In many Callaway-area cases, the earliest indicators are visible during routine family visits—especially when staff turnover, busy shifts, or short staffing affect day-to-day attention.
Common warning signs include:
- Weight loss or “dropping” intake that doesn’t match the resident’s normal appetite
- Dry mouth, dark urine, or fewer bathroom trips that suggest dehydration
- New confusion, sleepiness, or trouble staying alert
- Frequent UTIs or skin issues that flare after hydration or nutrition falls behind
- Lethargy or weakness that makes falls more likely
- Diet changes that aren’t explained (or supplements that never seem to appear)
Families sometimes hear explanations like “they refused,” “they weren’t feeling well,” or “it takes time.” Those statements can be true in isolated moments—but they don’t automatically explain prolonged low intake, missed assessments, or lack of escalation when symptoms worsen.


