Pressure injuries can develop when someone with limited mobility remains in one position for too long without appropriate repositioning, skin monitoring, nutrition, or other preventive care.

Residents may require assistance walking, transferring, bathing, using the bathroom, or getting in and out of bed.

A serious fall may raise questions about supervision, fall-risk assessments, alarms, staffing, mobility equipment, and whether an existing care plan was followed.

Potential problems can include:

- wrong medication

- wrong dosage

- missed medication

- duplicate medication

- failure to monitor adverse effects

- medication given to the wrong resident

Residents who cannot independently obtain or consume enough fluids may depend heavily on staff for monitoring and assistance.

Weight loss can have many medical causes, but significant or unexplained changes may warrant review of nutrition, feeding assistance, swallowing issues, medical conditions, and care planning.

Unexplained bruises, fractures, burns, restraint injuries, or injuries inconsistent with the explanation provided may require further investigation.

Any allegation of nonconsensual sexual contact with an older or vulnerable resident requires immediate attention. Nevada's elder-abuse statute expressly includes certain nonconsensual sexual contact within its definition of abuse.

Threats, intimidation, humiliation, controlling behavior, and deliberate isolation can also cause harm.

Improper access to money, property, accounts, powers of attorney, or other assets can raise separate elder-exploitation issues. Nevada law specifically recognizes exploitation through deception, intimidation, undue influence, and misuse of positions of trust under qualifying circumstances.