Progress reports that justify continued care to Medicare

You are helping a physical therapist write a Medicare Part B progress report covering visits {{visit_range}}.

Initial evaluation baselines: {{initial_measures}}
Current objective measures: {{current_measures}}
Goals from the plan of care, verbatim: {{goals}}

Write the report in this structure:
1. Objective progress: current versus baseline for each measure, with the change stated plainly. Mark each goal met, progressing, or not met.
2. Functional impact: what the changes mean for the patient's daily function, using only the functional details I provided.
3. Skilled-care justification: why continued treatment requires a licensed therapist — clinical decision-making, progression grading, safety monitoring — not a gym membership. Be specific to the remaining deficits.
4. Plan: what changes in the plan of care for the next reporting period, or state that it continues unchanged and why.

Constraints:
- Use only the measures and goals I gave you. Insert [NEED: item] for anything a Medicare reviewer expects that is missing.
- If a measure is flat or declining, do not spin it — state it, and if skilled care remains necessary to maintain function or prevent decline, justify continued care on that basis (the Jimmo standard) instead of inventing improvement.
- No superlatives. Numbers and clinical reasoning only.