Get started by searching below:

How to Report a Nursing Home

Hotlines and Resources for Reporting Nursing Home Abuse

Quick Answer

Abuse and neglect in long-term care facilities can result in serious harm or even death to vulnerable residents. It’s essential to report nursing home abuse to protect your loved one and hold facilities accountable for their actions. Learn how to report a nursing home and what other options you may have to get justice for your loved one.

Get a Free Case Review

How to Anonymously Report a Nursing Home

Each state handles anonymous nursing home complaints a little differently. Some allow you to file a report without giving your name, while others may require basic contact details for follow-up.

Most states have laws that protect your identity unless you choose to come forward or are required by court order. These laws also protect you from retaliation, which occurs when facilities take negative actions against you or your loved one.

An older woman on her phone calling a nursing home abuse hotline.

Ways to report nursing home abuse anonymously include:

  • Calling 911 if someone is in immediate danger
  • Contacting your local Adult Protective Services (APS) office
  • Locating a state-run nursing home abuse hotline
  • Reaching out to an ombudsman (resident advocate)
  • Speaking with a health care provider

Many families choose to report nursing home abuse with help from an experienced attorney. A nursing home lawyer can guide you through the process, protect your privacy, and take further action if needed.

If you still have questions about how to report a nursing home or are considering legal action, we’re here to help. The Nursing Home Abuse Center works with top attorneys nationwide who’ve recovered over $314 million for families through nursing home lawsuits.

Get a free case review right now to see if we may be able to help your family.

Top 5 Questions About Reporting a Nursing Home

Nursing home abuse is a serious issue that can quickly worsen and even turn deadly if it’s not stopped in its tracks. However, many people don’t know where to turn when they suspect mistreatment.

Below are 5 of the most common questions about how to report a nursing home.

What People AskQuick Answer
1How to report a nursing facility to stateStart with your state’s health department or long-term care ombudsman. Most have complaint hotlines or online forms.
2How to report a nursing home for neglectYou can report neglect to your local Adult Protective Services (APS) office or your state’s health department.
3How to report nursing home abuseYou can report abuse to APS or to the facility directly. If there’s immediate danger, call 911.
4How to file a complaint against a nursing homeEach state has a complaint process. You can find out how by visiting your state’s health department website or calling their complaint hotline.
5How to report a nursing home anonymouslyMany state hotlines allow anonymous reports. If you're unsure, ask first to confirm that your identity won't be shared.

Hotlines for Reporting Nursing Home Abuse

If you suspect that someone is experiencing abuse or neglect in a nursing home or other long-term care facility, it’s essential to act quickly to protect them.

Multiple nursing home abuse hotlines are available, offering guidance and support tailored to your location.

These nursing home complaint hotlines provide a way to report abuse:

  • Elder Abuse Hotline: 1-800-677-1116
    Connects you with local resources to report elder abuse, including in nursing homes. Available Monday through Friday, 9 a.m. to 8 p.m. Eastern Time.
  • National Adult Protective Services Association (NAPSA)
    Directs you to your state’s APS for investigating and addressing elder abuse and neglect in both care facilities and at home. Find your local hotline here.
  • National Center on Elder Abuse (NCEA): 1-855-500-3537
    Provides information and connects you with local resources for reporting elder abuse. They also offer educational materials to help prevent elder abuse.

Calling these nursing home abuse hotlines can start an investigation and connect you with protective services. If someone has already been harmed, you may also have legal options.

If you’re thinking about taking action, a nursing home abuse lawyer can help you understand your rights. Take the first step now.

Worried About Nursing Home Abuse or Neglect?

When you're ready to act, here’s what to expect:

  • 1. Spot Red Flags Before It’s Too Late

    Look for bedsores, confusion, weight loss, fear, or silence.

  • 2. Reach Out to Our Team, Day or Night

    Speak with a trained advocate who listens and understands.

  • 3. Our Legal Partners File Your Lawsuit

    We handle the paperwork and figure out who’s responsible.

  • 4. You Get Help — and Money If We Win

    Receive financial compensation and get justice.

Options for How to Report a Nursing Home

It’s critical to know about your options to report nursing home abuse so you can find the best resources to help your loved one. Learn about some key contacts and resources below.

