Sometimes it is very difficult to tell whether a loved one has been the victim of nursing home abuse or neglect. Obviously, the easiest indicator is if your family member can tell you directly if something has happened. However, often times, the person may not be competent enough or in a position to explain to you the details about what has occurred. It is helpful to pay close attention to their mental state and emotions. Other signs can include malnutrition, dehydration, bedsores, infections, rapid weight loss or gain, unsanitary or unclean conditions, reluctance to speak when staff members are present, emotionally upset or agitated, episodes or wandering, or an unexplained injury or death to the patient. Anytime any of these signs have appeared to a loved one in a nursing home setting, you should do your best to investigate the cause and determine whether it is a result of abuse or neglect.