pill_walk_food_buttons.yaml

- cards:
    - entity: input_boolean.manual_frankie_pill
      template: dow_time_warning_card
      variables:
        var_dow: sensor.last_pill_day_of_week
        var_time: sensor.last_pill_time
        var_critical_input_boolean: input_boolean.frankie_needs_pill
        var_warning_input_boolean: input_boolean.frankie_needs_pill_warning
      triggers_update:
        - sensor.last_pill_day_of_week
        - sensor.last_pill_time
        - input_boolean.frankie_needs_pill
        - input_boolean.frankie_needs_pill_warning
      type: custom:button-card
    - entity: input_boolean.manual_frankie_fed
      template: dow_time_warning_card
      variables:
        var_dow: sensor.last_fed_day_of_week
        var_time: sensor.last_fed_time
        var_critical_input_boolean: input_boolean.frankie_needs_food
        var_warning_input_boolean: input_boolean.frankie_needs_food_warning
      triggers_update:
        - sensor.last_fed_day_of_week
        - sensor.last_fed_time
        - input_boolean.frankie_needs_food
        - input_boolean.frankie_needs_food_warning
      type: custom:button-card
    - entity: input_boolean.manual_frankie_walked
      template: dow_time_warning_card
      variables:
        var_dow: sensor.last_walk_day_of_week
        var_time: sensor.last_walk_time
        var_critical_input_boolean: input_boolean.frankie_needs_walk
        var_warning_input_boolean: input_boolean.frankie_needs_walk_warning
      triggers_update:
        - sensor.last_walk_day_of_week
        - sensor.last_walk_time
        - input_boolean.frankie_needs_walk
        - input_boolean.frankie_needs_walk_warning
      type: custom:button-card
    - entity: input_boolean.manual_ruka_pill
      template: dow_time_warning_card
      variables:
        var_dow: sensor.ruka_last_pill_day_of_week
        var_time: sensor.ruka_last_pill_time
        var_critical_input_boolean: input_boolean.ruka_needs_pill
        var_warning_input_boolean: input_boolean.ruka_needs_pill_warning
      triggers_update:
        - sensor.ruka_last_pill_day_of_week
        - sensor.ruka_last_pill_time
        - input_boolean.ruka_needs_pill
        - input_boolean.ruka_needs_pill_warning
      type: custom:button-card
  type: horizontal-stack

Here is the hourly check against the date/time to see if a warning is displayed or if a pill is needed: