Dehydration and malnutrition are not always dramatic at first. They can begin as “small” issues that don’t get addressed the way they should—such as:
- residents who need help with drinking but are not promptly assisted at meal and medication times
- inconsistent monitoring of weight, skin condition, and intake during shift changes
- missed opportunities to recognize swallowing problems or medication side effects that reduce appetite
- care plans that exist on paper but aren’t carried out consistently throughout the day
In Arlington Heights, families sometimes notice that problems correlate with staffing and schedule changes—weekends, holidays, or periods when the facility relies heavily on temporary staff. When the risk is foreseeable and the response is delayed, the situation can move from medical concern to preventable injury.


