Every case is different, but Portland-area families often report patterns such as:
- Sudden weight drop over a short period, without clear dietitian updates or measurable intake support.
- Confusion, dizziness, falls, or worsening mobility that appear after staff document “encouraged” fluids but not the actual intake.
- Pressure injuries that worsen quickly, suggesting skin care and nutrition/hydration needs may not have been met.
- Recurring infections (including urinary or wound-related infections) alongside declining appetite.
- Medication changes that may affect appetite or swallowing—followed by reduced intake without prompt escalation.
If you’re seeing these issues, the legal work often starts with one question: Did the facility respond to risk quickly enough, with the right monitoring and interventions?


