Sadly, the elderly are often unable to communicate the circumstances of their neglect and abuse to family members or other concerned parties. In addition, nursing home neglect & abuse may be difficult to identify without paying attention to key indicators. Family members should learn to recognize the following possible symptoms of neglect and abuse and take immediate corrective action: Neglect: malnutrition, dehydration, pressure sores (also known as bed sores or pressure ulcers), poor personal hygiene, neglected injuries, falls, accidents. Medical mistakes: wrong medication, incorrect dosage, unnecessary medical procedures, delays in treatment. Physical abuse: bruises, burns, welts, restraint marks, broken bones, wounds/cuts, scratches, sprains, puffiness on the face or elsewhere, damaged possessions, visitors not being allowed to spend time alone with the resident. Emotional abuse: withdrawal, refusal to communicate, anxiety, agitation, emotional trauma, sudden change in behavior. Sexual abuse: bleeding, appearing withdrawn or traumatized, evidence of severe physical restraint, torn or stained bed clothing, bruises, scratches or welts near genitals or on chest.