Dehydration and malnutrition aren’t always dramatic at first. In many cases, families notice gradual changes such as:
- increased confusion, sleepiness, or agitation
- weakness, dizziness, or falls
- dry mouth, reduced urination, or abnormal lab results
- rapid weight loss or muscle wasting
- poor wound healing or new pressure injuries
- repeated infections or decline after a “routine” change
When these warning signs occur in a nursing home, the legal question becomes whether the facility recognized the risk and responded with appropriate hydration, nutrition assistance, and clinical escalation.


