Many cases don’t begin with a single crisis—they begin with patterns. Families in Santa Fe often report first noticing issues during visits at times when staff schedules may be thinner or when residents are transitioning between care activities (meals, medication rounds, therapy sessions, or post-hospital returns).
Common early warning signs include:
- Repeated “encouraged” intake with no clear documentation of actual fluids or calories
- Weight trends that don’t match how the resident appears or how staff describe their condition
- Confusion, weakness, dizziness, constipation, or urinary changes consistent with dehydration
- Pressure injuries that appear or worsen alongside poor healing
- Frequent infections or prolonged recovery after illnesses
- Care plan changes that are delayed after a clinical decline
Even if the resident has underlying conditions, the question in a neglect case is whether the facility responded with timely assessment and appropriate hydration/nutrition support.


