Nursing Home Neglect

Nursing home neglect may not be as violent as abuse, but it can be just as dangerous. Neglect occurs when residents suffer from improper nursing home care, resulting in physical harm, illness, or even death. Fortunately, there are ways to help elderly people suffering from neglect in a nursing home.

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What Is Nursing Home Neglect?

Nursing home neglect is a tragic but all-too-common issue in the United States. It occurs when residents in nursing homes do not get proper care and suffer physical or mental health problems as a result.

“Neglect is the failure to meet an older adult’s basic needs. These needs include food, water, shelter, clothing, hygiene, and essential medical care.”

Centers for Disease Control and Prevention (CDC)

According to the National Center for Victims of Crime, 15.3% of elder abuse complaints in nursing homes are for neglect.

Many nursing homes treat elderly residents with respect. Sadly, some nursing home workers do not provide elderly residents with proper care. Failure to meet a nursing home resident’s basic needs is neglect and it is always unacceptable.

If you think a loved one might be suffering from neglect, you have options. You can talk to a trusted staff member at a nursing home or report your worries to an elder care agency near you.

You may also be eligible to pursue legal compensation to find justice and closure. Get a free case review to see if you qualify.

Nursing Home Neglect Versus Abuse

Many people think nursing home abuse only describes physical injuries and do not realize that neglect is a type of abuse as well.

A staff member who intentionally fails to care for a resident should be held responsible if their actions lead to harm or a wrongful death.

Even accidental nursing home neglect can be harmful in serious cases. For example, giving an older adult the wrong dose of medication can have life-threatening consequences.

What Causes Nursing Home Neglect?

Nursing home neglect cases are often the result of inadequate staffing. Employees who are stressed or overworked may not be able to provide the quality of care needed to keep residents healthy.

Common causes of caregiver stress include improper training and understaffing. In addition, nursing homes may not properly screen or run background checks on the employees they hire.

Inadequate Staffing

Inadequate staffing can mean that there aren’t enough people to care for residents, which reduces overall quality of the facility. Impossible workloads lead to overworked staff who cannot fulfill their duties and are more likely to make mistakes.

20% of all nursing homes were understaffed in 2020
of all nursing homes
were understaffed in 2020

Sadly, understaffing in nursing homes has been a long-term problem that only worsened in recent years. According to a report from the U.S. Public Interest Research Group, 20% of all nursing homes in America were understaffed as of December 2020.

CBS News suggested that nursing homes struggle to keep long-term employees due to the stresses of caregiving and low pay.

Negligent Hiring Practices

Nursing homes may not do proper background checks or hire people who are not qualified to care for others. This can be risky and dangerous for nursing home residents.

For example, those who have struggled with drug and alcohol use or have been abused themselves are statistically more likely to abuse others. Nursing homes might even hire former criminals who have not reformed to care for vulnerable elders.

Sadly, negligent hiring practices can even extend beyond individual facilities and to those who run major nursing home chains.

For example, Arizona’s governor disbanded a board of nursing home administrators after they hired a felon to run a nursing home. When the COVID-19 pandemic hit, the felon required employees who tested positive for COVID-19 to still work — exposing residents to the deadly virus.

Do you believe that staff negligence harmed your loved one? Call (800) 896-7040 immediately to get help.

Poor Training

Even if new hires pass a background check, they can still commit nursing home neglect if they’re not properly trained by the facility.

A Wisconsin nursing home closed its doors after multiple allegations of abuse, mistreatment, and neglect. Reports noted that staff members were not trained to even the minimum acceptable level to care for others.

As a result, the staff made mistakes such as medication errors that caused serious harm to residents.

Types of Neglect in Nursing Homes

Nursing home negligence can come in a few different forms. Learn about the most common types below.

Medical Neglect

Medical neglect occurs when a nursing home staff member fails to meet a resident’s health care needs.

Medical neglect may include:

  • Failing to administer medications when needed
  • Improper medical care for existing health problems like diabetes or dementia
  • Not regularly moving seniors with mobility issues, putting them at risk of bedsores
  • Not reporting signs of infections or illnesses to nurses or doctors

In 2018, a jury awarded a 72-year-old nursing home resident over $1 million after they found that negligence caused her to develop severe bedsores. According to her attorneys, the woman never saw a doctor while living in the facility even though the staff knew she had bedsores.

Social/Emotional Neglect

Nursing homes provide a new opportunity for seniors to make friends later in life. Social interactions can improve a senior’s mood and overall mental health.

However, nursing home staff members can commit emotional neglect if they prevent residents from interacting with others.

This can occur if staff members:

  • Accidentally isolate vulnerable residents
  • Fail to provide canes, wheelchairs, or walkers to residents with mobility problems
  • Forget to move residents with severe mobility or mental issues

Neglect of Basic Living Needs

With this type of neglect, the nursing home or its staff fail to keep the facility and its amenities safe.

