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Nursing Home Abuse

What is Nursing Home Abuse?

Nursing home abuse is a type of abuse or neglect that occurs when caregivers in nursing homes or other long-term care facilities take advantage of their patients’ weakened physical and mental states. This abuse can happen either intentionally (such as when a nursing home employee hits a patient) or negligently (such as when nursing home staff forget to feed or bathe a patient). Nursing home abuse is a particularly vicious form of abuse because, like children, many seniors may not be aware that it is happening or be able to defend themselves. In these situations, help must often come from the outside, often with the assistance of an attorney.

Types of Nursing Home Abuse

“Nursing home abuse” is an umbrella term that encompasses many different behaviors. Some of the most common types of nursing home abuse we see include:

  • Physical abuse: Physical abuse is any action toward a patient that can cause physical harm, such as hitting, pinching, scratching, biting, shoving, or hair-pulling. It can also involve the overuse of physical restraints or intentionally failing to care for an injury. See California Welf. & Inst. Code §15610.63 (defining physical abuse of an elder);
  • Sexual abuse: Sexual abuse involves unwanted sexual attention or exploitation. It occurs most often to patients who are unable to express their desires to be free from such attention, such as with those patients suffering from dementia or other forms of mental incapacitation. See California Welf. & Inst. Code 15610.63(e)(defining the forms of sexual abuse that constitute physical elder abuse).
  • Psychological abuse: Psychological abuse encompasses a broad range of actions that includes yelling, criticizing, gaslighting, humiliating, or shaming the patient. See California Welf. & Inst. Code 15610.53 (“mental suffering” defined to include a wide range of psychological/emotional suffering).
  • Financial abuse: Financial abuse occurs when a nursing home employee takes advantage of a patient’s financial assets by stealing or otherwise compromising them. It includes actions such as theft of the patient’s money or personal effects, theft from bank accounts, and identity theft. See California Welf. & Inst. Code 15610.63(a) (defining financial elder abuse).
  • Neglect: Neglect is an indirect form of abuse that is often the result of understaffing or inadequate staff training. It occurs when nursing home employees fail to properly care for their patients, such as forgetting to feed or bathe them, forgetting to take them to physical therapy, and letting patient calls for assistance go unanswered. See California Welf. & Inst. Code 15610.57 (defining neglect as a form of elder abuse).
  • Resident-to-resident abuse: Resident-to-resident abuse occurs when one resident of a nursing home engages in any of the above behaviors toward another resident. Although this type of abuse does not directly involve caregivers, it can nonetheless expose a nursing home to legal liability, as nursing home employees owe their patients a duty to keep them free from harm.

If your loved one has suffered any of these forms of abuse or a combination thereof, the nursing home likely has breached its duty of care and you may be able to pursue legal action.

Nursing Home Abuse is Common

Nursing home abuse is becoming an ever-larger problem. According to recent studies, there are over 3.2 million adults living in nursing homes and other long-term care residential facilities in the United States, and as many as 40% of all adults will enter a nursing home at some point in their lives. As the American population ages, these numbers will only grow. At the 2010 census, there were more than 40 million people in the United States (roughly 13% of the population), who were over the age of 65, and that percentage is projected to increase to 18% over the next 40 years.

With an increase in the population served by nursing homes, there likely will also be an increase in incidences of nursing home abuse if current trends hold. Consider, for instance:

  • Between 1999 and 2001, almost one-third of nursing homes were cited for violations of federal standards that could result in harm to residents
  • Nearly 10% of those nursing homes were found to have violations that posed a risk of serious injury or death
  • Over 40% of nursing home residents have reported abuse
  • Over 90% of nursing home resident have reported neglect
  • A 2010 study found that up to half of all nursing home employees have admitted to abusing or neglecting elderly patients
  • More than half of all Certified Nursing Assistants (CANs) have admitted to verbally abusing, cursing, and yelling at nursing home patients

If you are considering placing a loved one in the care of a nursing home, these statistics can be frightening. If your loved one is currently in a nursing home, you might be wondering whether they have already experienced any kind of abuse or neglect. What these statistics show is that, unfortunately, nursing home abuse affects a significant portion of the senior population and that it is imperative to stay vigilant in guarding your loved ones from it. If you or a loved one has been subjected to such abuse, speak with a California nursing home abuse lawyer as soon as possible.

How to Identify Potential Nursing Home Abuse

The problem of nursing home abuse is compounded by the reality that many nursing home residents are either unable to report abuse due to diminished capacity or are too ashamed to do so, especially in cases of sexual abuse. Indeed, the Department of Health and Human Services (DHS) estimates that, despite the various ways to report abuse, over one-quarter of all nursing home abuse cases go unreported. Another compounding factor is that a nursing home patient’s family and friends cannot monitor them 24 hours a day, meaning that they very rarely witness incidents of abuse.

Nevertheless, in the absence of direct evidence or the reports of patients, nursing home abuse can often be inferred by the victim’s mental or physical state. Common signs of nursing home abuse include:

  • Malnutrition
  • Sudden weight loss
  • Bedsores
  • Broken bones from falls
  • Dehydration
  • Withdrawn behavior
  • Changes in personal hygiene
  • The presence of environmental hazards such as slippery floors, bad lighting, and medical equipment that is in poor condition

Although every case is different, the attorneys at the Evans Law Firm are skilled in nursing home abuse investigations and can often identify many signs of abuse that would otherwise go unnoticed.

