus line 160)$347,031
170.Income Tax$0
175.Net Income (line 165 minus line 170)$347,031
Section 11 - Hospice Inpatient Facility/Unit
HOSPICE OPERATED SITES AND NUMBER OF BEDS
Line
No.		(1)
Name		(2)
Address		(3)
City		(4)
State		(5)
Zip		(6)
Type of Licensed Beds		(7)
No. of Beds
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.Total0
LEVELS OF CARE HOSPICE SITES PROVIDE
Line
No.		Type of Care(1)
No. of Patient days
11.General Inpatient Care0
12.Inpatient Respite care0
13.Continuous Care0
14.Routine Care0
20TOTAL0
General Comments:
Errors and Warnings