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Frequently
Asked Questions
About Nursing Home Abuse and Neglect |
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- How
prevalent is nursing home abuse and neglect?
- What
are the causes of nursing home abuse and neglect?
- What
are the various types of neglect and abuse?
- How
can one recognize the signs that abuse or neglect may be occurring?
- What
can I do if I suspect nursing home abuse or neglect?
- What
is the first step in pursuing a nursing home abuse or neglect claim?
- What
if I am told by an attorney that I do not have a good case?
- What
about the costs involved in pursuing a case?
- How
long will a nursing home abuse case take?
- When
must one make a claim?
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1.
How prevalent is nursing home abuse and neglect? |
Answer:
More than 1.5 million elderly and disabled Americans reside in more than
16,000 nursing homes across this country. Despite the fact that by
law, these nursing homes must take steps to attain or maintain the
"highest practicable physical, mental, and psychosocial well-being of
each resident," too many of these residents are the victims of
neglect or abuse by these facilities and/or their employees. In
fact, in 1998 in Texas alone, more than 200 nursing home facilities were
sanctioned for jeopardizing the health and safety of
their residents, according to the Texas Department of Human
Services. Despite increased regulatory oversight of the nation's
nursing homes, it is safe to assume that many violations posing threats to
the health and safety of the residents go unreported. According to
Jim Lehrman, Associate Commissioner for Long Term
Care for the TDH, "we cannot be in every facility 24 hours a
day so we are only one part of the safety net." Therefore,
family members with loved ones who are residents of nursing homes must never
take the resident's care for granted and assume adequate protections are
in place. The nursing home resident's only protection may be the
family member's diligence in reporting any perceived problems. [Next
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2.
What are the causes of nursing home abuse and neglect?
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Answer:
Perhaps due to an attempt to squeeze more profit out of the bottom
line, too many nursing homes simply do not hire sufficient numbers of
qualified staff to appropriately care for their residents.
Poorly qualified, untrained, and/or overworked staff are not capable of
addressing the demanding daily needs of nursing home residents.
Exposing neglect and abuse in a nursing home facility is much more
difficult than in some other health care contexts because the nursing home
abuse/neglect victims are often incapable of communicating the nature and
occurrence of their abuse or neglect because of their physical and/or
mental infirmities. [Next
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3.
What are the various types of neglect and abuse? |
Answer:
Nursing home abuse and/or neglect can involve not only the physical
well-being of the resident, but also the mental, and/or psychological
well-being of the resident as well.
Nursing home abuse
and/or neglect can take many forms, all of which are too numerous to list.
The following, however, represent common examples of nursing home
abuse and/or neglect:
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failure to provide
proper nutrition and hydration
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failure to assist
in personal hygiene when needed
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over-medication or
under-medication
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failure to take
reasonable precautions to prevent falls
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failure to answer
call lights in a timely fashion
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failure to turn
residents in their beds (leading to pressure sores)
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failure to take
residents to the toilet (leaving them in soiled garments or beds)
-
slapping or other
physical abuse of the resident
-
use of unwarranted
chemical or physical restraints
-
emotional or verbal
abuse of the resident
-
retaliation for
making a complaint or filing a grievance
-
failure to take
adequate precautions to prevent injury to the resident
-
failure to provide
for appropriate medical care
The foregoing list is
only intended to set forth common examples of abuse and neglect.
This list is by no means exhaustive. [Next
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4.
How can one recognize the signs that abuse or neglect may be occurring? |
Answer:
Any one or more of the following
could evidence nursing home abuse or neglect and warrants investigation:
- bedsores (also known as "pressure
sores", "pressure ulcers", and "decubitus
ulcers")
- skin rash
- urine and/or feces odor
- lack of attention to resident's personal
hygiene
- falls resulting from lack of adequate
precautions or assistance
- skin tears
- bruises, contusions, or lesions
- bone fractures
- significant weight loss
- dehydration
- disorientation
- depression or isolation
- unexplained mood changes
- fear or anxiety
- unexplained refusal or inability to
communicate
- presence of unjustified chemical or
physical restraints
[Next
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5.
What can I do if I suspect nursing home abuse or neglect? |
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Answer:
Private attorneys can bring civil actions against nursing homes and
their agents who are responsible for neglect and/or abuse in order to
recover damages for medical bills, pain and suffering, and mental anguish.
Under certain circumstances, one
may also seek punitive damages in a civil lawsuit in effort to
deter such grossly negligent and/or fraudulent conduct in the future.
