My dad came to Parkwood SNF for rehab once he was released from rehab hospital. He was good for 2 days and then they wanted to put him on thickened liquids. They thought he had trouble swallowing so put him on soft diet. He had very poor eyesight and was recovering from a stroke. He was doing excellent before coming to Parkwood. On the third day he started getting fuzzy in the head and losing strength, getting more disoriented. I tried to spend 2 meals a day with him and 3 times that i was there, they gave him nothing to drink even after we asked. They gave him food he couldn't see or eat/chew. If I wasn't there with him for his meal, I don't think anyone made sure he ate or helped him. They gave him 650mg tylenol as a "just in case" he had pain. He never took tylenol so I had to tell them "NO MORE TYLENOL unless he asked for it". Then they gave him b/p meds when he didn't need it. So had to to them only give it if his b/p was at certain level. On day 6 found out they were crushing his b/p meds which were tine released over 24 hours - crushing them put the whole amount of meds in his system all at once. His b/p would drop and he would not be able to do therapy. They just put him back in bed. He wanted to do the therapy so he could get back home. I walked in on day 7 and knew immediately something was wrong with him (and he had just been pulled from OT to have an X-ray done). OT was waiting outside door to finish up. I asked them to take his b/p and it was 70/40. He was severely dehydrated. I ended up calling 911 to get him to hospital where they could check him out. He died a few days later. I'm convinced the severe volume dehydration and crushing his b/p meds was a major contributor to his death. Seemed I was there every day asking what meds he had that day, what his b/p was, etc because beginning with the 3rd day there, he just wasn't his normal self.