In many Willoughby cases, the turning point isn’t gradual—it’s a noticeable shift after an illness, medication change, fall, or decline in mobility. A resident may begin:
- drinking less than usual or refusing fluids
- losing weight quickly or showing visible muscle wasting
- developing constipation, confusion, or weakness
- healing slowly, developing skin breakdown, or experiencing recurrent infections
The legal question is not whether the resident’s condition was complicated. It’s whether the facility recognized the risk and then responded with appropriate hydration/nutrition support and timely medical follow-up.


