Dehydration and malnutrition can start subtly—especially when a resident is not able to clearly communicate symptoms. Family members commonly report noticing:
- Weight dropping over a few weeks (not just a one-time fluctuation)
- Increased confusion, sleepiness, or agitation
- Fewer wet diapers/urination changes
- Recurrent UTIs, fevers, or worsening skin issues
- Residents appearing “weak,” unsteady, or more prone to falls
- Intake declines after a medication change, schedule change, or staffing disruption
In Las Vegas, family members sometimes visit at irregular times—after work, during weekends, or between appointments—so the resident may look “okay” during a visit even as intake records and vital signs show a different story. That mismatch between what’s observed and what’s documented is exactly why evidence matters.


