You don’t have to guess the legal theory yet. Start by building a clean timeline of what changed and when. In our experience, the strongest dehydration/malnutrition cases start with families who preserve details like these:
- Dates of observable decline: when you first noticed reduced drinking, refusal of meals, coughing while eating, unusual fatigue, or weight dropping.
- Who said what: record the names (if available) of staff members who explained symptoms, blamed “normal aging,” or delayed escalation.
- Intake and assistance details: whether your loved one was offered fluids, whether staff actually helped with drinking, and whether meals were delayed.
- Weight trends: photos of posted weights, discharge paperwork, or any documents showing repeated decreases.
- Skin and infection indicators: pressure injury development, slow wound healing, UTIs, pneumonia, or other infections that often travel with poor nutrition.
- Lab and clinician notes: electrolytes, kidney function markers, albumin/prealbumin references, and any notes describing dehydration risk.
If you’re able to obtain records, request copies of care plans, nursing notes, intake/output records, dietary assessments, and medication administration records. South Carolina facilities are required to maintain records relevant to care—those documents become the “map” for what happened.


