When someone we care about moves into a nursing home or assisted living facility, we entrust others with something deeply important: their safety, dignity, and well-being. While many care providers deliver compassionate service, elder abuse and neglect remain far too common—and often go unreported.
In fact, the World Health Organization reported in 2023 that nearly half of long-term care staff admitted to abusive or neglectful behavior. And since these were self-reported cases, the true number may be even higher.
At Duncan Legal, PC, we’re committed to helping families stay informed and empowered. If you have a loved one in residential care, recognizing the warning signs of abuse is the first step in protecting them from harm.
What Increases the Risk of Elder Abuse?
Several systemic issues can increase the likelihood of mistreatment in long-term care settings:
Understaffing and Lack of Training
Chronic staff shortages often lead to burnout, high turnover, and poor supervision—all of which can contribute to neglect or abuse.
Vulnerable Populations
Women, people of color, LGBTQ+ residents, and individuals with cognitive or mental health conditions face a heightened risk of mistreatment. Veterans and trauma survivors may also experience greater vulnerability due to communication barriers or caregiver frustration.
Cognitive or Physical Impairments
Those living with Alzheimer’s, dementia, or other limiting conditions may be unable to voice concerns—or may not be believed when they do. That’s why it’s critical for loved ones to watch for subtle changes in behavior or appearance.
Types of Elder Abuse & Warning Signs
Physical Abuse
Includes any use of force that causes pain, injury, or distress.
Warning signs may include:
- Unexplained bruises, cuts, or fractures
- Fear or flinching when approached by staff
- Resistance to being touched
Sexual Abuse
Includes unwanted or non-consensual sexual contact or behavior.
Look for:
- Bruising around private areas
- Unexplained infections or bleeding
- Sudden withdrawal or fearfulness
- Avoidance of certain staff members
Emotional or Psychological Abuse
Often harder to identify, this can include insults, threats, humiliation, or isolation.
Signs include:
- Mood swings or depression
- Reluctance to speak around staff
- Social withdrawal or unusual silence
Neglect
Occurs when basic needs such as food, hygiene, or medical care are not met.
Indicators may be:
- Poor personal hygiene
- Dehydration or weight loss
- Untreated medical conditions or infections
- Dirty living conditions
What to Do If You Suspect Abuse
- Observe and Document
Regularly visit and make note of any physical, emotional, or environmental changes. Maintain written records and take photos when appropriate. - Talk to Facility Leadership
Address your concerns with an administrator, supervisor, or social worker. Request a formal report and a clear plan for follow-up. - Report the Abuse
If issues continue—or if you suspect immediate danger—contact Adult Protective Services (APS) or your local Long-Term Care Ombudsman. - Seek Legal Support
If a loved one has suffered harm, it may be time to speak with an experienced elder law attorney. You could be eligible to pursue legal action to ensure accountability and justice.
Resources for Families
- Eldercare Locator: 1-800-677-1116
- National Center on Elder Abuse: ncea.acl.gov
- Consumer Voice for Long-Term Care: theconsumervoice.org
- Find Your Local Ombudsman: consumervoice.org/get_help
Final Thoughts
A nursing home or assisted living facility should be a place of comfort—not fear. If something doesn’t feel right, don’t ignore it. Trust your instincts, ask questions, and take action.
At Duncan Legal, PC, we’re here to help you advocate for your loved one and ensure they receive the respect and care they deserve.
Visit Us: 6436 S Racine Cir, Ste 227, Centennial, CO 80111
Call Us: (303) 394-2358
Learn More: www.duncanlegal.com
Duncan Legal, PC
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