Choosing a nursing home for a loved one is rarely easy. Families want to believe that their relative will be safe, cared for, and treated with respect. Unfortunately, not all nursing homes meet the standard of care residents deserve. It’s important to know the warning signs of neglect before serious harm occurs.
Physical and emotional signs of neglect
Neglect in a nursing home doesn’t always leave visible marks, but there are some physical signs that something may be wrong. Unexplained bruises, cuts, or broken bones are also serious, especially if staff cannot clearly explain how they happened. Bedsores, also called pressure ulcers, are another major red flag. These injuries can develop when a resident stays in one position for too long, often indicating a lack of proper attention and movement.
Weight loss or signs of dehydration are also warning signs. If a resident is not getting enough food or water, it may suggest that the staff are not meeting their basic needs. Poor hygiene, such as soiled clothing, dirty bedding, or long, untrimmed nails, can point to a lack of regular care.
In addition to physical signs, emotional or behavioral changes may also signal neglect. If your loved one suddenly becomes withdrawn, fearful, anxious, or unusually quiet, it’s worth asking questions and paying closer attention.
Environmental and staffing concerns
The condition of the nursing home itself can offer important clues. A facility that smells strongly of urine or appears consistently dirty may not be maintaining a safe and clean space. Broken equipment, poor lighting, or cluttered hallways can increase the risk of falls and other accidents. If you notice that the staff seems rushed or disorganized, it could be a sign of understaffing, which is a common cause of neglect.
Pay attention to how staff interact with residents. Do they speak with kindness and patience, or do they seem irritated and dismissive? If your loved one is often left alone for long periods or you have trouble finding staff to answer your questions, this could be a sign of poor supervision.
If something feels off during a visit, it’s okay to ask questions and keep a close eye on your loved one’s care. Early signs of neglect are often subtle, but recognizing them can help you take action before the situation becomes more serious.