In a smaller community like The Dalles, family caregivers may visit frequently—so early warning signs can be noticed sooner. Still, dehydration and malnutrition can escalate quickly, especially when residents rely on facility staff for hydration and assistance with meals.
Common red flags include:
- Weight dropping over a short period (even when meals “look” consistent)
- More frequent infections or worsening fatigue
- Confusion, agitation, or unusual sleepiness that wasn’t present before
- Urinary changes (including reduced output or recurring UTIs)
- Dry mouth, low blood pressure, dizziness, or increased fall risk
- Care notes showing low intake without timely escalation
If you’re seeing these patterns—particularly after a facility tells you “they’re just not eating”—it’s time to ask for the specific documentation behind that statement.


