1. Physical Abuse

Intentional use of force causing pain, injury, or physical harm.

Common red flags: bruises, fractures, grip marks, frequent accidents, staff refusing to explain injuries.

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2. Emotional or Psychological Abuse

Verbal or nonverbal actions that cause distress, fear, isolation, or humiliation.

Common red flags: withdrawal, fear of a certain caregiver, sudden sadness, being ignored or insulted.

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3. Neglect

Failure to provide necessary care such as food, hygiene, medications, mobility support, or supervision.

Common red flags: poor hygiene, weight loss, dehydration, unsafe environment, missed medications.

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4. Abandonment

Leaving a dependent elder without care, supervision, or essential support.

Common red flags: being left alone for long periods, missed appointments, lack of food or essential items.

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5. Financial Exploitation

Improper, illegal, or unauthorized use of an elders money, property, or assets.

Common red flags: unexplained bank withdrawals, missing items, new friends handling finances, unpaid bills.​

 

6. Sexual Abuse

Any unwanted sexual contact or behavior toward an elder who cannot consent or refuses.

Common red flags: bruising, fear of touch, torn clothing, sudden changes in behavior.

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7. Medical Abuse

Withholding, overmedicating, undermedicating, or using medication for staff convenience.

Common red flags: sudden sedation, confusion after medication changes, missed doses, unexplained side effects.

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8. Violation of Rights

Restricting an elders freedom, privacy, communication, or ability to make choices.

Common red flags: blocked visits, restricted phone access, withholding information, staff speaking for the resident.

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9. Self Neglect

When an elder cannot meet their own basic needs due to physical, mental, or cognitive decline.

Common red flags: unsafe living conditions, malnutrition, poor hygiene, refusal of needed medical care.

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10. Institutional Abuse

Systemic failures within a facility including poor staffing, inadequate training, unsafe conditions, or chronic neglect.

Common red flags: high staff turnover, unsanitary environment, residents calling for help without response, rushed or frustrated caregivers.

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What Families Should Do

 

If you suspect any form of mistreatment:

• Document what you see including photos, dates, and explanations.

• Report concerns to management immediately.

• If the facility does not respond, contact your local Ombudsman or Adult Protective Services.

• Trust your instincts. If something feels wrong, it often is.