Physical abuse: Hitting, pushing, restraining, or any use of physical force. Watch for unexplained bruises, fractures, or injuries.
Emotional abuse: Verbal threats, intimidation, isolation, or humiliation. Signs include withdrawal, depression, or fear around certain staff members.
Neglect: Failure to provide adequate food, water, medication, hygiene, or medical care. Signs include bedsores, dehydration, malnutrition, unsanitary conditions, and untreated medical conditions.
Financial exploitation: Theft, misuse of funds, forged signatures, or unauthorized changes to legal documents.
Look for unexplained injuries, sudden changes in behavior or personality, poor hygiene or weight loss, medication errors, unsanitary living conditions, fearfulness around staff, and unexplained financial transactions.
Report to authorities: Contact Adult Protective Services (APS) and the state's long-term care ombudsman program. In emergency situations, call 911.
File a regulatory complaint: Report to your state's health department, which can investigate and impose sanctions on the facility.
Civil lawsuit: You can pursue a personal injury or wrongful death lawsuit against the nursing home. Damages may include medical expenses, pain and suffering, and in egregious cases, punitive damages.
The Nursing Home Reform Act (part of OBRA 1987) establishes minimum standards for nursing homes receiving Medicare or Medicaid funding, including the right to be free from abuse and neglect, the right to dignity, and the right to participate in care planning.