A Birchington ward councillor says litter, overflowing rubbish bins, uncut grass and dangerous paving stones in the village are the worst she has ever seen in more than 23 years as a resident.
Cllr Suzanne Brimm has complained to Thanet District Council and Kent County Council about issues in Station Road.
The mum-of-two says two elderly people have already suffered injuries after falling over uneven slabs and fears a serious injury could have fatal consequences.
She said: “Two elderly people have fallen over recently because of the paving slabs and had the ambulance called out.
“As at least a third of Birchington residents are in the retirement age group this issue needs some attention. If someone older falls over they are more likely to suffer serious broken bones and with the possibility of infection may not come home from the hospital. The problem area has the main footfall to access the shops and it is becoming a liability.”
Cllr Brimm is due to meet representative from KCC to discuss the state of the slabs in the main village road.
She has also made a complaint to Thanet council over a lack of street cleaning in the village.
She said: “It is absolutely disgusting and has really gone downhill.
“I fought to get our street cleaner back in Birchington after he was moved to Westgate and it took six months but now he is off for personal reasons and there has been no service. We need to fight again. We have the mechanical sweeper but that just does the kerbs, the pavements are neglected.”
Cllr Brimm says representatives of the village must speak up and get the situation dealt with.
She added: “I have never seen it this bad, there is dog fouling, litter, rubble, broken paving slabs, it’s a mess.”
Thanet district and Kent county councils have been contacted for comment.