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Signs of Financial Abuse in a Nursing Home

Elderly woman showing signs of financial abuse in a nursing home, looking worried while reviewing her finances.
Aug 29, 2025 | By Dempsey Kingsland Osteen | Read Time: 4 minutes | Nursing Home Abuse

When families place a loved one in a nursing home, they expect their money and belongings to be safe. Unfortunately, that’s not always the case.

Financial abuse in nursing homes happens more often than most people realize. Staff members, other residents, or even family members can take advantage of seniors who may be confused, isolated, or unable to manage their finances.

Signs of financial abuse in a nursing home can be subtle, like small financial inconsistencies, a resident’s sudden confusion about money, or unexplained anxiety around certain individuals. 

Here’s what to watch for and what steps to take if you suspect abuse.

Elderly woman showing signs of financial abuse in a nursing home, looking worried while reviewing her finances.

What Is Financial Abuse in a Nursing Home?

Financial abuse happens when someone exploits a nursing home resident’s money, property, or benefits for their own gain. It can range from petty theft to sophisticated schemes that drain a resident’s entire life savings.

According to the U.S. Administration for Community Living, financial exploitation is one of the most commonly reported types of elder abuse and often goes unreported due to embarrassment or fear. The Older Americans Act requires each state to implement protective programs to prevent this kind of abuse in care facilities.

Common forms include:

  • Direct theft—cash, jewelry, or valuables disappearing from rooms;
  • Card fraud—using the resident’s credit or debit cards without permission;
  • Check forgery—forging signatures on checks or financial documents;
  • Coercion—pressuring residents to sign over assets, change wills, or give “gifts”;
  • Account manipulation—adding unauthorized names to bank accounts or gaining power of attorney through deception; and
  • Benefit theft—stealing Social Security, pension, or other monthly payments.

Many nursing home residents are reluctant to report abuse, especially if the person taking advantage of them is someone they see every day. They may feel embarrassed, afraid of retaliation, or unsure that anyone will believe them. That’s why family involvement is so important. 

How to Spot Financial Abuse in a Nursing Home

Financial abuse often develops gradually, making it easy to miss early warning signs. Pay attention to both financial changes and shifts in your loved one’s behavior.

Watch for financial red flags such as:

  • Unexplained withdrawals or transfers from bank accounts;
  • Unpaid bills despite adequate funds;
  • Missing cash, credit cards, or valuables from their room;
  • Sudden changes to regular spending patterns;
  • Unfamiliar charges on credit card statements;
  • New names appearing on bank accounts or legal documents;
  • Missing checkbooks, financial records, or legal papers; or
  • Mail from unknown banks, creditors, or financial companies.

Behavioral warning signs of financial abuse in a nursing home may involve:

  • Becoming secretive or uncomfortable when discussing money;
  • Acting fearful or nervous around specific staff members or visitors;
  • Suddenly stopping their usual financial conversations with family;
  • Appearing confused about their financial situation; and
  • Seeming embarrassed or reluctant to ask for help.

Trust your instincts when you suspect signs of elderly financial abuse. Family members often sense changes in their loved one’s behavior before they can pinpoint exactly what’s wrong. Maybe your mother seems more anxious during visits, or your father suddenly clams up when you ask about his spending. These shifts can be early indicators that someone is taking advantage of them financially.

Common Scenarios Leading to Financial Abuse

Residents in nursing homes rely on others to help with errands, bills, and personal decisions. That dependence gives staff, volunteers, and relatives access to financial information, passwords, checkbooks, and daily routines. Without proper safeguards, someone may misuse this access.

Common examples include:

  • Observed PIN use. A staff member watches a resident enter their debit card PIN. Later, that same card is used without permission.
  • Emotional manipulation. A volunteer spends time with a resident and asks for money to cover gas, groceries, or repairs.
  • Unauthorized withdrawals. A family member with access to bank accounts makes withdrawals or purchases for themselves.
  • Missing Documents. Without explanation, checkbooks, cards, or financial documents disappear from a resident’s room.

Even small actions may escalate into ongoing misuse—like helping with mail or managing personal paperwork. When someone gains repeated access to financial items or private information, the risk of exploitation grows.

If nursing home staff dismiss your concerns or claim the issues are “outside their control,” push back. Request visitor logs, staff schedules, and the inventory of personal items noted when your loved one became a resident. The facility has a legal duty to protect residents from financial exploitation.

How to Protect Seniors from Financial Abuse

You know your loved one’s habits best. Don’t ignore unusual behavior or unexpected financial activity. A resident who grows uneasy during conversations about money or starts avoiding topics they once handled confidently may be signaling that something’s wrong. 

Take these steps to protect them:

  • Keep financial records with someone trustworthy;
  • Do not give staff access to cash, cards, or legal papers;
  • Secure valuables in a safe place;
  • Monitor bank accounts and set up alerts for unusual activity;
  • Regularly review who has power of attorney;
  • Encourage frequent visits or calls to reduce isolation; and
  • Get facility policies about resident finances in writing.

Prevention works best when families stay involved and nursing homes know someone is paying attention.  Check in regularly through phone calls, video chats, or in-person visits. The more connected your loved one feels, the less likely they are to be isolated or taken advantage of.

If you live far away, consider asking another trusted family member or friend nearby to visit occasionally and keep an eye out for anything unusual. Even brief visits can give insight into mood, habits, and the people they interact with daily. You can also set up email or text alerts for bank and credit card activity to notify you if something unexpected happens.

Ask the nursing home if they have a policy for reporting concerns and how residents can access help if needed. The more you know about your loved one’s routine and who interacts with them, the easier it is to spot when something seems off.

Speak With a Nursing Home Abuse Attorney

Dempsey Kingsland & Osteen has protected Kansas City families for over 40 years, handling elder abuse and financial exploitation cases. 

If you suspect financial abuse, contact us for a free consultation. We’ll review the situation, explain your options, and help you protect your loved one’s financial well-being. We meet clients at home, in care settings, or wherever is most private and comfortable. Call us at (816) 421-6868 or message us today.

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