Dehydration and malnutrition often don’t arrive all at once. In many Petaluma cases, families describe a slow shift—less alertness, weight changes, fewer wet diapers/voiding patterns, recurring infections, poor wound healing, or new pressure injuries.
Legally, the key question is whether the facility treated the situation as a risk that required escalation, not something to “watch.” A resident may have underlying conditions that affect appetite or swallowing, but the facility still has to:
- assess risk,
- monitor intake and clinical indicators,
- provide assistance and appropriate interventions, and
- update the care plan when the resident declines.
When those steps don’t happen—or happen too late—what looks like “medical decline” can also reflect avoidable negligence.


