In many New Berlin cases, the first signs aren’t subtle. Families may notice a pattern that seems to track with medication passes—sometimes over several shifts, sometimes within days of a hospital discharge or medication adjustment.
Look for red flags such as:
- Unusual sleepiness or sedation that doesn’t match the resident’s baseline
- New confusion (especially in people with dementia or memory impairment)
- More frequent falls or instability after medication changes
- Breathing rate changes, weakness, or difficulty staying alert
- Behavior shifts (agitation, withdrawal, or sudden “not themselves” moments)
Overmedication doesn’t always look like a single obvious “overdose.” It can show up as a preventable accumulation of effects—particularly when sedating medications are continued without appropriate monitoring.


