Families frequently report that the early warning signs looked “small” at first—until they weren’t. In nursing facilities around Ann Arbor, common red flags include:
- Weight loss that doesn’t match the resident’s plan of care (or weight loss without a documented response)
- Dry mouth, reduced urine output, or urinary changes that appear repeatedly
- Confusion, unusual drowsiness, or sudden behavior changes
- Frequent infections or slower recovery from minor illnesses
- Increased fall risk, especially after intake drops
- Missed or inconsistent help with meals and fluids
These problems are especially concerning when they follow a change—new medications, a staffing shift, a care plan update, a rehab discharge, or a transition between units.


