Sandwell and West Birmingham NHS Trust has been warned by the national health watchdog that it must do better on elderly care.
Care Quality Commission (CQC) inspectors ruled that Sandwell Hospital, in West Bromwich, was failing to meeting all quality and safety standards.
City Hospital, in Winson Green, Birmingham, was found to meet requirements but told it needed to make improvements.
Inspectors investigating nutrition, privacy and dignity of the elderly visited two wards at Sandwell Hospital and criticised staff for being “extremely busy resulting in insufficient attention being given to patients”.
They were also unhappy about minimal interaction between staff and patients, described nutritional assessments as “patchy”, felt nurses were “rushed” and were concerned there were not enough staff available to ensure patients had enough support for them to eat.
The report into Sandwell cites moderate concerns about privacy and dignity and major concerns about nutrition.
Comments on City Hospital were largely positive, complimenting the care patients were receiving, stating that the hospital was meeting the essential standards of care, but pointing out the need to improve record keeping.
Rachel Overfield, chief nurse for Sandwell and West Birmingham Trust, said: “Inspectors were generally complimentary about the quality of care.
"On ward Newton 4, it had been put under pressure a few hours before the visit, opening 14 extra beds overnight for emergency admissions, and was struggling to cope with the workload.
“We have recognised this practice was creating unacceptable pressure on nursing staff and affecting quality.
"Since the CQC visit we have put in place tighter controls on the opening of additional beds.”