While every case is different, families in the Fox Cities region often raise similar early warning signs:
- Sudden or steady weight loss that doesn’t match the resident’s documented intake
- Changes in alertness—more confusion, drowsiness, or weakness
- Reduced participation in meals or frequent refusal, without meaningful staff follow-through
- Constipation, urinary issues, or recurrent infections that appear after apparent intake problems
- Pressure injury development or worsening skin breakdown
- Inconsistent documentation about how much the resident actually ate or drank
These issues can overlap with other conditions common among older adults, including swallowing disorders and medication side effects. The legal question is whether the facility recognized risk and responded with appropriate hydration/nutrition support instead of relying on vague charting.


