Sexual abuse is an ongoing problem in all types of residential care settings. Residential care facilities—whether children’s homes, group homes, disability support residences, or elder care settings—are intended to provide safe, supportive environments for individuals who need daily assistance. Families place deep trust in these institutions, believing they will protect and nurture residents. When sexual abuse occurs in residential care facilities, it represents not only a profound violation of personal safety but also a devastating breach of institutional responsibility.
Recovering from sexual abuse takes time, and the journey looks different for every survivor. Still, learning about how abuse can happen in residential care and knowing what legal protections exist can help families feel better equipped to respond. This page explores how abuse can occur in residential care, the unique challenges survivors face, and the legal options available to aid in justice and healing.
What Is Residential Care Sexual Abuse?
Sexual abuse in residential care involves any unwanted sexual contact, coercion, or exploitation that occurs within the facility. It can include:
- Contact acts such as rape, molestation, or inappropriate touching
- Non-contact acts such as sexual harassment, voyeurism, indecent exposure, or coercive conversations
Residential care sexual abuse may be committed by staff members, visitors, or, in some cases, other residents in the residential care facility. Survivors are often particularly vulnerable due to age, disability, or dependence on caregivers for daily needs, making it harder to recognize, resist, or report misconduct.
Alarming Statistics Behind Sexual Abuse in Residential Care
Sexual abuse in residential care facilities is far more common than many people realize. Tracking the true scale is difficult because there is no unified national system that records cases of sexual abuse in long-term care, meaning that the reported numbers likely fall short of the actual figures.
According to a 2017 World Health Organization (WHO) review, sexual abuse was the least reported form of mistreatment in residential care settings. Shame, fear, and lack of reporting channels are often cited as barriers. In that same study, less than 1% of staff acknowledged witnessing or knowing about abuse, while fewer than 2% of residents—or those speaking on their behalf—disclosed experiencing it.
Reports collected by the Administration for Community Living (ACL) highlight the seriousness of the issue. Over the past two decades, around 20,000 allegations of sexual assault in senior care have been logged, averaging three cases each day. These numbers only reflect incidents involving staff and visitors, not abuse between residents, suggesting that the real total is far higher.
Independent investigations on residential care sexual abuse back up these concerns. A CNN review found that over 1,000 nursing homes had been cited for abuse-related violations. Alarmingly, many of those facilities were cited again later for ignoring complaints or continuing to employ staff with prior records of sexual misconduct.
As with broader sexual violence statistics, elderly women are at disproportionate risk. Women living with dementia or other cognitive impairments are especially vulnerable, making them more likely to be targeted and less likely to be believed when they try to report.