In real-life Kelso cases, the “red flags” usually show up through behavior and mobility changes—especially when residents are already medically fragile.
Common early warning signs include:
- Oversedation (sleeping through meals, hard to arouse, slurred speech)
- New confusion or agitation that appears after medication changes
- Breathing changes (slow respirations, shallow breathing, oxygen needs)
- Frequent falls or weakness that don’t match the resident’s baseline
- Rapid functional decline after a medication dose or schedule change
These symptoms don’t automatically prove wrongdoing. In Washington, medication-related injuries often hinge on whether the facility recognized the change, documented it, and responded appropriately.


