If your loved one seemed full of energy and enthusiastic the last time you spoke but seems detached, aloof, or distracted during a visit, this could be a sign of nursing home abuse. You should investigate any sudden changes in your loved one’s behavior. Keep close tabs on his or her medical reports from staff as well as the state of their living situation. Soiled bedsheets, dirty clothes, and a lack of healthy food and clean drinking water could also indicate neglect or abuse.