Nursing Home Ombudsman

You can report a nursing home to your state’s ombudsman through the National Long-Term Care Ombudsman Resource Center. From there, your concerns can be addressed through an investigation.

Local nursing home ombudsman programs protect the rights of residents and resolve health care and safety issues in long-term care facilities. An ombudsman serves as a middleman between facilities and residents.

A nursing home ombudsman is responsible for:

  • Addressing resident complaints about poor treatment, neglect, or abuse
  • Educating residents about their rights and available resources
  • Recommending changes based on their experiences with older Americans

All states and several U.S. territories were granted a long-term care ombudsman program under the 1978 amendments to the Older Americans Act (OAA), which aims to protect the rights and well-being of older adults.

How to Report a Nursing Home to Local Authorities

You can report nursing home abuse to local authorities like the police or your state’s APS branch. Remember to always call 911 in a life-threatening emergency.

The police can help you take immediate action if a resident has been seriously harmed or has passed away due to abuse.

Law enforcement can file criminal charges for:

  • Assault or homicide
  • Financial exploitation
  • Sexual assault

Call your local APS if you believe your loved one might be suffering from abuse or neglect. A social worker can take note of your concerns and launch an investigation into the resident’s well-being.

Nursing Home Abuse Lawyers

Sometimes, the only way victims of abuse and their loved ones feel like they can get closure is by filing a lawsuit against negligent facilities. Nursing home law firms focus on helping families impacted by neglect or abuse in a care facility.

Taking legal action not only seeks justice and compensation for those harmed but also holds facilities accountable, sending a powerful message about how nursing home neglect and abuse are unacceptable.

Working with an experienced nursing home law attorney makes the legal process as stress-free as possible. Get a free case review right now to find out if we can connect you with a local nursing home lawyer.

Eldercare Locator

The Eldercare Locator connects older adults with housing, health care, and other government resources.

Learn more by calling the toll-free elder and nursing home abuse hotline at 1-800-677-1116. Operators are standing by Monday through Friday from 9 a.m. to 8 p.m. Eastern time. You may also visit eldercare.acl.gov.

National Center on Elder Abuse

Established in 1988, the National Center on Elder Abuse is a hub of information and resources.

Through the NCEA, you can learn how to:

  • Connect with local elder support resources
  • Identify and report nursing home abuse
  • Spread awareness about elder abuse

This advocacy group works to make it easier to report and spot nursing home abuse through education and training. It also lobbies for policy changes to improve the quality of care for older adults.

Doctors and Medical Experts

It can sometimes be hard to know the difference between symptoms of normal aging and mistreatment. Problems like falls or fractures, bedsores, and dehydration are not always evidence of neglect or abuse. This is where a medical expert’s opinion can help.

“[Doctors] are in a unique place to be able to comprehensively look at a patient. They have an opportunity to identify elder abuse and to reach out to the community or make appropriate referrals to break the cycle of violence or neglect.”

—Amy Berman, Registered Nurse, John A. Hartford Foundation

Doctors can examine nursing home residents for physical and emotional signs of abuse or neglect. Because of their critical role, health care professionals are often mandatory reporters — required by law to report any suspected abuse or neglect to authorities.

Recognizing and Reporting Signs of Nursing Home Abuse

Nursing home residents can experience many types of abuse, like physical harm, emotional mistreatment, neglect, and sexual assault.

Knowing how to report a nursing home neglect or abuse case can be a challenge since the warning signs of abuse vary greatly. However, one common thread is that abuse or neglect often leads to negative changes in your loved one’s physical or emotional health.

Reporting possible signs of any type of abuse can help to stop problems before they worsen. Below are some common warning signs of nursing home abuse.

Physical Abuse Warning Signs

Neglect Warning Signs

  • Bedsores, especially stage 4 pressure ulcers
  • Infections from untreated wounds or unsanitary conditions
  • Lack of proper nutrition and dehydration
  • Missing medical devices (hearing aids, glasses, medications)
  • Poor hygiene (soiled clothes, unclean hair)
Report nursing home abuse or neglect today and seek swift justice. Get started by calling our team at (855) 264-6310.

