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Types of Nursing Home Abuse

Families often think of nursing home abuse as only physical violence, but abuse in a care facility can take many forms.

Harm to seniors and dependent adults often happens through neglect, understaffing, poor supervision, medication errors, emotional mistreatment, or financial exploitation.

Understanding the different types of nursing home abuse can help families recognize when something is wrong and take steps to protect a loved one from further harm.

Below are some of the most common forms of nursing home abuse and neglect seen in California care facilities.

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Types of Nursing Home Abuse

  • Some of the most tragic nursing home abuse cases involve the preventable death of a resident.

    Wrongful death may result from falls, untreated infections, dehydration, medication errors, aspiration events, or other forms of neglect and abuse.

  • Falls in nursing homes are not always “accidents.”

    Many occur because staff failed to supervise a high risk resident, ignored mobility needs, or failed to implement proper fall precautions.

    Falls in a nursing home, hospital, or assisted living facility may point to neglect, understaffing, or unsafe conditions.

  • Bedsores, also called pressure ulcers, are often a major sign of neglect.

    These injuries can develop when immobile residents are not repositioned, monitored, or kept clean and dry.

    Severe bedsores may lead to infection, hospitalization, sepsis, or death.

  • Residents who depend on staff for meals, hydration, or feeding assistance can suffer serious harm when basic care is ignored.

    Sudden weight loss, weakness, confusion, and dry skin may all be signs of malnutrition or dehydration caused by neglect.

  • Not all nursing home abuse is passive neglect.

    Some residents suffer direct physical abuse, including hitting, grabbing, rough handling, or other intentional harm.

    Unexplained bruises, fractures, fearfulness, or sudden behavioral changes may be warning signs.

  • Untreated infections can become life threatening very quickly in elderly or medically fragile residents.

    Sepsis, urinary tract infections, wound infections, and other preventable complications may indicate delayed care, poor monitoring, or failure to respond to changes in condition.

  • Broken bones and fractures are often the result of preventable falls, rough handling, unsafe transfers, or inadequate supervision.

    When a facility fails to protect a vulnerable resident from foreseeable harm, serious orthopedic injuries may be a sign of neglect.

  • Medication mistakes in nursing homes can have devastating consequences.

    Giving the wrong drug, the wrong dose, or failing to give needed medication can cause serious injury or death.

    In some cases, overmedication may also be used as a form of chemical restraint.

  • Aspiration pneumonia often occurs when a vulnerable resident is not properly monitored during meals, given the wrong diet, or not provided appropriate swallowing precautions.

    These cases may involve serious neglect and can quickly become fatal.

  • Residents with dementia or cognitive impairment may be at serious risk if they are not properly supervised.

    Wandering or elopement can lead to falls, exposure injuries, medical emergencies, or death, and often points to serious supervision failures.