The staff that cares for a resident on a daily basis must pay attention to subtle changes in the resident’s condition to recognize and seek help for possible medical conditions before they worsen. These conditions can include bed sores, infections, cuts, diabetes, cognitive diseases, and mobility concerns such as inability to walk or transfer from bed to standing or sitting safely without assistance.

Too often, however, the corporate management making staffing and budgetary decisions puts corporate profit over resident safety, leading to understaffing, overstressed workers, and neglected—or even abused—nursing home residents.

Table of Contents

What are the types of nursing home neglect?

Broadly speaking, neglect can be broken down into the following categories, although an attentive family or careful nursing home neglect lawyer will discover multiple issues of neglect in a single facility:

Personal hygiene neglect occurs when nurses or nurse aides do not provide adequate assistance with laundry, cleaning, bathing, brushing their teeth, or other forms of hygienic practices. When it comes to older people who are not able to care for themselves, hygiene can be a matter of life and death. For example, leaving them in soiled linens can lead to urinary tract infections (“UTIs”) or infected bedsores.

Basic needs neglect occurs when a nursing home neglects to provide reasonable food, water, or a safe and clean environment. This can lead to serious, even deadly, dehydration or malnutrition, skin breakdowns due to poor nutrition, falls, or serious illness.

Medical neglect occurs when a nursing home fails to provide adequate attention to a resident’s medical needs, such as failing to prevent or adequately treat medical issues like bedsores, urinary tract infections, infections, pneumonia, and the like.

Emotional or social neglect occurs when nursing home staff repeatedly ignores, abandons, or acts rudely or dismissively to a resident, often because the staff is overstressed from inadequate staffing and being overworked. Often times, this is seen in conjunction with abuse, poor care, or other forms of neglect, at a facility that is being run to put corporate profits over resident safety.

How do I know if my loved one is being neglected in a nursing home?

The first sign of neglect is usually too few staff present at the nursing home and residents’ basic needs not being met: the resident not dressed or out of bed at a reasonable time, needing to go to the bathroom, unanswered call lights when family arrive and need help, soiled linens, urinary tract infections.

Often these issues are explained away as a “one time” or unusual event by staff. Do not assume that is true. While physical signs of nursing home neglect like malnutrition, dehydration, and bedsores may be more easily identifiable for a nursing home resident’s family when they visit, it is not unusual for these issues to be hidden or not disclosed to the family, as required.

If you are told you “have to” leave while a resident is changed or otherwise cared for, they may be hiding a bedsore or bruising.

The bottom line is that while you can—and in some sense, have to—trust the nursing home to care for your loved one, never assume you are being told everything, or even the truth. Verify. Ask your loved one questions, probe the staff when there are signs of problems (discussed in detail below), ask to see any issues like bedsores yourself, ensure the director of nursing or administrator is involved, and get to know and recognize staff.

Critical signs of nursing home neglect

Here are some critical signs of nursing home neglect that should put you on alert that intervention is needed immediately to change a possibly deadly course of decline:

Bedsores (also called pressure ulcers);
Poor hygiene;
Sudden, unusual, or unexpected weight loss;
Injuries from nursing home falls;
Dehydration;
Malnutrition;
Changes in behavior or emotional state, such as becoming withdrawn, confused, or disoriented;
Changes in personal hygiene or appearance efforts, such as not getting dressed, out of bed, or other changes in routine;
Unsafe room or facility conditions, such as poor lighting, slippery floors, unsafe mobility equipment, or unsafe furniture in the nursing home resident’s room;
Staff refusing to let family members or friends visit the resident;
Resident being kept in an overmedicated state.

Do any of these sound familiar? Keep reading, or contact us to discuss the specifics of your story. The call is always free.

What Can I do about nursing home neglect?

Neglect can be insidious. It is possible a single aide or nurse is dropping the ball—failing to ensure proper food or fluid intake, not turning a resident who needs help, not changing depends or linens promptly, not toileting on schedule—because they only work a few shifts a week. This might be impossible to recognize. Hopefully it is also not enough to harm the resident.

Much more likely and potentially deadly is a systemic failure, where most aides and nurses are missing something that could potentially harm residents every shift that they work. This can be because they are too short staffed, overworked, and underpaid to get to everything (or not even given the information they need to know to provide adequate care).

