When someone we love moves into a nursing home or assisted living facility, we expect them to receive not just professional care—but dignity, safety, and compassion. Unfortunately, elder abuse remains a serious and often hidden issue in long-term care environments.
According to the World Health Organization, nearly 50% of long-term care facility staff in 2023 admitted to abusive or neglectful behavior. That number reflects only self-reported incidents—countless others go unnoticed, especially among residents who are unable to advocate for themselves.
At Axis Estate Planning, we’re committed to empowering families with the knowledge they need to protect the people who matter most. This guide will help you recognize the risk factors and warning signs of abuse and know what to do if you suspect something is wrong.
Understanding the Risk Factors
Certain systemic challenges in long-term care settings can make abuse more likely:
Understaffing and Poor Training
Overburdened or undertrained caregivers may struggle to meet residents’ needs—leading to neglect or even mistreatment.
Discrimination and Vulnerable Populations
Women, people of color, LGBTQ+ individuals, and those living with cognitive or mental health conditions often face a higher risk of abuse. Veterans and trauma survivors may be especially vulnerable to mistreatment due to misunderstandings or caregiver frustration.
Cognitive and Physical Impairments
Seniors with dementia, Alzheimer’s, or mobility limitations may be unable to report abuse—or not be believed if they do. That’s why loved ones must remain attentive to behavioral or physical changes.
Types of Elder Abuse & Warning Signs
Physical Abuse
Use of force resulting in pain or injury—pushing, slapping, pinching, or improper restraint.
Signs include:
- Bruises, cuts, or broken bones
- Flinching or fear around staff
- Refusing physical contact
Sexual Abuse
Any non-consensual sexual contact or behavior.
Watch for:
- Bruising around private areas
- STIs or unexplained infections
- Withdrawal or anxiety
- Avoidance of certain caregivers
Emotional or Psychological Abuse
Includes threats, humiliation, or forced isolation.
Possible signs:
- Depression or mood swings
- Sudden fear or silence around staff
- Social withdrawal
Neglect
Failure to meet basic needs like hygiene, food, or medical care.
Look for:
- Weight loss or dehydration
- Unclean clothing or surroundings
- Bedsores, untreated conditions
- Missed medications
What to Do If You Suspect Abuse
- Observe and Document
Keep a log of visits, concerns, and any physical or behavioral changes. Photos can be helpful if taken respectfully. - Speak with Facility Leadership
Bring up your concerns with the administrator or care coordinator. Request written responses and a plan for resolution. - Report It
If there’s no improvement—or immediate risk—contact your state’s Adult Protective Services or the Long-Term Care Ombudsman. - Seek Legal Guidance
An elder law attorney can help you understand your rights and options. Legal action may be necessary if harm occurred due to negligence or abuse.
Trusted Resources
- Eldercare Locator: 1-800-677-1116
- National Center on Elder Abuse: ncea.acl.gov
- The Consumer Voice: theconsumervoice.org
- Find Your Ombudsman: consumervoice.org/get_help
Final Thoughts
Every elder deserves to be treated with care and respect. If your instincts tell you something is wrong, don’t hesitate—speak up. You could be the voice that makes the difference.
At Axis Estate Planning, we’re here to help families navigate difficult decisions and advocate for the well-being of those they love.
Need legal guidance or concerned about a loved one’s care?
Let us help you take the next step.
Visit Us: 900 Wilshire Drive, Suite 105, Troy, MI 48084
Call Us: (248) 251-1001
Learn More: www.axisattorneys.com
Axis Estate Planning
Trusted. Thoughtful. Here for what matters most.