As discussed in this article (Can I trust Recommended Actions?), Recommended Actions are only estimates, based on answers to Quality of Life questionnaires. Sometimes we can get our estimates wrong: it can happen that the actions we recommend make no sense for the Senior whose Quality of Life you are evaluating.
You should trust your instincts, your knowledge, and the information you have at hand. You are in front of the Senior and we can be hundreds or thousands of miles away. If you think we are wrong about our Recommended Actions, let us know. We'd love to use your feedback to improve SeniorGrowth.