Nursing Home Neglect​

elderly couple hugging

Nursing home neglect is similar to nursing home abuse in many ways, but they are not the same. While nursing home abuse implies a specific intent to harm the elder, nursing home neglect is defined as a breach of duty or form of sub-standard care that results in harm to the patient. The breach of duty or sub-standard care must be a reasonably foreseeable outcome of the nursing home’s negligent actions.

Types of Nursing Home Neglect

Nursing home neglect can vary among individual cases, but the four primary types of nursing home neglect involve:

Emotional or social neglect, where the elder person is repeatedly ignored, left alone, or accidentally snapped at by an overstressed nursing home staff

Personal hygiene neglect, where patients do not receive adequate help with laundry, cleaning, bathing, brushing their teeth, or other forms of hygienic practices

Basic needs neglect, where the nursing home neglects to provide reasonable food, water, or a safe and clean environment

Medical neglect, where the nursing home fails to provide adequate attention, prevention, or medication for concerns such as bed sores, infections, cuts, diabetes, cognitive diseases, and mobility concerns

Signs of Nursing Home Neglect

Identifying nursing home neglect warning signs can be very difficult. Depending on the exact type of neglect, there may not be any physical signs of nursing home neglect present. Furthermore, behavioral changes are best identified when a nursing home patient lives close to family, friends, or loved ones. An elderly patient that does not see family regularly may have difficulty expressing concerns such as emotional or social neglect.

Warning signs of nursing home neglect include:

  • Sudden weight loss
  • Bedsores, or pressure ulcers
  • Injuries from nursing home falls
  • Dehydration
  • Malnutrition
  • Withdrawn elder behavior, or unusual changes in behavior
  • Changes in personal hygiene or appearance efforts
  • A growing lack of friendly interaction with the nursing home staff
  • A growing lack of friendly interaction with the other nursing home residents
  • Environmental hazards, such as poor lighting, slippery floors, unsafe mobility equipment, or unsafe furniture in the nursing home patient’s room

Common Nursing Home Problems

An elderly patient residing in a negligent nursing home is at a heightened risk for serious diseases, infections, injuries, and death. While some forms of nursing home neglect are obvious, many cases of nursing home neglect go unnoticed and unreported. Reporting nursing home neglect can mean the difference between life and death for the elderly patient.

Malnutrition, dehydration, and bedsores are all primary concerns for a nursing home patient. These physical forms of nursing home neglect may be more easily identifiable for the patient’s family when they visit. Injuries from nursing home falls, or strangulation in a nursing home bed, are also both examples of physical nursing home neglect.

Prevent Nursing Home Neglect

Nursing home falls and bed suffocation are forms of physical negligence that occur more suddenly. However, these negligent nursing home events can be prevented. The nursing staff should be readily available to assist patients with mobility issues. Patients that are identified as high-risk for nursing home falls should be checked on frequently.

The staff should pay close attention to the nursing home environment, promptly resolving any sanitary and safety concerns. The nursing home resident’s mattress should be flush with the bed frame or bed rails, to prevent the patient from suffocating between the mattress and the railing. The nursing home patient should be monitored for changes in mobile or mental ability, as well as any developing medical concerns.

Efforts in preventing an elder patient’s injuries can be a combined effort. Research indicates that nursing home patients who are visited often by family, friends, and other loved ones are less likely to experience nursing home neglect or abuse. When family is visiting with the nursing home resident, they should watch for signs of nursing home neglect, emotional distress, or changes in health. At an understaffed nursing home, effective communication between family members and nurses can play a critical role in elder patient care.

Link to original article


“National Center on Elder Abuse — Reports and Studies” Administration on Aging. N.p., n.d. Web. 22 May 2013. 

“Nutrition Care Alert.” Medicare. N.p., n.d. Web. 22 May 2013. 

Robinson, Lawrence, Tina De Benedictius, and Jeanne Segal. “Elder Abuse and Neglect.” Help Guide. N.p., n.d. Web. 22 May 2013.