Dehydration and malnutrition don’t always appear as dramatic emergencies at first. In real Novi-area cases, families often report a pattern like this:
- Weight dropping week to week, even when the resident “looks about the same” day to day
- Less interest in food or drinks that continues without meaningful escalation
- Confusion or falls risk that seems to worsen after periods of poor intake
- Slow wound healing or new pressure areas that develop while “skin checks” are documented
- Lab changes (like abnormal kidney function or electrolyte issues) that don’t lead to prompt intervention
Michigan facilities are expected to provide care consistent with a resident’s assessed needs. When documentation and outcomes don’t match, it can point to negligence.


