Abramson Smith Waldsmith LLP
Treating California’s Injured With Dignity And Respect

Hidden signs of nutritional neglect in nursing homes

On Behalf of | Mar 4, 2025 | Nursing Home Abuse

Watching our elderly parents lose weight in nursing homes can be deeply concerning. While some changes come with aging, sudden weight loss may signal something more serious – neglect. The signs are not always obvious. Beyond the visible weight loss, nutritional neglect can hide in subtle ways, quietly compromising your loved ones’ health.

When malnutrition sets in, it can quickly spiral into infections, falls, cognitive decline and other life-threatening complications. By learning to spot these early warning signs, you can protect your parents when they need you most.

Uneaten meals left in the room

Finding full trays of food or unopened snacks is not just about picky eating. It may indicate that staff are not assisting your parent who need help eating. It could also mean that meals are being delivered when they are sleeping. Watch for patterns of untouched meals and whether staff document food intake.

Missing or poorly maintained dentures

Proper dental care directly impacts nutrition. If dentures are frequently missing, dirty or ill-fitting, your loved one may struggle to eat. Facilities must ensure dental hygiene and proper denture maintenance for residents who need them.

Changes in dining room attendance

When your parent stops appearing in the dining room, it could be a red flag. Social isolation during meals often leads to decreased food intake. Check if staff are offering alternative dining arrangements or investigating why your family member is not participating in meals.

Signs of dehydration

A dry mouth, dark urine or confusion can indicate dehydration, which could be a serious form of nutritional neglect. Staff should track fluid intake and assist residents who cannot drink independently.

Unexplained fatigue or weakness

While tiredness is common in elderly individuals, sudden increases in lethargy or weakness may signal malnutrition. These symptoms often appear before significant weight loss becomes visible.

Taking action

Document these signs and share your concerns with facility management. If problems persist, consulting with healthcare advocates or legal professionals may be necessary to protect your loved one’s rights.

Remember, quality nutrition is a fundamental right in nursing homes. When facilities fail to provide proper care, they must be held accountable.

Do you need help addressing suspected nutritional neglect? Elder care attorneys can evaluate your situation and explain your options for protecting your loved one.