That does not make it right, but it means the nursing home corporation is to blame, putting its profit over resident safety.

What I have seen is that the more involved the family—the more they visit, see, report, complain, discuss, request, even pester—the better the care that resident receives. The squeaky wheel gets the grease. But no matter how attentive a family, a true system-wide understaffing will catch up to almost any resident eventually.

When visiting with a loved one living in a nursing home, watch for signs of nursing home neglect, emotional distress, sudden or unexplained decline, changes in health, repeat issues like UTIs or pneumonias. Communication between family members and nurses can play a critical role in elder resident care in an understaffed nursing home.

What if the neglect has already injured or killed a resident?

I get two types of nursing home neglect calls: (1) angry family whose loved one has not been getting good care, but the loved one is either not seriously harmed, or recovered well, and (2) shocked family whose loved one has been seriously injured or even killed by nursing home neglect.

For the first group, I’m always happy to give advice about resources to improve care, report problems, and the like. Hopefully the problem never recurs.

For the second group, there’s usually no other option than retaining a nursing home neglect lawyer to investigate. In my experience, families never get the whole story until a lawyer like me steps in to investigate. I wish it weren’t so. If nursing homes were more open and willing to admit their failures, there would be many fewer lawsuits.

Read more on nursing home lawsuits to learn how they work, what you can and should do before hiring a nursing home neglect lawyer, and questions to ask lawyers before hiring them.

You can also report a nursing home to state and federal agencies responsible for monitoring nursing homes. See my article on How To Report an Ohio Nursing Home for Abuse or Neglect for details.

How Common is Nursing Home Neglect?

What we know is that nursing home neglect—a subset of abuse—is under-researched and under-reported. According to The National Center on Elder Abuse, “Elder abuse is also underreported. The New York State Elder Abuse Prevalence Study found that for every case known to programs and agencies, 24 were unknown.” That’s truly shocking.

This groundbreaking study also estimated 260,000 (1 in 13) older adults in the state of New York had been victims of at least one form of elder abuse in the preceding year.

You can read the report here.

Who Should I Contact if I Suspect Nursing Home Neglect?

If you suspect that your loved one is the victim of nursing home neglect or you suspect that your loved one’s death at nursing home, you must act. One step is to file a complaint with the proper state agency. You can visit the Medicare.gov website to find out where you need to file a complaint by state here.

Filing a complaint against the nursing home begins the process of holding the nursing home responsible for violating regulations. According to the Medicare.gov website you should file a complaint if:

you’re concerned about the health care, treatment, or services that you or another person got or didn’t get in the nursing home. Some reasons for filing a complaint would be abuse, neglect, poor care, not enough staff, unsafe or unsanitary conditions, dietary problems, or mistreatment.

You should be aware of the importance of reporting neglect. Unfortunately, several forms of neglect can lead to serious injury, even death. The Center for Medicare and Medicaid Services also provides the following information and resources for reporting nursing home neglect:

If you have concerns about treatment of a nursing home resident, contact your local ombudsman. Contact information is provided on signs posted throughout the nursing facility, or visit http://theconsumervoice.org/ get_help on the National Consumer Voice for Quality Long-Term Care website to find one in your area.
Report any abuse of a nursing home resident to your State Medicaid Fraud Control Unit. It is the agency’s job to investigate allegations of patient abuse in nursing homes. You may also contact the U.S. Department of Health and Human Services, Office of Inspector General by email at HHSTips@oig.hhs.gov or by telephone at 1-800-HHS-TIPS (1-800-447-8477), TTY: 1-800-377-4950.

Another option is to hire a Nursing Home Neglect Attorney.

FAQs about Nursing Home Neglect Reporting

Who is in charge of nursing home neglect reporting?

This is two-fold. Nursing homes are federally monitored by the Center for Medicare and Medicaid Services (CMS). There are typically state agencies that gather information, perform audits, and enforce regulations.

What were the most recent findings on nursing home abuse by the Inspector General?

According to an article posted on www.Modernhealthcare.com, the United States Inspector General has found that MANY nursing home abuse and neglect cases are going unreported by nursing homes and other healthcare facilities. This is problematic because they are required by federal law to do so.

