Staff
Fear of reporting what you witnessed
Research, documented experiences, and media reports about staff fear of retaliation in nursing homes.
01
Flagship report

- 101
- state investigation reports
- 100
- nursing homes
- 35
- states
02
Staff voices
“The nurse in charge and the owner called me into the office [after I had reported abuse] and the owner asked me if I had a mortgage. I said I did, and he said, ‘if you don’t shut up about what happened, I’ll have your house off you.’ I was scared he might, so I said nothing.”Care staff member · Moore, 2017
“You see, this is the intimidation I am talking about, and I might lose my job for telling the truth.”CNA quoted in an Illinois state investigation record · 2022
“In nursing homes, retaliation against employees for lawful reporting of mistreatment is against federal law and can result in serious consequences.”Connecticut Long-Term Care Ombudsman Program
03
Research
- The courage to speak outCole et al. · 2019
- Factors influencing nurses’ decision to blow the whistle: A systematic reviewElsehrawy et al. · 2025
- Multidisciplinary reports of nursing home mistreatmentMcCool et al. · 2009
- Reasons for staff failure to report abuse of residents in nursing homesMoore · 2017
- React and actMyhre et al. · 2020
- Should I report?Winsvold Prang & Jelsness-Jorgensen · 2014
04
News and media
- Forgotten front line: Nursing home workers say they face retaliationNBC News
- Caregivers allege harassment and retaliation at Hastings veterans homeTwin Cities
- Nursing home operator denies retaliating against alleged whistleblowing nurseIowa Capital Dispatch · 2025
- Many nursing home staff fearful of retaliation by superiors, studyMcKnight’s