Duarte is a suburban community with busy commuting patterns and frequent family visitation schedules. In practice, that means:
- Families notice changes in the margins—after a day off, following a weekend, or when a resident seems “off” between shift reports.
- Staffing and shift coverage may feel inconsistent to residents and families, especially around meal times and evening rounds.
- Communication gaps matter: a resident’s thirst, appetite, swallow concerns, or medication side effects may not be escalated promptly.
In these situations, dehydration and malnutrition are not just medical events. They can reflect preventable breakdowns in monitoring, assistance with meals and fluids, and clinical follow-through.