Sexual Abuse Warning Signs

  • Bruising and/or bleeding around the genitals
  • Development of STDs from sexual abuse
  • Stained or torn clothing or bedding

Emotional Abuse Warning Signs

  • Changes in behavior or sleep patterns
  • New onset of depression, fear, or anxiety

Was your loved one abused or neglected? Get a free case review — compensation may be available.

Documenting Warning Signs of Nursing Home Abuse

If you think a loved one is being harmed, note any possible signs the moment your suspicions are raised.

Keeping track of the signs of nursing home abuse and neglect can make it easier to report them later on. It can also strengthen the case if it results in a criminal or civil nursing home abuse lawsuit.

Did You Know

To start, write down when you first noticed negative changes in your loved one. Include as much detail as possible about what you’ve seen and when.

It may also be helpful to take photos as evidence if you think your loved one is suffering from neglect or physical abuse.

Why Should I Report Nursing Home Neglect and Abuse?

Nursing home abuse is a serious issue that can quickly worsen and even turn deadly if not stopped. There is no question that you should report nursing home abuse. And you can do so in several ways, through local agencies to national organizations.

Here are 5 reasons for reporting nursing home abuse:

  1. Protect your loved one: Ensures they receive the care and comfort they deserve
  2. Prevent future harm: Helps stop ongoing abuse while preventing it from happening to other vulnerable residents
  3. Hold facilities accountable: Opens the door to legal consequences for the facility and its staff, encouraging improvements in care
  4. Advocate for justice: Allows access to nursing home abuse legal help, which can result in compensation and justice for the victims
  5. Ensure compliance with laws: Helps enforce the legal and ethical standards nursing homes must follow

By reporting suspected abuse, you can open an investigation into a resident’s well-being while they are living in a facility. You may even be able to hold nursing facilities legally accountable if they harmed your loved one.

If you or your family have questions about how to report a nursing home, contact our team today.

Call (855) 264-6310 or Click to Live Chat to see if we can connect you with a trusted nursing home lawyer near you.

Can Staff Report Nursing Home Neglect?

Yes. In fact, staff members are required, both by law and internal policies at nursing homes and assisted living facilities, to report nursing home abuse and neglect.

Nursing home staff can report abuse without facing disciplinary action from their employer or legal liability. Ignoring nursing home neglect or abuse carries serious penalties.

Staff members and home care providers who ignore abuse may be fired, lose their medical license, or be arrested. Caregivers can also face civil lawsuits for abuse or negligence.

Abuse and neglect may only worsen if left unchecked, meaning your loved one could continue to suffer. Reporting concerns as early as possible can help protect residents, prompt an investigation, and prevent further harm.

Next Steps to Report Nursing Home Abuse and Neglect

By reporting nursing home abuse, you and your family members can begin to heal and get closure from the trauma. Reporting abuse also helps bring those responsible to justice and prevents them from harming others.

Taking quick action is key when abuse or neglect occurs. Acting promptly and involving the right organizations, including experienced legal professionals, can help protect your loved one and hold those responsible accountable.

The Nursing Home Abuse Center works with a network of experienced nursing home lawyers across the country who can help families in all 50 states. Together, they have secured over $314 million for victims of nursing home abuse and neglect.

Call us right now at (855) 264-6310 or fill out this form for a free legal case review.

How to Report a Nursing Home FAQs

How do you report abuse in a nursing home?

You can report a nursing home by contacting your state’s Department of Health or Adult Protective Services (APS), which can investigate and follow up on complaints. If your loved one is in immediate danger, call 911 right away.

You can also report concerns to a long-term care ombudsman, a medical provider, or an elder abuse attorney.

Want help now? Call (855) 264-6310 to speak with one of our trained patient advocates.

How do you report nursing home neglect?

Neglect is a form of nursing home abuse and should be reported through the same channels.

Start by documenting any signs of neglect, such as bedsores or missed medications. You can then file a complaint with your state’s health department, APS, or a long-term care ombudsman.

If the neglect has already caused harm, you may also want to speak with a nursing home abuse lawyer to understand your legal options.

How do you report a nursing home anonymously?

Many states allow anonymous reports through hotlines or online complaint forms. To protect your identity, check the reporting process carefully or ask the agency if your name is required.

A nursing home lawyer can help you navigate the reporting process and take steps to keep your information private if you choose to pursue legal action.

