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Indicators of patient abuse & neglect

Abuse, neglect or exploitation of a patient or resident of a care facility is a crime. Report instances of abuse to the Attorney General's Patient Abuse Toll-Free Tip Line at 1-877-ABUSE TIP (1-877-228-7384).

Additionally, for Reporting Abuse (regardless of whether facility is Medicaid funded) or for Protective Services, Guardianship and Counseling contact the Cabinet for Health and Family Services Adult Protective Services hotline at 1-800-752-6200.

Physical Abuse

  • Frequent unexplained injuries or complaints of pain without obvious injury
  • Burns or bruises suggesting the use of instruments, cigarettes, etc.
  • Passive, withdrawn and emotionless behavior
  • Lack of reaction to pain
  • Injuries that appear after the person has not been seen for several days
  • Patient complains of physical abuse

Sexual Abuse

  • Injury to the genital area
  • Difficulty in sitting or walking
  • Fear of being alone with caretakers
  • Patient reports a sexual assault


  • Obvious malnutrition
  • Lack of personal cleanliness
  • Habitually dressed in torn or dirty clothes
  • Obvious fatigue and listlessness
  • Begs for food or water
  • In need of medical or dental care
  • Left unattended for long periods
  • Bed sores

Financial Abuse

  • Mismanagement of personal funds
  • Lost, stolen or destroyed property
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