It is estimated that about 1.5 million people currently live in nursing home facilities in the United States. Nursing home staff are responsible for helping residents with medical needs as well as everyday needs such as showering, going to the bathroom, and eating meals. Most importantly, it is the nursing home staff’s responsibility to keep the residents safe. It is hard to believe that anyone would intentionally harm an elderly or disabled individual. However, nursing home resident abuse is tragically not that uncommon. When a nursing home staff member abuses a resident physically, mentally, sexually, financially, or otherwise, the facility may be liable for damages.  

Types of Resident Abuse

When we hear the word “abuse” physical violence such as hitting, pinching, or kicking may come to mind. However, this is just one of several forms of abuse to which residents may be subjected. Mental or psychological abuse involves a nursing home worker intentionally upsetting or frightening a resident. 

Working in a nursing home facility can be a stressful and frustrating occupation. Sadly, some nursing home staff use work stress as an excuse to belittle, intimidate, or mock residents. Increasingly, social media is being used to violate residents’ privacy. Workers have been caught taking and distributing humiliating photographs of residents using applications like Snapchat. This is not only an unacceptable invasion of resident privacy; it is often also a direct violation of the Health Insurance Portability and Accountability Act (HIPAA). Sexual abuse is also a serious problem in U.S. nursing homes. In one horrific case, a female resident in a vegetative state became pregnant after being the victim of rape. A nurse working at the facility has been arrested and charged with sexual assault and is currently awaiting trial.  

Deciding to place a disabled or elderly loved one in a nursing home can be an extremely difficult decision to make. On one hand, you want your loved one to be able to maintain as much independence as possible, but on the other hand, you want to ensure that he or she is safe. When the loved one can no longer complete daily living tasks and look out or his or her own wellbeing, a nursing home may be your only option. While many nursing home staff are hard-working, compassionate caretakers, instances of nursing home neglect and abuse do happen. One indicator that a nursing home resident is not being adequately cared for is reoccurring bedsores.

Causes of Bed Sores

Bed sores, also called pressure ulcers or decubitus ulcers, are wounds caused by long periods of pressure on body parts. The symptoms of bed sores start out mild and then become increasingly noticeable. The skin will first appear discolored or take on a “waxy” appearance or firm texture. If the pressure to the body part is not relieved, the skin can become much more damaged and develop into a painful open wound. Bed sores that are not treated are prone to serious infection. Pressure ulcers are most likely to occur the buttocks, back, hips, and ankles. Bed sores are especially common in individuals who have decreased mobility. Spending long periods of time laying down in bed or sitting in a wheelchair can cause bed sores to develop. For this reason, nursing home staff are trained to help residents with limited mobility periodically move around or change positions.  

Negligence Can Lead to Worsening Bed Sores

Nursing home staff should be fully aware of the dangers that bed sores present to residents. They should help prevent bed sores by keeping the resident clean and dry and frequently repositioning him or her. If a bed sore starts to develop, nursing home staff should adequately treat the sore so that it does not worsen. This can include more frequent repositioning, medications, and wound care. When nursing home workers do not take these steps, the resident can be in danger of developing a potentially life-threatening infection. If you have a loved one in a nursing home and he or she is frequently developing bed sores, this could be a sign that he or she is not receiving adequate care from nursing home staff.

It is hard to believe that anyone could be so cruel as to abuse a sick or elderly person in a nursing home, but it does happen. Research shows that about one out of every ten U.S. adults over age 60 have experienced elder abuse. Nursing home abuse, as well as nursing home neglect, is tragically common in the United States. Many nursing home residents suffer from mental and physical illnesses that make it difficult to express when they are being mistreated or abused. Some residents may even keep abuse a secret because they are afraid that they will be retaliated against for reporting the abuse. If you have a loved one in a nursing home or other long-term care facility, be vigilant for signs that they are being abused.

Physical Signs of Abuse

Sometimes, telling the difference between an injury caused by accident and an injury caused by a nursing home staff member can be difficult. Signs of physical abuse can include bruises, cuts, scrapes, pressure marks, broken bones, dislocations, burns, and more. When nursing home staff cannot explain why a resident has an injury such as these, this is a red flag that something is not right.

Tragically, nursing home residents can also suffer from sexual abuse. An individual who has been sexually abused by have problems walking or sitting, develop a sexually transmitted infection, have bruising on the genitals or thighs, urinary tract infections, and pain. Recently, a horrific incidence of nursing home sexual abuse made headlines after a woman in a vegetative state gave birth to a child.  A nurse working at the facility has been arrested and charged with sexually assaulting the woman and causing her to become pregnant.

Placing a loved one in a nursing home or assisted living facility can be an incredibly difficult thing to do. Most people make this decision because they do not have the ability to provide the round-the-clock care that their loved one requires – especially if they have a career or family of their own to care for. We trust that nursing home staff will provide competent medical care and treat our loved ones with dignity and respect, but tragically, this does not always happen. If you have a loved one in a nursing home, make sure you are vigilant for signs of neglect and abuse.

Staffing Issues Can Lead to Neglect

Many nursing homes are understaffed. Others have high staff turnover which means that staff often do not have time to form personal relationships with residents. Inadequate training can also be a major problem which leads to poor care in a nursing home. When staff are not properly trained or are overworked, they can make serious mistakes which endanger residents. Nursing home residents with compromised immune systems, ongoing medical issues, and elderly residents are most at risk of dying from neglect.

Signs That Your Loved One is Not Being Properly Cared For

Often, nursing home residents suffer from cognitive decline in addition to physical conditions. Residents with dementia or Alzheimer’s disease may not be able to understand or remember that they are being mistreated. In situations like this, it is up to the loved ones to look for red flags that something is not right. Signs that your loved one may be neglected in a nursing home include:

The House Veterans Affairs Committee has begun an intensive investigation into the quality of care at 133 Department of Veterans Affairs (VA) nursing homes after it was revealed that the VA itself ranks most of its facilities as seriously lacking. The agency’s internal rankings of its nursing homes had been kept secret for years, but they are now available for the public to view. The data is grim. Almost half of all VA nursing homes have been assigned the lowest possible score with regards to cleanliness, safety, and quality of patient care.

VA Facilities at Greater Risk for Pain and Medical Complications

Tragically, studies show that care for American war veterans is shockingly insufficient. An investigation headed by USA Today and The Boston Globe found that 60 VA nursing homes were given a score of one star out of five. In over two-thirds of VA nursing homes, patients were found to have higher rates of pain and a higher incidence of bedsores than nursing homes in the private sector. Residents in VA nursing homes show a greater decline in their quality of life than nursing home residents in private facilities.

Illinois nursing homes did not fare particularly well on quality-of-care rankings. The facility in Danville, IL, scored one out of five stars in part due to a resident who had a catheter left in their bladder. The lowest possible score for nursing home quality is one star. Other two-star nursing home facilities had high rates of bedsores and residents slipping and falling. The best-rated home in Illinois was in North Chicago and earned three stars out of five.