Nutrition-related neglect doesn’t always announce itself as a dramatic crisis. In many San Marcos-area cases, families first notice gradual changes that the facility either doesn’t treat as urgent or doesn’t document clearly.
Common warning signs include:
- Dehydration indicators: unusual sleepiness, dizziness, constipation, urinary changes, agitation/confusion, or abnormal lab results
- Malnutrition indicators: rapid weight loss, muscle wasting, frequent infections, poor wound healing, weakness, and persistent decline
- Downstream injuries: pressure injuries, higher fall risk, hospital transfers, and worsening functional dependence
Texas nursing homes are required to provide care that meets each resident’s needs. When a resident’s condition changes and the facility doesn’t respond with appropriate monitoring, assistance, and escalation, families may have grounds to pursue accountability.


