The Nursing Home Complaint Guide
Adult Protective Services Guide

Adult Protective Services in Maine

“If you suspect a vulnerable adult is being abused or neglected, immediate intervention is not just a moral obligation—it is a pathway to legal restoration.”

Nick Kassatly, Esq.

Reviewed by Nick Kassatly, Esq. · Updated May 28, 2026

Immediate Assistance

Reporting is confidential — 24 hours a day, 7 days a week.

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Maine APS Hotline

1-800-624-8404

Adult Protective Services (APS), Office of Aging and Disability Services

Connect directly with Maine's state-mandated Adult Protective Services for immediate reporting and advocacy.

Hearing Impaired

TTY Hotline

For individuals who are deaf or hard of hearing.

711 (Maine Relay)

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Maine Adult Protective Services (APS), operated through the Office of Aging and Disability Services within the Maine Department of Health and Human Services, investigates reports of abuse, neglect, exploitation, and self-neglect affecting incapacitated and dependent adults living in the community. If you believe an adult in Maine is being harmed or is unable to protect themselves, call the 24/7 APS hotline at 1-800-624-8404 or submit a report online.

How to Report Elder Abuse in Maine

Maine offers two ways to report suspected abuse, neglect, or exploitation of a vulnerable adult: by telephone and through an online reporting portal.

Report by Phone

Call Maine APS at 1-800-624-8404. The hotline is staffed 24 hours a day, 7 days a week, including weekends and holidays. In-state callers who are deaf or hard of hearing can use Maine Relay by dialing 711. Out-of-state TTY callers can reach the after-hours line at 207-287-3492. An intake worker will document the report and determine the appropriate response level.

Report Online

Maine's online reporting portal is available at https://www.maine.gov/dhhs/oads/get-support/aps/report-abuse-neglect-exploitation. The portal allows community members, mandated reporters, and professionals to submit reports electronically. Online reports are appropriate for non-emergency situations. For situations involving immediate danger, call 911 first and then use the phone hotline.

Emergency Situations

If an incapacitated adult in Maine faces immediate danger — a medical emergency, a physical assault in progress, or other life-threatening circumstances — call 911 immediately. APS investigators are social service workers, not emergency first responders. After contacting emergency services, call 1-800-624-8404 to initiate an APS investigation.

What Information to Have Ready Before You Call

Providing as much information as possible when you report helps APS respond effectively. Gather the following if you can:

  • The full name, age, and address of the person you believe is at risk
  • A specific description of the suspected abuse, neglect, or exploitation — including what you observed, when, and how often
  • The name and relationship of the person suspected of causing the harm
  • Information about the victim's physical or mental condition and any known disabilities
  • Names of other people who may have witnessed or have relevant knowledge
  • Your contact information (you may report anonymously, but contact details help with follow-up)
  • Whether the person has a legal guardian, conservator, or power of attorney

Types of Elder Abuse APS Investigates in Maine

Maine APS is authorized under 22 M.R.S. Chapter 958-A to investigate the following forms of maltreatment:

  • Physical abuse — intentional acts causing physical injury or pain, including hitting, restraining, or improper use of medications
  • Sexual abuse — any non-consensual sexual contact or exploitation
  • Emotional abuse — verbal threats, humiliation, isolation from support systems, or psychological intimidation
  • Confinement — unlawful or inappropriate physical restriction of movement
  • Financial exploitation — theft, misuse of funds, unauthorized transfers of property, or misuse of power of attorney
  • Neglect — a caretaker's failure to provide basic needs such as food, medical care, shelter, or personal hygiene assistance
  • Self-neglect — an adult's inability or refusal to provide for their own essential needs, putting them at risk of serious harm

Warning Signs of Elder Abuse

Recognizing the warning signs of abuse or neglect can prompt timely intervention. The following indicators — especially when they appear suddenly or repeatedly — may signal that a vulnerable adult needs help.

Physical Signs

  • Unexplained bruises, burns, cuts, or injuries in various stages of healing
  • Bedsores, pressure wounds, or evidence of prolonged neglect of personal hygiene
  • Sudden weight loss, dehydration, or signs of malnutrition
  • Injuries inconsistent with the explanation offered by the caregiver
  • Evidence of restraints or confinement

Behavioral Signs

  • Sudden withdrawal, fearfulness, or anxiety — especially around a particular caregiver
  • Confusion or disorientation greater than expected for the person's condition
  • Reluctance to speak or make eye contact when a caregiver is present
  • Depression, hopelessness, or talk of being trapped or worthless
  • Sudden changes in behavior, personality, or daily habits

Financial Signs

  • Unexplained large withdrawals from bank accounts or missing funds
  • Sudden changes to a will, trust, power of attorney, or beneficiary designations
  • Unpaid bills or utilities that have been shut off despite adequate financial resources
  • A caregiver controlling access to the person's money or financial documents
  • Missing valuables, checks, or financial statements

Who Can (and Must) Report Abuse in Maine

Any person who suspects that an incapacitated or dependent adult is being abused, neglected, or exploited may report to APS in Maine. Reports may be made anonymously.

Maine law at 22 M.R.S. §3477(1) designates specific professionals as mandated reporters who are required to report immediately when they have reasonable cause to believe a vulnerable adult has been abused, neglected, or exploited. Mandated reporters include physicians, nurses, dentists, and other medical professionals; mental health practitioners; caregivers; law enforcement officers; and clergy (except in strictly confidential communications).

