Care problems don’t always show up as obvious “neglect.” Many families first become concerned after seeing patterns such as:
- Weight changes noticed during visits to the facility
- Less alertness—drowsiness, confusion, or sudden behavior changes
- Dry mouth, frequent urination changes, constipation, or signs of dehydration
- Frequent infections or slower recovery after illnesses
- Repeated “not eating today” reports without a documented plan to address it
Because Tennessee facilities must maintain ongoing assessments and respond to changing conditions, persistent declines—especially when intake is low—should trigger nutrition and hydration interventions.


