Sens. Tom Carper, D-Delaware; Rob Portman, R-Ohio; Chuck Grassley, R-Iowa; and Ron Wyden, D-Washington, released on July 23 the findings of a new U.S. Government Accountability Office report that assessed incidents of abuse of nursing home residents across the country.

The report, which was requested by the bipartisan group of senators, reveals that abuse in nursing homes across the country has more than doubled between 2013 and 2017. Physical and mental/verbal abuse occurred most often in nursing homes, followed by sexual abuse, and staff were more often the perpetrators of the abuse deficiencies cited. GAO also found gaps in processes managed by the Centers for Medicare and Medicaid Services. The report shows that CMS — the agency responsible for ensuring nursing homes meet federal quality standards, including that residents are free from abuse — cannot readily access information on abuse or perpetrator type in its data and, therefore, lacks key information critical to taking appropriate actions.

The senators will discuss the findings of the GAO study at a July 23 Finance hearing with Department of Health and Human Services and GAO officials.

“Nearly 1.5 million elderly Americans are in the care of nursing homes across this country,” said Carper. “Those individuals are our mothers, our fathers, our grandparents, our friends, and they deserve the utmost care and respect as they live out their final years. It’s the familiarity and personal connection that so many of us have with nursing homes that makes the findings in this report so alarming and unacceptable. It is clear that Congress must do more oversight to ensure the most vulnerable among us — many of whom are living with diminished mental capacities or physical disabilities — are treated with dignity. Not only have abusive incidents doubled in recent years, but GAO has found that CMS — the agency charged with ensuring that these facilities meet federal quality standards — often cannot access information about abusive incidents after they occur and, therefore, cannot take the necessary steps to remedy the situation. We simply can and must do better than this. We all want our loved ones to receive the quality of care and attention they deserve from professionals in whom we place our trust. That’s why I will continue working to make sure the recommendations drawn out in this report are met by the agencies responsible for these abuse deficiencies.”

The report’s findings include:

— Incidents of abuse more than doubled in nursing homes from 2013 through 2017. Physical and mental/verbal abuse by staff were the most commons forms.

— Key challenges for abuse investigations include underreporting of abuse, cognitive impairment of victims, lack of nursing home cooperation and lack of agency coordination.

— CMS’ ability to ensure abuse-free facilities may be limited by gaps in oversight and lack of information on abuse/ perpetrator that may not be readily available.

— Gaps in CMS processes that can result in delayed and missed referrals of abuse.

The GAO report is available at