Good faith reporters — including mandated reporters — are immune from civil and criminal liability under Maine law. Reporter identities are kept confidential under 22 M.R.S. §3474.

What Happens After You Report to APS in Maine

After you submit a report, Maine APS follows a structured investigation process:

Step 1 — Intake Screening

An intake worker reviews the report to determine whether it meets Maine's criteria for investigation — specifically, whether the subject is an incapacitated or dependent adult and whether the reported conduct falls within APS jurisdiction. Reports involving residents of licensed facilities may be referred to the Department of Health and Human Services licensing division or law enforcement.

Step 2 — Response Timeline

Under OADS Rule Chapter 2, Maine APS initiates investigations within 5 business days of receiving a report. Emergency situations — where the adult faces imminent risk of serious harm — receive a same-day or next-day response. The investigation is completed and findings are issued within 30 days, though extensions may be granted when circumstances require additional time.

Step 3 — Investigation

An APS caseworker conducts a face-to-face visit with the reported adult in their home or care setting. The worker interviews the individual privately where possible, observes the environment, and speaks with family members, caregivers, neighbors, and health care providers. Medical records, financial documents, and prior reports may be reviewed. Criminal conduct is referred to law enforcement.

Step 4 — Service Plan and Outcome

If the investigation substantiates abuse, neglect, or exploitation, APS develops a service plan in partnership with the adult whenever they have the capacity to participate. Available services include emergency placement, medical and mental health referrals, in-home assistance, legal advocacy, and financial management support. Adults with decision-making capacity retain the right to refuse services. If the person lacks capacity and faces ongoing danger, APS may seek court-authorized protective action.

APS vs. Long-Term Care Ombudsman — Who Handles Nursing Home Abuse in Maine?

Maine APS investigates abuse and neglect in community settings — private homes and non-licensed care arrangements. It does not typically investigate complaints about the care or conduct of staff in licensed nursing homes, assisted living facilities, or residential care facilities.

For concerns about licensed long-term care facilities in Maine, contact the Maine Long-Term Care Ombudsman Program at 1-800-499-0229. The Ombudsman investigates complaints about the quality of care, residents' rights, and facility conditions. The Maine DHHS Division of Licensing and Certification handles regulatory complaints and inspections of licensed care facilities.

For a complete guide to filing a nursing home complaint in Maine, see our Maine Nursing Home Complaint Guide.

Additional Resources in Maine

Reports to Maine APS are confidential and anonymous reports are accepted. If you are concerned about a vulnerable adult in Maine, call 1-800-624-8404 or use the online reporting portal.

Protecting Your Privacy

APS records are confidential under 22 M.R.S. §3474. Reports may be made anonymously.

Good-Faith Immunity

Good faith reporters are immune from sanctions under 22 M.R.S. §3477 and OADS Rule Chapter 2.

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APS vs. Long-Term Care Ombudsman

APS investigates abuse of vulnerable adults in community settings. If your loved one lives in a licensed nursing home or assisted living facility, the Maine Long-Term Care Ombudsman Program may be the right contact.

Frequently Asked Questions

Can I report elder abuse anonymously in Maine?expand_more
Yes. Maine APS accepts anonymous reports by phone at 1-800-624-8404 and through its online reporting portal. Reporter identities are kept confidential under 22 M.R.S. §3474. Providing your contact information allows investigators to follow up if they need clarification, but it is not required.
How long does an APS investigation take in Maine?expand_more
Maine APS is required to initiate investigations within 5 business days of receiving a report under OADS Rule Chapter 2. Emergency situations receive a same-day or next-day response. Investigations are completed and findings are issued within 30 days, with extensions permitted when additional time is needed.
Can APS remove an adult from their home in Maine?expand_more
APS cannot remove an adult who has mental capacity and refuses help. If an incapacitated adult faces life-threatening danger and lacks the capacity to make decisions, APS can seek court authorization for protective intervention, which may include emergency placement in a safe setting.
What if the person doesn't want help from APS?expand_more
Adults with mental capacity have the right to refuse APS services in Maine, even in abusive situations. APS will continue to offer assistance and monitor the situation. If there is reason to question the person's capacity, APS may pursue a formal capacity evaluation and seek court-authorized intervention as a last resort.
What information do I need to make a report?expand_more
Provide the adult's name, age, and address; a description of the suspected abuse or neglect; the name and relationship of the alleged abuser; and any known medical or mental health conditions. You do not need proof — reasonable cause to suspect abuse is sufficient.
Is reporting mandatory in Maine?expand_more
Yes, for designated mandated reporters. Under 22 M.R.S. §3477(1), certain professionals — including physicians, nurses, mental health providers, caregivers, and law enforcement — are required to report immediately when they have reasonable cause to believe abuse or neglect has occurred. Any member of the public may also report. Good faith reporters are protected from liability.
What is the difference between Maine APS and the Long-Term Care Ombudsman?expand_more
Maine APS investigates abuse and neglect of vulnerable adults living in community settings such as private homes. The Maine Long-Term Care Ombudsman Program handles complaints about care quality and residents' rights in licensed facilities including nursing homes and assisted living. For nursing home concerns, call the Ombudsman at 1-800-499-0229.
What types of cases does Maine APS not handle?expand_more
Maine APS does not investigate abuse of children (handled by child protective services) or complaints about licensed care facilities (handled by the Ombudsman and the DHHS Division of Licensing and Certification). APS focuses on adults 18 and older who are incapacitated or dependent and live in non-licensed settings.

Not Sure Where to Start?

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