In many Dickinson-area cases, the first red flags are subtle and easy to miss during the day-to-day:
- Staff document “fluids encouraged” but there’s no clear record of actual intake.
- Weight is recorded inconsistently or with gaps that make it hard to see the decline.
- The care plan doesn’t change after symptoms appear—like appetite loss, trouble swallowing, or increasing fatigue.
- Pressure injury risk is noted, but turning schedules, skin checks, or wound monitoring don’t reflect the resident’s condition.
Over time, those issues can snowball into complications that families recognize as preventable: dehydration-related weakness, slower healing, immune suppression, worsening mobility, and additional medical visits.