Powless Law Offices, the
sponsor of this website, represents nursing home abuse and neglect
victims and their families in cases across the State of Indiana.
We also offer free initial consultations
to those who believe they, or someone they know, may have been the victim
of nursing home neglect or abuse. You may email
us or call us toll-free at (888) 922-2889.
Generally speaking, a
victim of nursing home abuse or neglect has a limited time period in which
they must pursue a civil lawsuit or be forever barred. The length of
this period varies depending upon the type of claim one is making,
although in many (if not most) instances, it is two years from the
incident of abuse or neglect. There are exceptions, however;
therefore, one who believes that they may have been the victim of nursing
home abuse or neglect should always seek the advice of an attorney without
delay in order to preserve their claim.
It is also advisable to consult an attorney as soon as possible for other
reasons as well. Memories of the event(s) in question tend to fade
in witnesses, potential witnesses may later be unavailable because they
have moved, become incapacitated, etc. [Next
FAQ] [Return to FAQ Menu]
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6.
What is the first step in pursuing a nursing home abuse or neglect claim?
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Answer:
The first step in pursuing a
nursing home abuse or neglect case is suspecting that one may have been
the victim of abuse or neglect. Many times the nursing home victim
is not capable of communicating about the abuse or neglect.
Therefore, one who develops a "gut feeling" that something is wrong should consult a qualified attorney to review the matter, who often
will consult with medical professionals. This process often involves
the obtaining and review of nursing home and medical records along with
other pertinent information. If it is determined that one has a good
case, the next step is usually to give written notice of the claim to the
individuals or entities that are believed to have committed the abuse or
neglect. [Next
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| 7.
What if I am told by an attorney that I do not have a good case? |
Answer:
Determining whether or not
one has a "good case" is not always an exact science.
Because such determinations involve the professional judgment (based upon
many factors and considerations) of medical experts and attorneys, it is
recommended that one seek a "second opinion" from one or more
qualified attorneys if told that one's case is without merit. [Next
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| 8.
What about the costs involved in pursuing a case? |
Answer:
Some attorneys (including the sponsor of this
website) will agree to handle nursing home abuse and neglect cases on
a contingency fee arrangement. This means that the attorney will not
charge an hourly rate for his services, but instead will be paid a
percentage of the recovery in the event of a settlement or judgment.
In many instances, such attorneys will also pay the case development
expenses (such as expert fees, deposition costs, etc.) with the
understanding that he or she will recoup such costs only in the event of a
recovery. Therefore, one may be able to secure legal
representation without having to pay any attorney's fees or expenses out
of one's own pockets. [Next
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| 9.
How long will a nursing home abuse or neglect case take? |
Answer:
There is simply no easy answer to
this question. The vast majority of all cases, including nursing
home abuse and neglect cases, are settled prior to trial. Some cases are settled
prior to the filing of a lawsuit, while others are settled during
litigation or even on the "steps of the courthouse" just before
trial. A nursing home abuse and neglect case, if litigated to trial, could last a
number of years. One who pursues a nursing home abuse and neglect case should
understand from the outset that a quick resolution cannot be
guaranteed. [Next
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| 10.
When must one make a claim? |
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Answer:
Generally speaking, a victim
of medical malpractice (including nursing home abuse and neglect) has a limited time period in which they must pursue
their claim or be forever barred. In Indiana, this "statute
of limitations" is generally two years from the date of the incident of
malpractice. Certain exceptions do exist under the law in certain
circumstances. For instance, the foregoing time period may be
extended for certain individuals, including those who are incompetent when the
malpractice occurred. Additionally, in certain instances, such
as when a medical professional or nursing home conceals the incident of
malpractice, neglect or abuse, victims are allotted additional time under the law to
file a lawsuit. The foregoing exceptions are fact sensitive and
require the analysis of a qualified attorney to determine if they are
applicable.
A potential claimant should always seek the advice of an attorney without
delay. In certain cases, there may also be other deadlines
within the first two years that may also impact the case. For
example, claims against government entities may require that the entity or
entities be put on "notice" much earlier than the the statute of
limitations period. Furthermore, given that a medical and legal
analysis must be done prior to filing a lawsuit, one should not wait until
the statute of limitations period is nearing its end because the attorney
may not have enough time to complete the review prior to its expiration.
It is also advisable to consult an attorney as soon as possible for other
reasons as well. Memories of the event or events in question tend to fade
in witnesses, potential witnesses may later be unavailable because they
have moved, become incapacitated, etc. [Next
FAQ] [Return to FAQ Menu]
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