While every case is different, families commonly notice patterns that line up with nutrition-related neglect. In Imperial Beach (and throughout San Diego County), loved ones may also have conditions affected by limited mobility, cognitive impairment, or difficulty swallowing.
Look for red flags such as:
- Weight loss over short periods, especially when staff cite “poor appetite” without documented follow-up
- Dry mouth, lethargy, dizziness, constipation, or urinary changes
- Pressure injuries that appear or worsen despite preventive measures being listed in the chart
- Confusion, falls, or sudden functional decline after a period of “routine care”
- Care notes that describe fluids/meals as “offered” or “encouraged,” but lack actual intake, assistance provided, or escalation
If the facility tells you the decline was unavoidable, your best next step is to compare what you observed with what the chart shows—and what the chart doesn’t show.