This may include:

  • Failing to keep the nursing home at a normal temperature
  • Not cleaning common areas or residents’ rooms on a regular basis
  • Providing seniors unsafe or inadequate food and water

During the COVID-19 pandemic, an elderly woman died at a nursing home due to dehydration. The woman’s daughter believes that staff were too overwhelmed by the pandemic to provide her with enough water.

Neglect of Personal Hygiene

When staff members neglect the personal hygiene of residents, it can affect their appearance and health. Poor hygiene in nursing homes can even have life-threatening consequences.

Neglect of personal hygiene may include:

  • Failing to change a senior’s clothes regularly
  • Not regularly checking in on residents
  • Not changing the clothing or bedding of seniors who soil themselves
  • Not properly bathing a senior

A 78-year-old nursing home resident thought he went blind as his eyes were crusted shut due to a lack of care from staff. He also had untrimmed nails that were so long that they curled, and his head was covered in bruises from falling.

Signs & Symptoms of Elder Neglect In Nursing Homes

Warning signs of nursing home neglect include:

  • Bedsores (pressure ulcers/pressure sores)
  • Broken bones
  • Bruises
  • Burns
  • Dehydration
  • Insomnia
  • Malnutrition
  • New or untreated medical conditions
  • Personal hygiene issues
  • Significant personality changes
  • Other unexplained injuries

Despite these signs, neglect can be very hard to detect as it may require the testimony of a witness. It can be even harder if the elder has Alzheimer’s or dementia, as they may not be able to give their side of the story.

However, there are several signs that may indicate that a staff member has been neglecting residents.

Possible signs that a staff member is committing elder neglect include:

  • Having a generally negative attitude toward caregiving
  • Giving incorrect or ineffective doses of medication over long spans of time
  • Providing prescriptions with conflicting medications or excessive side effects

With the help of legal counsel, you may be able to prove how neglect was caused by the actions of staff members in the nursing home. See if you can get legal help with a free case review.

Consequences of Nursing Home Neglect

Consequences for Elders

Nursing home neglect can have a significant impact on a resident’s physical health, emotional well-being, and personal hygiene.

Hygiene Consequences

  • Bad odor
  • Dirty skin
  • Ill-fitting, unclean, damaged, or missing clothes

Physical Health Consequences

  • Anemia
  • Dehydration
  • Fatigue
  • Recurring illnesses or serious injuries
  • Untreated medical or dental issues
  • Weight loss or malnutrition

Social & Emotional Consequences

  • Insomnia
  • Isolation and loneliness
  • Loss of trust in others
  • Personality changes (depression, anxiety, or fear)
  • Substance use disorders
  • Suicidal thoughts or actions
  • Unpaid bills or other debts

In the most severe cases, nursing home neglect results in death. The Boston Globe reported about a Vietnam veteran who died in a Massachusetts nursing home because his nurse spent the night playing video games instead of checking on him.

The report also revealed that many other patients and their family members were dissatisfied with the quality of care at the facility. Complaints included that elders went long hours without food or changes of clothes. Some residents even went months without showers.

Consequences For Nursing Homes

The contract between a nursing home and a patient is often a legally binding document. Failing to provide proper care can result in civil or criminal penalties.

Staff members or facilities that neglect patients may lose the ability to care for others. In addition, they may be subject to steep fines from law enforcement or lawsuits.

Who Is Legally Responsible for Nursing Home Neglect?

Both the nursing home and individual staff members may be legally responsible for nursing home neglect.

an older man sits in a wheelchair

  • Long-term care facilities have a duty to properly hire qualified individuals and train them to provide the best care possible. They also need to ensure that they have hired enough staff to provide care to all of the residents. Finally, those who own the facilities must keep them clean and in good working order.
  • Nursing home staff have little room for error because a simple mistake can be deadly to a vulnerable older person. They need to assess each resident’s needs and accommodate them accordingly.

If a nursing home or its staff fails to keep residents safe, victims and their families may be able to take legal action against them through nursing home lawsuits. Some nursing home neglect lawsuits have awarded $1 million or more to victims.

Seek justice for nursing home neglect now. Get a free case review.

Preventing Nursing Home Neglect

Nursing home neglect is generally caused by inaction rather than action. This means it can often be prevented with planning and care.

To reduce the risk of neglect, make sure a facility has:

  • Criminal record checks: Criminal record checks and extensive interviewing can help vet potential employees and eliminate candidates who are not well-suited for a caregiving position.
  • Flexible care plans: Assisted living facilities should keep track of a resident’s health and adjust care plans as needed. For example, a resident who accidentally sets fire to their kitchen may need more supervision than they are receiving.
  • Proper staffing and training: Adequate staffing and elder care education should be every nursing home’s first line of defense in preventing neglect.
  • Reporting procedures: Nursing home staff should know the process for reporting concerns, including neglect. In addition, residents or family members who come forward with abuse allegations should be taken seriously.