The article reports the following:

Overall, unreported cases worked out to 18% of about 37,600 episodes in which a Medicare beneficiary was taken to the emergency room from a nursing facility in circumstances that raised red flags.

Responding to the report, CMS Administrator Seema Verma said the agency does not tolerate abuse and mistreatment and slaps significant fines on nursing homes that fail to report cases.

Verma said the CMS is already moving to improve supervision of nursing homes in critical areas such as abuse and neglect and care for patients with dementia.

The CMS officially agreed with the inspector general’s recommendations, including clearer guidance to nursing facilities about what kinds of episodes must be reported, improved training for facility staff, and requirements that state nursing home inspectors record and track possible problems as well as incidents reported to law enforcement.

Neglect and abuse of elderly patients can be difficult to uncover. Investigators say many cases are not reported because vulnerable older people may be afraid to tell even friends and relatives much less the authorities. In some cases, neglect and abuse can be masked by medical conditions.

How do I approach my loved one in a nursing home who I think is the victim of neglect?

If you are concerned about the health and well-being of your elderly loved one, you can look for signs of neglect.

Bedsores (also called pressure ulcers);
Poor hygiene;
Sudden, unusual, or unexpected weight loss;
Injuries from nursing home falls;
Dehydration;
Malnutrition;
Changes in behavior or emotional state, such as becoming withdrawn, confused, or disoriented;
Changes in personal hygiene or appearance efforts, such as not getting dressed, out of bed, or other changes in routine;
Unsafe room or facility conditions, such as poor lighting, slippery floors, unsafe mobility equipment, or unsafe furniture in the nursing home resident’s room;
Staff refusing to let family members or friends visit the resident;
Resident being kept in an overmedicated state.

In addition to looking for signs of neglect, you can also ask your loved one how they are being taken care of. It is important to take how they feel about their care seriously, and if something they say is concerning, take the time to investigate.

Nursing Home Neglect Attorneys

I represent families of loved ones severely injured or killed by nursing home neglect, including from dehydration and malnutrition, failure to provide adequate assistance leading to a deadly fall, extreme neglect leading to bedsores, sepsis, and death, and more. I’ve helped them form the first call to me looking for help finding answers through trial.

It is never easy. But it is important and meaningful to find answers and hold a nursing home accountable when they cause injury or death by putting profits over safety.

If you’re ready to call and discuss your story, do so now at 216-777-8856. There’s no commitment or obligation, the call is free, and I’m happy to share my experience and knowledge. I can promise you I will be candid and direct. While we are very selective about the cases we take, I always try to help by at least answering questions and explaining the law on Ohio nursing home lawsuits.

If you want to think or read more, that’s fine, too. We’ve tried to make the website as informative as possible. You can complete the contact form on any page, and we’ll reach out to you.

Or you can learn more about me here: nursing home attorney William Eadie.

How do I Hire You to be my Nursing Home Neglect Lawyer?

The first thing to do is complete the contact form at the bottom of this page. That way, you can put in details that we can review before we schedule a phone call.

You can also call us at 216-777-8856 if you prefer.

You will likely not speak to us immediately, but will schedule a phone or in-person meeting. Why? Because we’re busy working on the important cases other families have entrusted to us. Just like we would not constantly take phone calls when we’re entrusted to work on your case.

You should also gather all the records and papers you have from the medical providers, go back and look for dates, names, and events that happened, and otherwise prepare to discuss the case. We’ll have a meeting and, if it seems like a case we’d be a good fit for, we’ll move into an investigation phase.

Once we’ve investigated, we’ll candidly tell you what we think about what happened, whether the medical provider is to blame, and what we think about the strength of the case.

Fair warning: we only take on clients whose cases we believe have very strong merits. We’re not lazy—the cases are still very complex, difficult, and expensive—but the risk to your family of being drawn into a difficult process with little chance of a positive outcome is not something we do.

Which means when we do take on a case, our reputation tells the other side this is a serious case we believe in.

If for whatever reason we do not take on the case, and we think there is some merit to the case, we’ll try and help you find a lawyer who might take it on.

