While every resident’s situation is different, families in the Dover area commonly report similar red flags:
- Weight trends that suddenly turn downward after a period of stability
- Visible dehydration signs, such as dry mouth, dizziness, weakness, or changes in urination
- Ongoing wound problems (including pressure injury worsening or delayed healing)
- Medication changes that appear to affect appetite, thirst, swallowing, or alertness
- Missed or inconsistent assistance during meals—especially on days when families are not present
One reason these issues can slip by is that long-term care documentation sometimes focuses on what was offered rather than what was actually consumed, and family visits may not line up with the moment a resident refuses or cannot safely swallow. When that mismatch exists, it becomes important.


