Families often report the “first clue” as something subtle—then escalating over days. Common warning signs include:
- Rapid weight loss or shrinking intake without a documented nutrition response
- Dry mouth, reduced urination, dark urine, or unexplained lab abnormalities
- Confusion, weakness, dizziness, or sudden falls risk
- Slow wound healing, recurring skin breakdown, or pressure injury development
- Frequent infections or declining mobility after meals are missed
In a suburban setting like Livonia, it’s also common for family members to see gaps between shift changes. You may notice that meals and fluids were “offered,” but you never see consistent assistance, encouragement, or follow-up when intake was low.