Nursing Home Neglect Articles

Owner of Elderly Group Homes License is Revoked Forever Due to Neglect

An article on Ohio's own 21 WFMJ reports that an elderly group home owner has lost her license to operate indefinitely due to alleged neglect. The article, written by Leslie Barrett, Co-anchor/Reporter at WFMJ, states that Eugenia Mihas will never be able to hold a nursing home operators license in Ohio. The article states that:

The Ohio Department of Mental Health and Addiction Services is officially revoking Eugenia Mihas' licenses for Just Like Home I, II and III effective July 13. As part of the order directing the revocation, OhioMHAS Director Tracy Plouck confirmed and approved hearing examiner Ronda Shamansky's report and recommendation. Mihas will be permanently denied a new license if she applies again, according to OhioMHAS Director of Media Relations and Outreach, Eric Wandersleben. Wandersleben said that based on the law, she would not get a new license because of a finding of neglect.

People living in a nursing home need nursing attention and assistance with activities of daily living by definition: that’s why they are in a nursing home to begin with. Withholding that care—neglect—can range from ignoring hygiene needs like toileting to failing to provide appropriate medications as ordered by a physician. According to the article, there were several life threatening cases, one where an 88 year old woman had fallen and the staff at Just Like Home took two days to get her proper medical attention. The article also cites another case where one resident was denied prescribed medication for over two weeks. The article reports that:

Shamansky said there was overwhelming evidence of a long history of non-compliance with state rules and "several violations are of a type that are genuinely life-threatening and pose a very legitimate risk to the residents of the home." Just Like Home was cited for a finding of neglect, ...
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Young nurse does assessment on elderly woman

Admissions for New Residents Halted After Abuse Allegations

In Knoxville, Tennessee one of the largest nursing homes is in some serious trouble according to an article on knoxnews.com. The article reports that:

It was discovered that a bedridden dementia patient fractured both her knees in a fall but did not see a doctor and was left in agony for nine days.
The patient fractured her knees while falling out of bed in front of a nurse assistant, then complained of "intense pain," state records show. However, it took the nursing home five days to perform an x-ray, then another four days to have her be seen by a doctor.
The doctor then sent her for knee surgery at a hospital, where she died a month later.

There are many different kinds of nursing home abuse or neglect. Neglect is a caregiver’s failure to provide an older adult with life’s necessities, including, but not limited to, food, clothing, shelter, or medical care. Neglect can be unintentional or willful. It can also include neglecting hygiene leading to injuries like urinary tract infections (UTIs) or bedsores (pressure ulcers). The article explains that the state investigation revealed the following:

Medical records, reviewed during the investigation, show that the patient “complained of pain in her legs and knees daily,” and was “noted to have bruising and swelling of the knees,” but nursing home staff responded only by giving her pain medication, the documents state. At one point, another nursing assistant reported that the patient had "screamed" in pain and appeared to be desperate for help — saying "oh please, please please" — the documents state.
"The (certified nursing assistant) further stated she asked staff everyday if anything had been done for the resident, such as an x-ray, and was told no," the documents state.
Five days after the fall, the patient finally ...
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Resident Left With Infected Catheter and Covered in Vomit

According to an article on Ohio News 4's website, the Oklahoma Attorney General began to investigate three former nursing home workers when reports of a horrifying incident surfaced. The three women used to work at the Edwards Redeemer Nursing Home in Oklahoma City in 2015. The article reports that the man was transferred from the nursing home to an acute care center because he needed specialized attention for a wound on his heel. According to the article a probable cause statement stated that the man arrived in a terrible state.

When he arrived at the new facility, the affidavit states the victim was “pale and covered in vomit.” “Upon further examination of the Foley catheter the nurses discovered that the balloon of the catheter had only been inserted approximately 1 1/2 to 2 inches int he penis and the inflated balloon was protruding through the skin of the shaft of the penis creating an infected chronic non-healing posterior ulcer to the penis,” the report states.

