However noble this occupation may be there are many deficiencies in nursing homes today and many of these skilled professionals may not be very professional all. Nursing care aids shortage in staff and there are many cases of theft, physical abuse and even sexual abuse. There is an expectation of trust that needs to be upheld and professional nursing home care givers sometimes break that trust and may be accused of nursing home abuse. These care givers need to be held accountable for their actions. Often times the elderly are physically and sometimes mentally incapable, suffering from alzheimers and other illnesses. Being abused and taken advantaged of with no means of defending themselves can be a frustrating and cruel thing to endure.