Flagship research · Nursing homes

Nobody Spoke Up

Staff Fear of Retaliation in America’s Nursing Homes

Read the June 2026 report

Key study findings

The report describes a review of 101 state investigation reports involving 100 nursing homes in 35 states, with investigations completed from December 2017 through November 2025.

33.6%

of citations in the study sample were described as Immediate Jeopardy, compared with 20.2% nationally.

Source: Nobody Spoke Up: Staff Fear of Retaliation in America’s Nursing Homes (Eilon Caspi, PhD, June 2026).