Fear of retaliation in long-term care
Nobody
Spoke Up
Abuse and neglect can remain hidden when residents, families, care employees, and others are afraid to speak up about what they have witnessed or know.
Why this resource exists
Fear can allow harm to continue
Abuse and neglect of individuals living in nursing homes and assisted living residences often continue or worsen when residents, families, care employees, and others are afraid to speak up about what they have witnessed or know.
This website was created to:
- Educate about the fear of retaliation when considering reporting mistreatment;
- De-stigmatize and alleviate retaliation fears;
- Contribute to efforts aimed at holding care homes and perpetrators accountable; and
- Keep mistreatment victims and reporters safe.
The people affected
Residents. Staff. Families
Flagship staff research · June 2026
Nobody Spoke Up: Staff Fear of Retaliation in America’s Nursing Homes
A review of state investigation records documenting staff fear, intimidation, and retaliation in nursing homes.
Read the report →A growing resource library

