In the New River Valley, families often spot problems during meal times, medication rounds, or after weekend visits. Look for patterns that repeat—not just one-off days.
Common early indicators include:
- Rapid or unexplained weight loss over days or weeks
- Dry mouth, reduced urination, or darker urine
- Increased confusion or unusual sleepiness
- Frequent infections or slowed recovery
- Swallowing difficulties without appropriate diet textures or feeding assistance
- Chart notes showing low intake that never triggers a meaningful response
Some residents appear “fine” until they suddenly aren’t—often after staffing changes, a medication adjustment, a fall, or a shift in care level.


