My grandma is in a nursing home and has been for a while; there have been hygiene issues and my mom brings them up to the staff and they are resolved, temporarily, but it's like they only do it when they're forced to (just generaly cleanliness, her hands & nails get dirty and they never clip her nails). Today we made a surprise visit (the nursing home is about 40 minutes from where we live, Grandma wanted to go back to live where she grew up) and it was nearing 10 a.m.; she has a colostomy bag and it was very full & naturally smelled bad and there were flies flying around her; the clothes she had on were dirty. Well we got a C.N.A. into her room to change her right away and then my mom started going through the dresser drawers because they had a problem with mice last year, well apparently the mice were back because there were a lot of droppings. Someone came in to clean right away and then the maintenance guy came in and said they'd get someone to figure out the problem. Is this just standard care for a nursing home? It is supposedly one of the best around and my mom doesn't know if she should do anything and I don't really feel like I should butt in because it's not like I can visit that often. We tend to all be non-confrontational so sometimes let things slide but what would you do in this situation (if anything)?