I can tell you what the "notes" look like in LTC, the shift nurse copies and pastes all the notes, sometimes makes a few changes. Signs them off 15 minutes before end of shift.
I read the notes about my Grandmother's care, and asked about a bruise she had, there was no documentation about it, in a MONTH of notes! A very large bruise on her hip, and arm, that was up the side of her body, a bruise like that, looked like she fell down, and would have needed help getting up, nothing even marked on any shift at all, and nothing marked for her skin check! No falls marked, every shift. No skin marks, every shift.
Don't get me started. The shift nurses where my Grandmother was soon began to loathe me. Conversely, the CNA's totally loved me. The CNA's are the ones doing the work.