Seeing the problem is one thing; doing something constructive about it is the next step. Once you suspect neglect or abuse and have ensured your loved one’s immediate medical needs are addressed, focus on these actions:

1. Document Everything: Keep a detailed log. Write down dates, times, specific observations about injuries or poor conditions. Note who you talked to and what was said. Take clear photos of injuries or unsafe conditions, if you can do so appropriately and without violating privacy rules excessively.
2. Talk to Management (Carefully): Schedule a formal meeting with the nursing home administrator or director of nursing. Present your concerns calmly but firmly. Document this meeting – who attended, what was discussed, and what actions (if any) they promised to take. Be aware that their priority might be protecting the facility.
3. Seek Legal Connection: Reporting is important, but it might not address compensation for injuries or fully hold the facility accountable financially. Connecting with a lawyer who handles these types of cases is a logical next step to explore legal options.
4. Report Officially: Don’t rely solely on the facility to fix things. You have the right to file formal complaints. In Indiana, you can report concerns to:
   1. The Indiana Department of Health (IDOH), Division of Long Term Care: They handle licensing and investigate complaints related to care quality. You can file online or call their hotline at 1-800-246-8909.
   2. Indiana Adult Protective Services (APS): If you suspect abuse, neglect, or exploitation, especially for vulnerable adults, contact APS. Their hotline is 1-800-992-6978.