Nursing Home Abuse

Nearly two million Americans live in 17,000 nursing homes across the nation. A disturbing fact is that a recent governmental report revealed that a large number of nursing homes are providing residents with substandard care and that the incidence of nursing home abuse has increased dramatically over the past few years.

America’s rapidly aging population has resulted in a tremendous demand and need for nursing home and residential care facilities. Unfortunately, studies confirm that a growing number of elders living in nursing homes are being physically, emotionally and financially abused.

Nursing home abuse and neglect is often the result of understaffing, poor employee screening and selection procedures, poor employee training, and inadequate resident and staff monitoring. These problems are often the result of nursing home budgetary decisions or attempts to maximize profits.

The most common types of neglect and abuse are malnutrition, dehydration, pressure sores, infections, falls, burns, and assaults. These injuries are most often a result of understaffing, poor training, and general unhappiness of the nursing homes employees.

According to a recent report by the United States General Accounting Office made before the U.S. Senate Special Committee on Aging, only 30 of California's 1,370 nursing homes passed state inspections in the past three years with minimal or no problems and 407 were cited for care that "caused death or serious harm." The report also found that many California nursing homes temporarily increased staff and often falsified records to fool inspectors.

The situation in the California is not unusual. Nursing homes are cited for violations of state and federal law on a daily basis, and you and your loved ones may be the victims of this widespread neglect and abuse. An aging population, health care crisis, and bankruptcies of most major nursing home chains are current indications that the neglect and abuse will not only continue, but will most likely increase.

Nursing Homes Must Provide High Standard of Care
Nursing homes who receive federal funds are also required to comply with numerous federal laws and regulations. The federal Nursing Home Reform Act requires nursing homes to maintain a very high standard of care - under the federal law, nursing homes "must provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care.”



Nursing Home Abuse Warning Signs

Signs of physical abuse or neglect include unexpected death, infections, cuts, bruises, burns, marks on arms or legs indicating restraint, pressure sores or ulcers (“bedsores”) indicating a failure to periodically turn a bedridden patient, sudden weight loss indicating malnutrition, and unkempt appearance or soiled clothing indicating poor hygiene.

Signs of mental abuse include unusual changes in behavior, anxiety, confusion, depression, or a reluctance to talk to family members or loved ones.

Signs of financial abuse include missing personal items or a withdrawal or attempted withdrawal of an unusual amount of money.

Accumulated bottles filled with pills may indicate that a resident is not being given their medication. Uncharacteristic lethargy or sleepiness may indicate over medication or improper use of chemical restraints.

Family members or loved one should be especially wary of facilities that make excuses as to why a patient or resident cannot have visitors or take phone calls.

If you or your loved ones are victims of neglect in a nursing or residential facility, there are probably other residents in the facility who are also being neglected or abused; in fact there is probably a continuing pattern of neglect at the facility. This pattern is easily shown by the facility's probable history of violations of both federal and state law.


Helpful Resources

The Administration on Aging
Administration on Aging Nursing Home Resource
FirstGov for Seniors
American Association of Retired Persons
The US Special Committee on Aging
Unite the Elderly
National Coalition for Elder Care Reform
The National Council on Aging
American Society on Aging
Nursing Home Compare
Eldercare Locator
Elders Rights & Resources
Centers for Medicare and Medicaid Services
Nursing Homes Overview

Nursing Home Checklist
Guide to Choosing A Nursing Home

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