
When you place a parent, grandparent, or spouse in a nursing home, you’re trusting that facility to keep them safe. Discovering signs that your loved one may be mistreated is frightening, and many families aren’t sure what to do next. Who do you call? What if you’re wrong? Will reporting make things worse for your loved one?
South Carolina has a specific system for reporting abuse, neglect, and exploitation of vulnerable adults, and the right agency depends on where the abuse happened. Knowing where to turn can help you act quickly and protect your loved one.
If you suspect nursing home abuse in Kingstree, Lake City, or anywhere in South Carolina, here’s what you need to know.
Quick Answer: To report nursing home abuse in South Carolina, call the Long Term Care Ombudsman Program at 1-800-868-9095. The Ombudsman handles reports involving nursing homes, assisted living facilities, and community residential care facilities. If your loved one is in immediate danger, has a serious injury, or may have been sexually assaulted, call 911 first.
What Are the Signs of Nursing Home Abuse or Neglect?
Abuse doesn’t always leave obvious marks. Watch for changes like these:
Physical Abuse or Neglect
- Unexplained bruises, cuts, burns, or fractures
- Bedsores (pressure ulcers)
- Sudden weight loss or signs of dehydration
- Poor hygiene, soiled clothing, or unclean bedding
- Repeated falls or injuries staff can’t explain
- Signs of being restrained or over-medicated
Emotional or Psychological Abuse
- Withdrawal, fearfulness, or unusual anxiety
- Flinching or becoming quiet around certain staff members
- Sudden changes in mood or behavior
Financial Exploitation
- Missing money, jewelry, or personal belongings
- Unexplained bank withdrawals or new credit card charges
- Changes to a will, power of attorney, or accounts that your loved one doesn’t understand
Trust your instincts. You don’t need proof to make a report. You only need a reason to believe something is wrong.
Who Do You Report Nursing Home Abuse to in South Carolina?
Under South Carolina’s Omnibus Adult Protection Act, different agencies investigate abuse depending on where it occurred:
| Where the abuse happened | Who to contact | Phone |
|---|---|---|
| Nursing homes, assisted living, and community residential care facilities | Long Term Care Ombudsman Program | 1-800-868-9095 |
| Facilities operated or contracted by the state’s mental health or intellectual and developmental disabilities offices | SLED Vulnerable Adults Investigations Unit | 1-866-200-6066 |
| A private home or other community setting | Adult Protective Services (SC Department of Social Services) | 1-888-227-3487 |
| Emergencies, serious injuries, or suspected sexual assault | Local law enforcement | 911 |
If you call the wrong agency, don’t worry. State law requires agencies to forward reports outside their jurisdiction to the correct agency by the next working day.
Local Ombudsman Offices
South Carolina’s Ombudsman Program works through regional offices. Families in Williamsburg County, including Kingstree, Hemingway, and Greeleyville, are served by the Waccamaw region office. Families in Florence County, including Lake City, Johnsonville, and Scranton, are served by the Pee Dee region office. The statewide number above will connect you to the right office.
Filing a Licensing Complaint
You can also file a complaint about a licensed facility with the South Carolina Department of Public Health (DPH), which inspects and licenses nursing homes and assisted living facilities. DPH accepts complaints through its online portal or by phone at 1-800-922-6735. A licensing complaint doesn’t replace an abuse report, but it can trigger an inspection of the facility.
How to Report Nursing Home Abuse: Step by Step
- Make sure your loved one is safe. If they are in immediate danger or need urgent medical care, call 911.
- Document what you see. Take photos of injuries and living conditions, and write down dates, times, names of staff, and what your loved one tells you.
- Call the correct agency. For nursing homes and assisted living, call the Long Term Care Ombudsman at 1-800-868-9095.
- Give as much detail as you can, including the facility name, your loved one’s room number, what happened, and any witnesses.
- Write down your report information, including the date, the name of the person you spoke with, and any reference number.
