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Nursing Home Abuse

"There are nearly 17,000 nursing homes in the United States that currently care for 1.6 million residents — a figure expected to quadruple to 6.6 million residents by 2050."

—U.S. House of Representatives, Committee on Government Reform- Minority Office

Eye witness accounts and surveys have sadly shown that nursing home abuse and neglect is a serious problem, and that there also is significant underreporting. Major underlying causes of elder mistreatment, according to findings of the National Academy of Sciences Panel to Review Risk and Prevalence of Elder Abuse and Neglect, are:
  • Stressful working conditions, particularly staff shortages

  • Staff burnout

  • Inadequate staff training

Prevention of Abuse and Neglect in Long Term Care Settings

The most effective prevention programs, experts say, use a combination of strategies to protect vulnerable elders. In 2002, the National Center on Elder Abuse commissioned a review of prevention research related to abuse in nursing homes and other long term care settings. Strategies identified in the literature include:

  • Assure coordination between law enforcement, regulatory, adult protection, and nursing home advocacy groups.

  • Support education and training in interpersonal caregiver skills, managing difficult resident care situations, problem-solving, cultural issues that affect staff/ resident relationships, conflict resolution, stress reduction techniques, information about dementia, and witnessing and reporting abuse.

  • Improve work conditions, through adequate staffing, enhanced communication between direct care and administrative staff, more time to nurture relationships between staff and residents, humane salaries, opportunities for upward mobility, and greater recognition, respect and understanding for the difficult lives many workers lead.

  • Assure compliance with federal requirements concerning hiring of abusive nurse aides.

  • Promote environments conducive to good care.

  • Assure strict enforcement of mandatory reporting, as well as educate professionals and the public (non-mandatory reporters).

  • Improve support for nurse aides (support groups).

  • Support and strengthen resident councils.

  • Assure that hiring practices include screening of prospective employees for criminal backgrounds, history of substance abuse and domestic violence, their feelings about caring for the elderly, reactions to abusive residents, work ethics, and their ability to manage anger and stress.


Research Review: Abuse in Nursing Homes

Links to Online Resources

Where to Report
  • Nursing Home Abuse Hotlines
    This is NCEA's directory of state hotlines for reporting abuse in nursing homes, assisted living, or board and care homes.

  • Where Can I Go For Help?
    This is a directory of all state and regional ombudsmen, state offices on aging, state licensure and certification agencies, state adult protection agencies, nursing home quality review boards, Medicaid agencies and Medicare Fraud Control Units nationwide.

  • Abuse and Neglect
    This fact sheet from the National Citizens Coalition for Nursing Home Reform explains resident rights and steps to take if these rights are jeopardized. Links to US directories.

  • A Long-Term Care Ombudsman on Your Side

Resources for Caregivers

Reports and Studies

News Links: Nursing Home Abuse

Organizations: Nursing Home Abuse and Neglect Prevention

  • A Perfect Cause
    A grassroots non-profit organization dedicated to long term care reform, see links for federal regulations for nursing homes governing resident rights and Nursing Home Litigation Guide.

  • Adult Victims of Crime and Abuse in Residential Care Facilities
    This action partnership brings together experts nationwide to provide information and galvanize concerned citizens to address elder or adult abuse in residential care facilities. Action partners include the National Organization for Victim Assistance (NOVA), the National Association of Adult Protective Services Administrators (NAAPSA), and the Office for Victims of Crime (OVC).

  • Long Term Care Link
    This non-profit Internet portal is a hub for information on long-term care, with Web links to State and Area Agencies on Aging nationwide, family caregiver resources, and more.

  • National Citizens' Coalition for Nursing Home Reform
    The leading national consumer group working on nursing home quality issues. Site includes a list of all state long-term care ombudsmen and their contact information.

  • National Long Term Care Ombudsman Resource Center
    Ombudsmen serve over 2 million residents of nursing homes and board and care facilities. This link contains resources for ombudsmen as well as caregivers.

Federal Government Web Sites

  • About Nursing Home Inspections
    A Centers for Medicare & Medicaid Services plain-English description of the nursing home oversight system.

  • Medicare: Nursing Home Compare
    This government agency site offers detailed information about the past performance of every Medicare and Medicaid certified nursing home in the country.

  • Medicare: Nursing Homes
    Official government nursing home Web site of the Centers for Medicare and Medicaid Services. The site contains links to a nursing home checklist and more.

  • Nursing Home Quality Initiative
    The Centers for Medicare & Medicaid Services (CMS) announced a Nursing Home Quality Initiative pilot project in April 2002. This page includes links to a number of documents involved in the development and implementation of this project.

  • US Administration on Aging
    This site contains many Web links to fact sheets, facility directories, statistics, and research articles accessible online. Aging Internet Information Notes: Nursing Homes.

  • US Department of Justice, Office for Victims of Crime

    Last Updated: September 28, 2006  Top


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Clearinghouse on Abuse and Neglect of the Elderly (CANE)

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