What is the biggest complaint in nursing homes?

The biggest complaint in nursing homes is often related to inadequate staffing. This issue can lead to various problems, including neglect, poor care, and unmet needs of residents.

Insufficient staff means residents may not get help with daily activities, medication management, or hygiene, contributing to overall dissatisfaction and concerns about safety and health.

Who regulates nursing homes in my state?

Nursing homes in your state are usually regulated by the state’s Department of Health or a similar agency responsible for health services.

These agencies ensure that nursing homes follow state and federal laws, conducting regular inspections and enforcing standards to keep residents safe. If the nursing home receives federal funding, the Centers for Medicare & Medicaid Services (CMS) also regulates it.

For details on how to report nursing homes to state officials, check with your local Department of Health or contact your local long-term care ombudsman.

How do you report a nursing home to the state?

To report a nursing home to your state, contact your state’s health department or licensing agency. Most have hotlines or online forms to submit complaints.

State laws on elder abuse usually govern how reports are handled and what protections exist for residents and those who file them.

You can also reach out to your local long-term care ombudsman for help navigating the process.

Are there any reporting requirements for nursing home abuse?

Yes, there are specific reporting requirements for nursing home abuse. Many states mandate that health care workers, caregivers, and other professionals report any suspected abuse or neglect.

These individuals are legally required to act if they believe abuse is occurring, and failure to do so can result in penalties.

Additionally, under the Elder Justice Act, staff in facilities receiving $10,000 or more in federal funds are required to report suspected abuse or neglect. Serious cases must be reported within 2 hours, and other incidents within 24 hours.

If you’re unsure where to start, the Nursing Home Abuse Center can guide you through the process and help you take the appropriate steps. Call us right now at (855) 264-6310.

Nursing Home Abuse Support TeamLast modified:
Julie Rivers HeadshotReviewed by:Julie Rivers, MBA

Eldercare Advocate & Expert

  • Fact-Checked
  • Editor

Julie Rivers is an eldercare advocate with over 15 years of dedicated service to victims of nursing home abuse and neglect. Her journey in this field became deeply personal when she assumed the role of an unpaid caregiver during her mother’s battle with Alzheimer’s disease.

The Nursing Home Abuse Center (NHAC) was founded to bring justice to those affected by nursing home and elder abuse. Our mission is to educate and empower victims of abuse and their families to take a stand against this unlawful mistreatment. We work to return dignity back to those who have been broken down by nursing home abuse and neglect.

  1. Administration for Community Living (2024). Long-Term Care Ombudsman Program. Retrieved from https://acl.gov/programs/Protecting-Rights-and-Preventing-Abuse/Long-term-Care-Ombudsman-Program.
  2. Butterfield, Stacey (2019). ACP Hospitalist: See, and then stop, elderly abuse. Retrieved from https://www.johnahartford.org/dissemination-center/view/acp-hospitalist-see-and-then-stop-elderly-abuse.
  3. Centers for Medicare & Medicaid Services (CMS). (2025). Elder abuse prevention. Retrieved from https://www.cms.gov/training-education/partner-outreach-resources/american-indian-alaska-native/ltss-ta-center/focus-areas/elder-abuse-prevention.
  4. Department of Justice. (n.d.). Additional charges using elder justice initiative definitions. Retrieved from https://www.justice.gov/elderjustice/file/886971/dl.
  5. National Adult Protective Services Association. (2024). Recommendations for improving communication between APS and reporters. Retrieved from https://www.napsa-now.org/wp-content/uploads/2024/01/Research-Brief_Recommendations-for-Improving-Communication-between-APS-and-Reporters.pdf.
  6. Registered Nursing. (2025). What should a nurse do if they suspect a patient is a victim of abuse? Retrieved from https://www.registerednursing.org/articles/what-should-nurse-do-suspect-patient-victim-abuse/.
  7. U.S. Department of Health and Human Services. (2024). How do I report elder abuse or abuse of an older person or senior? Retrieved from https://www.hhs.gov/answers/programs-for-families-and-children/how-do-i-report-elder-abuse/index.html.
  8. The United States Department of Justice. (2023). Red flags of elder abuse. Retrieved from https://www.justice.gov/elderjustice/red-flags-elder-abuse.