Many families first notice a pattern like:
- Appetite drops during a routine period, then doesn’t improve
- Confusion or weakness that seems to worsen day by day
- Dry mouth, reduced urination, constipation, or fatigue
- Weight trending down without meaningful plan changes
- Pressure injuries that appear or worsen faster than expected
In Oregon, nursing facilities are expected to assess residents, implement appropriate care plans, and respond when risk increases. When documentation, staffing, or follow-up doesn’t match the resident’s decline, it can point to preventable neglect.


