Between 2000 and 2007, approximately 20% of nursing homes, per year, received a citation for abuse, equaling about 34,644 citations for violations of abuse, neglect by staff, criminal screening, investigating and reporting or abuse prevention (Castle, 2011). These high rates of violation are likely because of the vulnerability of the residents. Many residents have cognitive, behavioral or physical impairments, which studies have argued are risk factors for neglect and abuse (National Research Council…
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