In real life, families don’t always walk into the facility and see an obvious problem. They notice changes such as:
- Rapid or unexplained weight loss noticed between visits
- More frequent falls or new unsteadiness that seems tied to weakness or dizziness
- Confusion, sleepiness, or delirium that worsens over days
- Swelling, low urine output, or urinary changes consistent with poor hydration
- Repeated infections or slower recovery after illness
- Care notes showing low meal intake that aren’t followed by meaningful adjustments
These symptoms can also have other medical causes. The legal question isn’t whether the resident is sick—it’s whether the facility responded appropriately to risk and documented needs.


