My father in law has Vascular dementia, heart block, diabetes & prostate cancer. (wait & watch slow growing) I don’t expect anything to be cured at this point however I’m not ready to give up on him. He has lost a lot of weight, can’t communicate well about his needs or how he feels. So it is up to others to figure it out. When his BP was 90’s/40’s with heart rate in the 40’s at his afternoon Dr appointment, I asked the assisted nursing facility to take his BP in the afternoon. I explained since he gets his BP medication in the morning it may be making it go too low in the afternoon. As I would check his documented BP, I noticed there was no HR documented. I was concerned since in the past the Doctors were OK since his BP would go up to compensate the low HR. I saw there was no time of BP taken last week & all BPs looked higher. I discovered: They were taking BP before Lunch so they didn’t have to bother the caregiver twice. 1 for giving his vitamin. 1 for taking his BP. Yet the sheet they document this on for his chart clearly says “take BP after Lunch per family”! I was told there isn’t space to write the time on the sheet. The Dr didn’t order for the heart rate to be documented. His points of caregiving will go up if the more times the caregiver has to interact with him. They are not a skilled nursing facility. ..... Nevermind that they are missleading me and all who look at the BP recorded & thinking it was done after lunch. So I asked the Dr for a specific order to do BP & HR after lunch and to record the date, time and if HR is irregular. However he did not specify to “document” the time. Thus, we still do not know the time frame that his BP may be dropping. They have gone from someplace I trusted, to a place I don’t trust. There is no common sense. I also figured out he was not getting a snack in the evening. He eats when he likes the food. His meal exchange if he doesn’t like stuffed peppers or stir fry etc, is a peanut butter and jelly sandwich. Too many times a week. I believe they are giving him a snack of a half a PB & J now that I brought it up. They don’t communicate well with each other or family. They get their check every month & don’t seem to try anymore. This is how they have made me feel since I found the discrepancy of documented BP. How can I give accurate information to the Dr if they are dishonest. He continues to lose weight. He eats good when he has simple foods. It is not that he has given up on life. I don’t understand why I should have to go back to the Dr and try to explain he NEEDs to write the order to include the documentation of the time because they are an assisted living facility instead of a skilled nursing facility. I don’t know why “they” didn’t tell me that there was a problem with how I thought things were being done, or how we were led to believe as he keeps losing weight and having bad days.