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In 1991 Billy and Akaisha Kaderli retired at the age of 38. Now, into their 4th decade of this financially independent lifestyle, they invite you to take advantage of their wisdom and experience.

What to Know about Reporting Neglect in a Nursing Home

John Mackenberry
 


 

Two out of three nursing home staff members admit to committing some form of abuse against older adults in the past year, according to the World Health Organization. For families who trust these facilities with the care of their loved ones, this statistic is both shocking and heartbreaking.

Nursing home neglect is one of the most common and most overlooked types of elder abuse. From missed meals and untreated medical needs to emotional isolation, neglect can have devastating consequences.

That’s why it’s so important to know when and how to report it and where to turn to help victims of nursing home mistreatment

In this article, we’ll cover the warning signs of neglect, steps you can take to report it, and what happens after a report is made. You’ll also learn about resources available to protect your loved ones and hold facilities accountable.

What Counts as Neglect in a Nursing Home

Neglect is different from direct abuse but can be just as harmful. It happens when a nursing home fails to provide the basic care residents need. This can include food, water, hygiene, medical treatment, and a safe living environment.

Common examples of neglect include:

Not helping a resident with bathing or dressing

Leaving residents in soiled bedding or clothing

Failing to provide medications on time

Ignoring requests for help

Allowing unsafe conditions, such as slippery floors or poor supervision

Even if unintentional, these failures can cause infections, injuries, and serious health problems.

Signs of Nursing Home Neglect

You may be the first to notice something is wrong. Common signs include:

Sudden weight loss or dehydration

Bedsores or untreated wounds

Poor hygiene, dirty clothing, or unwashed hair

Frequent falls or unexplained injuries

Emotional withdrawal or depression

Strong odors in the facility, like urine or feces

Keep notes of what you see, including dates and times. These details can help later if you need to file a complaint.

 

Laws Protecting Nursing Home Residents

Federal and state laws protect residents from neglect. The Nursing Home Reform Act of 1987 requires facilities that receive Medicare or Medicaid to provide care that maintains each resident’s physical, mental, and social well-being.

Residents have the right to:

Dignity and respect

Freedom from abuse and neglect

Proper medical care

Participation in their own care decisions

In addition, each state has an Adult Protective Services (APS) agency that investigates reports of elder abuse and neglect. Many states also require nursing home staff and health care providers to report suspected abuse.

How to Report Nursing Home Neglect

If you suspect neglect, act right away. Here are the steps:

1. Document what you see. Take notes, photos, and gather medical records if possible.

2. Report to the facility. Speak with the administrator or director of nursing. Sometimes issues are corrected quickly.

3. Contact your state agency. File a complaint with your state’s long-term care ombudsman or health department. They investigate facilities and can enforce penalties.

4. Call Adult Protective Services. APS investigates abuse and neglect in care settings. 

5. Contact law enforcement if urgent. If someone is in immediate danger, call 911.

What Happens After a Report

Once a report is filed, investigators will review the claim. They may:

Interview residents and staff

Review medical charts and facility records

Inspect living conditions

Assess whether the facility meets federal and state care standards

If investigators confirm neglect, the facility may face fines, loss of funding, or even closure. In some cases, staff may face criminal charges. Families may also consider civil action to hold the facility financially accountable.

Protecting Your Loved One

Reporting neglect is one step, but you can also take ongoing measures to protect your loved one. Visit often and at different times of day. Build relationships with staff so they know you are involved. Keep communication open with your loved one, even if they struggle to speak openly.

Some families also set up care plans and regular meetings with the nursing home staff to review treatment and daily needs. Staying active in your loved one’s care can reduce the risk of neglect.

Final Thoughts

Neglect in nursing homes is widespread and dangerous, but you have the power to act. Knowing the signs, understanding the law, and following the reporting process can make a real difference. Your actions can protect your loved one and help hold nursing homes accountable to the standards they are legally required to meet.

Key Points to Remember

Neglect includes missed meals, poor hygiene, lack of medical care, and unsafe conditions.

Warning signs include weight loss, bedsores, poor hygiene, frequent falls, and emotional withdrawal.

Federal law protects residents’ rights to safety, dignity, and proper care.

You can report neglect to facility staff, state agencies, Adult Protective Services, or law enforcement.

Documentation and frequent visits strengthen your ability to protect your loved one.

 

 

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About the Authors

 
Billy and Akaisha Kaderli are recognized retirement experts and internationally published authors on topics of finance, medical tourism and world travel. With the wealth of information they share on their award winning website RetireEarlyLifestyle.com, they have been helping people achieve their own retirement dreams since 1991. They wrote the popular books, The Adventurer’s Guide to Early Retirement and Your Retirement Dream IS Possible available on their website bookstore or on Amazon.com.

contact Billy and Akaisha at theguide@retireearlylifestyle.com

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