And federal inspection records cover only nursing homes. The researchers estimated that about 4 percent of assisted living residents and 5 percent of nursing home residents experienced physical assaults in a month. For assisted living, the equivalent records are held by the state licensing agency, and families have to know to ask. The confirmed finding is that resident-to-resident abuse led federal nursing home abuse citations in early 2026. That in the first quarter of 2026, CMS cited nursing homes more often for resident-to-resident abuse than for any other category of abuse, neglect, or exploitation, including abuse by staff.