- Notify the facility in writing, if it’s safe to do so, and keep a copy of your letter or email.
- Request your loved one’s medical records if you have legal authority to do so.
- Follow up with the investigating agency and keep visiting regularly.
- Speak with a nursing home abuse attorney about your family’s rights.
Who Is Required to Report Abuse in South Carolina?
South Carolina law requires many professionals to report suspected abuse, neglect, or exploitation of a vulnerable adult. Mandatory reporters include:
- Physicians, nurses, and other medical professionals
- Mental health professionals and counselors
- Social workers
- Caregivers and nursing home staff and volunteers
- Law enforcement officers
These reporters must make a report within 24 hours or the next working day. Any other person with actual knowledge of abuse must also report it. A mandatory reporter who knowingly and willfully fails to report can face criminal penalties. Facilities are not allowed to create policies that interfere with these reporting duties.
Family members and friends who simply suspect something is wrong aren’t required to report, but they are encouraged to.
Will I Get in Trouble for Reporting?
No, as long as you report in good faith. South Carolina law protects people who report suspected abuse:
- Good-faith reporters are immune from civil and criminal liability.
- Employees are protected. It is against South Carolina public policy to change an employee’s job status solely because they reported abuse or cooperated with an investigation.
- Intimidation is a crime. Threatening or intimidating a vulnerable adult, witness, or anyone cooperating with an investigation is punishable under state law.
If you’re worried your loved one may face retaliation after a report, tell the investigator and keep a close eye on their care.
What Happens After You File a Report?
Once the Ombudsman or Adult Protective Services receives a report, they must promptly begin an investigation or review the report within two working days to decide whether it should be referred to law enforcement or SLED for possible criminal conduct. Investigators may visit the facility, interview residents and staff, and review records.
Investigation results can lead to corrective action, licensing penalties, or criminal charges. However, investigators work for the state, not for your family. They don’t recover compensation for your loved one’s injuries.
Reporting Abuse vs. Filing a Lawsuit
Reporting abuse helps stop it. A civil claim can help your family recover compensation and hold the facility accountable. These are separate processes, and you can pursue both.
A nursing home abuse claim may help recover:
- Medical expenses related to the abuse or neglect
- Pain and suffering
- Emotional distress
- Costs of moving your loved one to a safer facility
- Compensation for financial exploitation
If abuse or neglect led to a loved one’s death, the family may have a wrongful death claim. In most cases, these claims must be filed within three years, but some deadlines can be shorter, so it’s important to act quickly.
Frequently Asked Questions
Can I report nursing home abuse anonymously in South Carolina?
Yes. The Long Term Care Ombudsman Program accepts anonymous complaints. Sharing your contact information, however, makes it easier for investigators to follow up with you.
Do I need proof before I report abuse?
No. You only need a reasonable belief that abuse, neglect, or exploitation may be happening. Investigators are responsible for gathering evidence.
What if the abuse happened in an assisted living facility instead of a nursing home?
Report it the same way. The Long Term Care Ombudsman Program handles reports involving nursing homes, assisted living, and community residential care facilities.
How quickly should I report suspected nursing home abuse?
As soon as possible. Mandatory reporters must report within 24 hours or the next working day, and emergencies should be reported to 911 immediately.
Should I move my loved one out of the facility?
If you believe your loved one is in danger, moving them may be the right choice. Talk with their doctor and an attorney about how to do so safely while preserving evidence.
Protect Your Loved One and Their Rights
No family should have to worry that a loved one is being harmed by the people paid to care for them. If you suspect nursing home abuse or neglect, report it right away. Then make sure your family understands its legal options.
The attorneys at Sabb Law Group help families in Kingstree, Lake City, and communities throughout Williamsburg County, Florence County, and the Pee Dee stand up for vulnerable loved ones. We can investigate what happened, gather records, and hold negligent facilities accountable.
Contact Sabb Law Group today or call our Kingstree office at (843) 355-5349 or our Lake City office at (843) 374-1628 to schedule your free consultation.