In smaller communities like Alamogordo, families frequently describe the same pattern: staff reassure them, symptoms seem to “come and go,” and then the resident’s condition changes quickly—especially after a shift in routine, a staffing shortage, a missed follow-up, or a change in appetite.
While dehydration and malnutrition can happen for many medical reasons, neglect claims usually focus on whether the facility responded appropriately to risk signals such as:
- documented poor intake without timely escalation
- delayed assessment after weight loss or worsening labs
- inconsistent assistance with meals, fluids, or feeding support
- lack of follow-through on dietitian recommendations or updated care plans
- pressure injuries developing or worsening while nutrition/hydration concerns were present


