- Upon discharge from the hospital or skilled care facility
- Weight loss requiring in-home care monitoring
- Respite Care is needed by the family
- Difficulty preparing own meals
- Lapse in memory
- Cleanliness of house decreases
- Undergoing rehabilitation
- Loss of taste or smell
- Has suffered from vision impairment
- Requires assistance throughout the night
- Poor diet
- Decline in hygiene
- Has exhibited difficulty with mobility
- Risk of falling
- Loss of interest in activities and hobbies
- Dramatic mood changes
- Decrtease in energy
- Current health conditions continue to decline
