Families in Buffalo often describe similar early warning signs:
- Sudden weight drop or “looking thinner” over weeks
- Less alertness during visits, increased sleepiness, or confusion
- Worsening mobility—shakiness, more falls, difficulty standing
- Pressure injuries that appear or worsen faster than expected
- Repeated refusals of meals/fluids without a clear plan to address intake
These symptoms matter because dehydration and malnutrition aren’t always caused by one single disease. They can be the result of swallowing issues, appetite changes, medication side effects, dementia-related behaviors, or staff not following through on nutrition and hydration support.


