In Kelso-area cases, families often describe warning signs that seemed to escalate quickly. Common examples include:
- Rapid weight decline or clothes/skin changes that don’t match the facility’s explanation
- Dry mouth, confusion, weakness, dizziness, constipation, or urinary issues
- Pressure injuries that appear or worsen faster than expected
- Repeated infections or slow healing after wounds
- Documentation that mentions fluids or meals were “encouraged,” but symptoms continued or worsened
Dehydration and malnutrition can also overlap with conditions common in older adults—mobility limits, swallowing difficulties, cognitive impairment, medication side effects, and depression—making it critical that staff recognize risk and respond with consistent monitoring and timely escalation.