In addition, friends and family can regularly check in on their loved ones in nursing homes. Loved ones may be able to spot warning signs of abuse or neglect during regular visits.

How Do I Report Nursing Home Neglect?

Nursing home neglect is a serious matter that can have deadly consequences. It’s critical that all cases are reported. This helps ensure the victim’s safety and puts pressure on the nursing home to improve its standard of care.

If you want additional help reporting neglect, contact a long-term care ombudsman. A local ombudsman is an advocate for nursing home residents and can help investigate claims of neglect.

You can also report neglect to law enforcement, Adult Protective Services (APS), and social workers — all of them are well qualified to help you keep a senior safe.

Finally, you may want to report abuse to a nursing home abuse and neglect lawyer who can help you access compensation to pay for medical bills and other expenses.

When Can I Sue for Nursing Home Neglect?

If you or a loved one suffered severe health problems due to neglect caused by a nursing home facility, you may be able to file a lawsuit.

Taking legal action for nursing home neglect is an important step. It allows you to pursue financial compensation to cover the costs of medical treatment and hold the nursing home accountable.

Get a free case review to see if you can sue for nursing home neglect today. Nursing home abuse attorneys and law firms may be able to help you.

You deserve justice. Get a free legal case review now.

Nursing Home Abuse Justice Team

Nursing Home Abuse Justice was founded to shine a light on nursing home and elder abuse. Every day, thousands of people in nursing homes and assisted living facilities are abused. Our team helps educate seniors and their loved ones on the common causes, signs and preventions of nursing home abuse. We report on real-world studies and current events from respected news outlets to expose this national problem.

Last modified: May 12, 2023

  1. American Psychological Association. (n.d.). Elder Abuse and Neglect: In Search of Solutions. Retrieved from

  2. Berman & Reidel, LLP. (n.d.). Nursing Home & Care Facility Case Results. Retrieved from

  3. The Boston Globe. (2018, September 3). Alleged Abuse Inside One of the Lowest Rated Veterans Nursing Homes in Bedford. Retrieved from

  4. Centers for Disease Control and Prevention. (2021, June 02). Preventing Elder Abuse. Retrieved July 20, 2021, from

  5. Cerullo, M. (2021, February 01). Shortage of Nursing Home Staff Fueled COVID-19 Outbreaks, Consumer Group Says. Retrieved July 20, 2021, from

  6. Dyer CB, Connolly MT, McFeeley P. The Clinical and Medical Forensics of Elder Abuse and Neglect. In: National Research Council (US) Panel to Review Risk and Prevalence of Elder Abuse and Neglect; Bonnie RJ, Wallace RB, editors. Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America. Washington (DC): National Academies Press (US); 2003. 12. Available from:

  7. Health Link British Columbia. (2018, November). Preventing Abuse and Neglect of Older Adults. Retrieved from

  8. Jacobo, J. (2018, March 10). Nurse charged with neglect, manslaughter in death of former Trump adviser H.R. McMaster’s father. Retrieved November 12, 2020, from

  9. Lawrence Robinson, Joanna Saisan, MSW, and Jeanne Segal, Ph.D. (2018, November). Elder Abuse and Neglect. Retrieved from

  10. McGlade, C. (2021, May 04). After Republic investigation, Governor shutters state board that licensed a felon to run nursing home where 15 died. Retrieved July 20, 2021, from

  11. Michel, L. (2018, December 14). Jury awards woman $1.2 million over nursing home’s neglect. Retrieved from

  12. National Center for Injury Prevention and Control, Division of Violence Prevention. (2018, May 17). Elder Abuse: Risk and Protective Factors. Retrieved from

  13. National Center for Victims of Crime. (2016). Elder Abuse Fact Sheet. Retrieved November 19, 2020, from

  14. National Council on Aging. (2020, June 15). Elder Abuse Statistics & Facts : Elder Justice. Retrieved November 19, 2020, from

  15. National Society for the Prevention of Cruelty to Children. (n.d.). Neglect Signs, indicators and effects. Retrieved from

  16. Rock, C. (n.d.). Elder Abuse and Consequences. Retrieved from

  17. Scruggs, Spini & Fulton. (n.d.). California Nursing Home Abuse Success Stories. Retrieved from

  18. Sedensky, M. (2020, November 19). Not Just COVID: Nursing Home Neglect Deaths Surge In Shadows. Retrieved July 20, 2021, from

  19. Siewert, S. (2021, June 29). Weston Assisted Living Facility Voluntarily Closing After Multiple Complaints. Retrieved July 20, 2021, from