Nursing homes are required to protect their residents from harm by training staff to provide proper care and by prohibiting abusive behavior the vast majority of nursing homes participate in the medicare and medicaid programs and were projected to have received about 584 billion from the programs in 2001 for their care. As a result law enforcement agencies were never told of some incidents or were notified only after lengthy delays gao found that federal and state safeguards intended to protect nursing home residents from abuse are inadequate no federal statute requires criminal background checks for nursing home employees. There can be several reasons for nursing home residents abuse understaffing is one of them if staff is not sufficient for the residents then it creates a burden over staff and reveals in the form of frustration and abuse sometimes nursing home authorities recruit a person not suitable for the job. Noted that more than one form of abuse might be occurring at the same time definitions and indicators of abuse and neglect are used with permission from the national citizens coalition for nursing home reform some indicators of abuse physical abuse from a staff member other resident or an intruder or visitor from outside the facility can include hitting pinching shoving force
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