Signs of Nursing Home Neglect

Physical Warning Signs

• Pressure ulcers (bedsores) — skin breakdown, especially on heels, hips, and tailbone, suggesting the resident isn’t being repositioned.
• Dehydration and weight loss — dry mouth, dark urine, confusion, or noticeable slimming.
• Poor hygiene — unwashed hair or body, dirty nails, unchanged clothing or bedding, strong odors.
• Untreated conditions — infections, rashes, or dental problems that go unaddressed.

Care Warning Signs

• Missed or wrong medications — the resident seems over-sedated, or symptoms return.
• Unanswered call lights — long waits for help with toileting, pain, or basic needs.
• Repeated falls — especially if the care plan doesn’t seem to change afterward.
• Staff avoidance — aides who won’t make eye contact, seem rushed past the point of explanation, or discourage your questions.

Environmental Warning Signs

Notice the facility itself: persistent odors, dirty common areas, broken equipment, residents left in hallways for long periods, or a general atmosphere of chaos during shift changes. Trust your senses — well-run facilities feel calm and clean.

What to Do

Document dates, times, and details. Raise concerns with the director of nursing or administrator in writing and keep copies. If the response is inadequate, contact your state’s long-term care ombudsman program — their services are free and confidential. For serious or ongoing problems, file a complaint with the state agency that licenses nursing homes.