Every case is different, but Henderson families commonly report warning signs that show up in records—and in real life—before a crisis:
- Weight changes: rapid loss over weeks, or “stable” weight on paper while the resident looks thinner.
- Intake problems: charted “fluids offered” or “meals encouraged” without documented assistance, portioning, or actual consumption.
- Cognitive changes: new confusion, agitation, or sleepiness that worsens after days of poor intake.
- Skin and wound deterioration: pressure injuries that develop or worsen faster than expected.
- Frequent infections: recurring urinary issues, pneumonia, or other infections consistent with poor nutrition.
When these signs appear, the legal question becomes whether the facility recognized the risk and responded with appropriate hydration, nutrition support, and timely escalation—not whether the resident ultimately declined for complicated medical reasons.