This is an example of medical neglect. Medical neglect occurs when a nursing home fails to provide adequate attention to a resident’s medical needs, such as failing to prevent or adequately treat medical issues like bedsores, urinary tract infections, infections, pneumonia, and the like. People living in a nursing home need nursing attention and assistance with activities of daily living by definition: that’s why they are in a nursing home to begin with. Withholding that care—neglect—can range from ignoring hygiene needs like toileting to failing to provide appropriate medications as ordered by a physician. The staff that cares for a resident on a daily basis must pay attention to subtle changes in the resident’s condition to recognize and seek help for possible medical conditions before they worsen. These conditions can include bed sores, infections, cuts, ...
Read More

Three Residents Die of Neglect in Nursing Home

According to an article in the Des Moines Register, the Center for Medicare and Medicaid Services is allegedly fining the Casa de Paz Care Center because recently three residents have died due to potential neglect. The article reports that the Sioux City nursing home has received $45,750 in fines. The article states that the Casa de Paz has over 50 residents and has been accused of a number of neglect related accusations. The article reports that the nursing home has been fined for:

employing incompetent caregivers, neglecting residents with life-threatening conditions and denying residents their pain medication. The sanctions are based on state inspections that took place between December of last year and March of this year.

A report was given to state inspectors that alleges that the staff at the care facility failed to respond to a man who had respiratory complications. According to the article, the man had displayed respiratory distress for over twelve hours before being assessed. According to reports in the article, another victim had received specific orders for his care by his physicians. The nursing home apparently ignored the orders and did not provide the proper care. The inspection report claims that the man had notified staff that he was feeling poorly and they ignored his calls for help. He later passed away. The third victim died after having a back surgery. According to the article, the nursing homes failure to assess the victim's condition and provide the proper pain medications may have contributed to the victim's death. The article also reports that there were other accusations of neglect. One such accusation was that it was taking staff members at the Casa de Paz up to thirty three minutes to answer residents' call lights. Another resident claims that she was left soaked in ...
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elderly man's hand pointing at elderly abuse on the wall

Neglect: Is it Abuse?

Recently, the Centers of Medicare and Medicaid Services (CMS) made a substantial upgrade to existing nursing home legislation, the first upgrade of its kind in nearly 15 years. One important change that has been made has to do with the very definition of elderly abuse. According to the new legislation, the term "abuse" covers the following definition:

[T]he willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, pain or mental anguish. Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, and mental abuse including abuse facilitated or enabled through the use of technology. Willful, as used in this definition of abuse, means the individual must have acted deliberately, not that the individual must have intended to inflict injury or harm. (Emphasis has been added.)

CMS added and expanded upon other definitions of "abuse", "adverse event", "exploitation", "mistreatment", "neglect", and "sexual abuse". What does all of this mean for nursing homes and their residents? It means that CMS officially recognizes neglect as abuse. It increases the rights of nursing home residents because they have additional protections. As a relatively vulnerable group, elderly people deserve to be protected from nursing homes, and this is long over due. If you have a loved one that has suffered from some kind of neglect at a nursing home and you have questions regarding their situation, please contact me here. To begin, it is important to outline a few kinds of neglect:

Personal hygiene neglect occurs when nurses or nurse aides do not provide adequate assistance with laundry, cleaning, ...
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Nursing Home Leaves Resident to Die in Blistering Heat

An article in the My Palm Beach Post reports that a resident at the Lakeside Health Center in Palm Beach, Florida died a painful death after nursing home staff left her outside in the searing sun and heat. Eva Mae Rhodes, 98 died two weeks after the incident. According to the article, at the time of the incident, she was taken to St. Mary's Medical Center:

with a temperature of 103.2 degrees, suffering from heat stroke, severe dehydration and second-degree burns on her shoulders, arms and mouth, an investigator for the Florida Department of Children and Families concluded inadequate supervision was to blame. After Rhodes died two weeks later, the Palm Beach County Medical Examiner listed her cause of death as “hyperthermia” caused by exposure to the sun and heat.

She was left unattended in the heat and sun, and died from the nursing home's neglect. The article reports that there was little accountability by the nursing home staff. It reports the following:

According to the DCF report, no one knows how long Rhodes was left outside. One worker said she noticed Rhodes sitting on the patio at 11 a.m. At 12:37 a.m., paramedics were called after she was brought inside, near death. “Her shoulders were sunburned and blistered,” DCF investigator Janice Elliott wrote. “They are horrible. She fainted and she was unresponsive when she was found.”

