Assessment, diagnostics, labs

An entry reads: "Patient found on floor beside bed. Roommate Mr. Cruz states patient climbed over the rail. Night nurse failed to raise the rails again." Which revision best corrects this entry?

• ARemove the roommate's account entirely, since witnesses do not belong in a chart.
• BAdd the nurse's theory about why the patient fell to make the entry complete.
• CReplace the roommate's name with an identifier-neutral term and delete the accusation, keeping the timed factual findings and the actions and notifications that followed.
• DKeep the entry as written, because accuracy requires naming everyone involved.