Out of the Shadows
Uncovering Substance Use and Elder Abuse
Module 4: Screening and Assessment - Page 6 of 16
Indicators of Nursing Home Abuse and Neglect
Elder abuse in nursing home settings may have different root causes (understaffing, inadequate staff training, weak management infrastructure, or poor health care delivery systems). However, the impact on its residents and their families is similar. The following are some of the signs indicating abuse in residential long-term care facilities:ref
Signs of Physical Abuse
- Open wounds, cuts, and welts
- Dehydration
- Malnutrition
- Weight loss
- Burns
Signs of Emotional Abuse
- Sudden change in behavior
- Emotionally upset
- Extremely withdrawn or noncommunicative
- Confusion or dementia
Signs of Nursing Home Negligence
- Poor personal hygiene
- Withholding medication or overmedicating
- Lack of assistance with eating and drinking
- Unsanitary conditions
- Soiled bed, with fecal or urine odor
Remember, as with all indicators of abuse or neglect, no single sign or clue can be conclusive of abuse. It is a pattern of physical, behavioral, and environmental indicators that point to a need to question what is going on. ref
For more information on indicators of abuse in nursing homes, see Warning Signs of Poor Care.