If you believe that a loved one has suffered abuse in a nursing home, you may be able to pursue a civil claim against the facility. Contact Ingrid M. Evans and her team at the Evans Law Firm for a free consultation by calling (415) 441-8669 or by email. We can help guide your case through a jury trial or toward an equitable settlement.  

A California Nursing Home Abuse Lawyer Can Help Protect Your Loved Ones From Physical Abuse

When you place the care of your elderly family member in the hands of another person or institution, such as a nursing home or residential care facility for the elderly, you trust that the staff will treat your loved one like their own—with professional, full-time care and compassion. Choosing a nursing home for loved ones is never easy, but such facilities should be selected based on which one will be the best fit and provide the highest quality of care for your loved one.

Nursing homes are meant to be literal homes for older residents who can no longer live on their own, or whose needs have increased beyond their family’s ability to provide. For this reason, physical abuse in nursing homes—bed sores, broken bones, caregiver neglect, sexual assault, or other physical trauma—should never be tolerated. Family members should be on guard against signs of abuse, and should act immediately at the first signs or suspicions of a problem. The Welfare and Institutions Code 15600, et seq. encourages individuals to report known or suspected cases of abuse.

If your loved one has been subject to abuse in his or her nursing home, you should seek legal counsel from an experienced California nursing home abuse lawyer to determine the best course of action.

Caretakers as Abusers

Because many older people need help with their day-to-day tasks, whether it is someone to bring in groceries and do light cleaning a few times a week, or full-time care and attention from an in-home nurse or relative, there is a fear of becoming a burden on that caretaker, or on the family. These abusers target that fear, placing the victims in a constant state of emotional strain, worrying that they are not worthy of care, time, or attention, or that money and time are being “wasted” on them.

Unfortunately, the environment is ripe for emotional abuse anywhere that a senior citizen is dependent on another person for care. When emotional abuse comes from a caretaker, the fear of being a burden is constantly reinforced, and can drive the victim to despair and desperation.

What makes elder abuse even more troubling is that it is usually difficult to tell when it is going on. Unlike physical abuse, there are no bruises or broken bones as evidence. A victim is much less likely to report emotional abuse, because the primary goal of this abuse is to erode the person’s self-worth. Once emotional abuse reaches a level where the victim feels worthless and degraded, or like no one cares about him or her, the abuser is likely to continue to get away with these actions.

Some signs of potential emotional abuse include withdrawal, increased anxiety, displays of discomfort around a specific person, lack of contact, communication, or positive thinking, or changes in mood and temperament. If any of these signs are present, someone may be emotionally abusing your loved one, and you should act immediately.

About Attorney Ingrid Evans

Ingrid Evans, the founding partner at Evans Law Firm, Inc. was named a finalist for California Consumer Attorney of the Year in 2009 for her work on the case of Buhs v. American International Group, in which she recovered approximately $5 million dollars in restitution for 750 senior victims who were sold deferred annuities by AIG and its agents. She was also named a finalist in 2012 for Consumer Attorney of the Year in a case where she recovered more than $9 million dollars for 17,000 senior citizen victims.

Ms. Evans was appointed by California Attorney General Kamala Harris to be on an elder abuse committee working group and received the 2012 Donald N. Phelps Visionary Leadership Award for raising public awareness and advocating for positive change for senior citizens from the Elder Financial Protection Network.

Leading the San Francisco elder abuse lawyers at Evans Law Firm, Inc., Ms. Evans has written legislation to protect seniors that has been enacted into law. She has testified before California senate and congressional committees, the Department of Insurance, and has organized senior victims to testify before a United States Senate subcommittee on issues involving the protection of senior citizens.

Her elder abuse cases have appeared on NBC Nightly News, The Today Show, Fox News, San Francisco’s local KRON Channel 4 and KGO Channel 7 stations, the New York Times, San Francisco Chronicle, California Lawyer, and Miami-Herald.

The Evans Law Firm, Inc. Stands Up for Victims of Nursing Home Abuse

Our nursing home abuse attorneys handle a wide range of cases, including:

  • Caregiver fraud
  • Insufficient staffing in nursing homes
  • Long-term care
  • Nursing home abuse
  • Obtaining elder abuse restraining orders
  • Obtaining domestic violence and other restraining orders
  • Abandonment and elder abuse in California

Our lawyers take a hands-on approach with our clients throughout every step of the process. We provide personalized attention for each of our clients, and make it a priority to provide prompt, accurate responses to inquiries, and the best possible representation for legal cases. As a team, we know that every client comes to us with a unique situation and set of concerns, and we strive to provide anything and everything you need.

Free, No Obligation Consultation

If you or a family member has been injured or have had money taken from you by a caregiver, insurance company or “friend,” call the Evans Law Firm at 888-503-8267 or 415-441-8669 to discuss your potential abuse case with a California nursing home abuse lawyer. You can also contact us online to schedule a free consultation.

Located in San Francisco, our financial elder abuse and caregiver fraud attorneys accept cases throughout the Bay Area, including Alameda County and Marin County, and also throughout Southern California.

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