Now that we are at the height of summer, and the temperatures in Ohio peak, it is extremely important to discuss cases of neglect such as this. It is important to ask questions of the nursing home staff and administration. Questions regarding outdoor policies and keeping your loved one hydrated as summer temperatures rise. What I have seen is that the more involved the family—the more they visit, see, report, complain, discuss, request, ...
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LPN Charged With Neglect in Death

An article in an Southern Illinois newspaper reports that a local woman is being charged with neglect of a resident resulting in death. She was responsible for a resident at the Collinsville Rehabilitation and Health Care Center. The nurse failed to provide the necessary care and follow the proper procedures in an emergency situation. The article in the Alton Telegraph states that:

Charged is Christy R. McCall, 41, of Belleville. She allegedly failed to give CPR to a resident who was having a fatal heart attack on June 30. Bail was set at $25,000. McCall, a licensed practical nurse, was charged Thursday. A report from the Illinois Department of Public Health states the Collinsville Rehabilitation and Health Care Center was fined $50,000 for an incident June 30, the same date as cited in the charging document.

This woman's failure to properly care for a resident led to this resident's death. According the the report, when the nurse discovered the resident who was lifeless, she stated that she did not know what to do. As a licensed care giver, this is absolutely unacceptable. There is no excuse for nursing home staff to not know what to do in emergency situations such as this. It comes down to the nursing home hiring poorly trained staff or the staffing agency that they hired provided staff that was poorly trained. Either way, it is inexcusable. If you feel that the staff taking care of your loved one at a nursing home is poorly trained, it is important to say something to the administrator of the facility immediately. It could be a matter of life and death such as this one. As more details were uncovered, this incident gets scarier and scarier. In addition to not knowing what to do, the nursing assistants are reported to ...
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Guess what? That’s true for just about any plaintiff’s lawyer. It’s what a “contingency fee” means. It doesn’t mean they’ll work hard. Or get a good result for you. It doesn’t mean much at all.

What we promise you is a NO FEAR guarantee.

What does that mean? For 99% of our clients, a medical injury caused by negligence is new. The medical malpractice lawsuit process is new. Depositions, discovery, trial . . . everything is new.

New can be scary. Especially when it involves having to testify under oath.

We’ve developed systems that let you address and move past the fear. Through education and information about the process. Role-playing and other preparation techniques. We empower you to be fearless. Because this process is hard enough.

Find the Right Nursing Home Abuse and Neglect Lawyers for You

Nursing homes are regulated by federal and state regulations that most personal injury lawyers know nothing about.

If you're looking to take on a nursing home, you need a lawyer who knows those rules.

We exclusively handle medical claims, with a focus on nursing home abuse and neglect. We've tried these cases and obtained millions in damages at trial. 100% our cases involve the failure to provide appropriate hospital, medical, and nursing care to members of the community.

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By taking on all the risk, you can be sure we’re only going to take on cases we believe in fully.

What Can We Do to Improve Nursing Home Conduct?

Nursing Homes are corporations: they speak the language of money. Corporations, even non-profit corporations, are not real people; they do not have hearts, minds, or souls.

In our experience, holding a medical corporation responsible and accountable for carelessly injuring patients through a money verdict at trial, or a settlement motivated by their fear of trial, is the best way to make sure there is change.

A well-fought lawsuit can help prevent other people from being injured in the same way.

What Damages are Available?

Money damages available in a nursing home lawsuit can involve economic costs (medical bills, etc.), emotional harms like pain and suffering, disfigurement, disability, and, if the injuries cause death, the mental anguish and loss of family members for wrongful death.

Many states allow for punitive damages when a medical corporation consciously disregards a patient’s rights and safety with a great probability of causing substantial harm. They are awarded in exceptional cases.

We’ve proven punitive damages at trial, including a $3,000,000 verdict for punitive damages against one of the largest medical companies in America.

Punitive damages are intended to punish, deter the defendant from doing the same thing in the future, and reform the nursing home industry.

What Else Can I do Besides Contacting You?

Once you contact us, you'll get a list of next steps, as well as emails explaining how the process works. So contact us now, or call us at 216-777-8856.

I Have More Questions...

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Nursing Home Neglect