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When most people hear the phrase “nursing home abuse,” images are often conjured of an elderly patient in a dark room being attended by a physically abusive nursing home employee. To be sure, this behavior does occur in nursing homes across Maryland, but that level of conduct far exceeds the lower boundaries of what is considered nursing home abuse under the law.

Nursing homes have a duty to care for and provide adequate care to those whom they accept into their care. When this duty is violated, nursing home management as well as the individual employee or employees engaging in the abuse may be held liable in a civil court of law.

Nursing home abuse can occur any time a nursing home employee violates the rights or dignities of a patient. While this certainly includes physical abuse, it extends far past it. For example, emotional abuse, financial abuse, psychological abuse, and invasion of a resident’s privacy can also be grounds for a nursing home abuse lawsuit.

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Earlier this month, the Sixth Circuit Court of Appeals issued an opinion in a case that involved allegations of nursing home negligence that were filed after the applicable statute of limitations outlined in the Federal Tort Claims Act. In the case, Hawver v. United States, the plaintiff may be given the opportunity to show the court that equitable factors justified the late filing of the case.

The Facts of the Case

Briefly, the relevant facts of Hawver v. United States are as follows. Hawver claimed that a federally run nursing facility was responsible for the death of her mother, based on the negligent care they provided while she was in the facility’s care. Hawver filed her case in federal district court, invoking the court’s subject matter jurisdiction. This is important because federal courts cannot hear every case between two parties. There must be a question of federal law, the case must involve a federal agency or employee, or the case must arise between parties from two different states and have a certain minimum amount in controversy. Here, the plaintiff was filing suit in federal court based on the fact that the nursing facility was federally qualified.

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Nursing homes are charged with caring for elderly loved ones when a family cannot take up the task. Most nursing homes, as well as the nurses and other people whom they employ, care deeply about the residents in their facility and will do whatever they can to ensure a safe and pleasant stay. However, nursing homes are businesses, and because of that there is often a tension between what is best for the resident and what is best for the bottom line. This is nowhere more evident that in the context of staffing.

Nursing homes are very labor-intensive to run. The very nature of the business is to care for people with varying needs and often substantial ones. While there are no laws governing staff-to-resident ratios, it is fair to assume that the lower the ratio, the less individual attention each resident is getting. In some cases, the ratio gets so low that there are not enough nurses to care for the patients in the home. It is under these circumstances that nursing home abuse or neglect is most likely to occur.

Nurses are human, and like all other humans they are capable of getting frustrated and upset, especially when they are overworked. Even a nurse with the best of intentions can lose her temper with a resident if she has no assistance and has been on her feet for the past 10 hours. It is for this reason that nursing home management, in addition to the individual nurses, need to be held liable when an injury does occur.

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When someone places a loved one in a nursing home, they do so because they cannot provide their loved one with the care needed to make their life as complete as possible. Indeed, the expectation is that the employees of the nursing home will be able to do a better job than family members because they are trained professionals who are experienced in caring for the elderly. However, the reality is that sometimes nursing home employees act out of frustration or anger and hurt those they are charged with caring for.

When a nursing home resident is harmed at the hands of a nurse or other employee of a nursing home, several options are available for the abused resident and their family. If the resident is competent to bring claims against the facility themselves, they can do so. In the event that the resident has passed away, a family member of the victim may have standing to file a wrongful death action against the allegedly responsible parties.

One Family Files Suit Against a Nursing Home, Seeking $4 Million

Earlier this month, a family in Virginia filed suit against the nursing home that was charged with caring for their loved one. According to one local news report, the staff members who were caring for the elderly incapacitated woman pulled the bed sheets out from underneath her, causing her to fall to the floor.

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Earlier this month in New Hampshire, the Department of Public Health fined four local nursing homes for failing to comply with various rules and regulations relating to patient safety. According to one local news source, the allegations ranged in seriousness from minor infractions to serious allegations of abuse.

For example, one nursing home was found to have leaking sinks, dirty lifts, pain peeling off the wall, broken bed rails, and water dripping from the ceiling. Inspectors also noted an incident in which a resident was found to have a fairly serious abrasion that inspectors believe was caused by the home’s use of a lift without the proper padding. In response to that resident’s request for help, one nursing home employee failed to respond for one hour and 15 minutes. That employee was subsequently fired for neglecting the resident.

Another example of a lapse in care occurred at another nursing home and involved a verbally abusive resident who was not properly monitored. Evidently, the resident stated that “I can hit anyone I want to” and punched another resident. The aggressive resident was taken to the emergency room for evaluation, and the doctor told the staff that they should check on the man every 15 minutes. However, citing the unavailability of staff, the nursing home failed to comply with this recommendation.

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Earlier this week, a New Jersey news source published an article documenting an investigative report that looked into allegations of abuse and neglect in area nursing homes. The results were published in a recent article.

The article documents several upsetting instances of abuse and neglect, as well as a theme of frustration and lack of care and consideration on the part of management. One woman interviewed in the article, a former nurse, claimed that she was unofficially forced out after she blew the whistle on other employees who were engaging in abusive and neglectful conduct.

One example she relayed was an 85-year-old resident who had been at the nursing home for four years. The nurse reported seeing another nurse at the facility tie the elderly woman to a wheelchair to keep her from moving. She was able to capture an image and provided that to reporters, who confronted several nursing home employees, asking how often this happens. Not surprisingly, everyone denied that such conduct ever occurs and refused to speak to anyone after they were shown an image proving it happened at the facility.

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Earlier this month, a study was released by the New England Journal of Medicine analyzing the frequency with which nursing home residents have suffered from abuse at the hands of their caretakers. The result was that one in 10 older Americans suffer abuse of one kind or another. According to a national news source that reported on the study, the actual statistics may be significantly higher than those that were reported because of reporting problems inherent in the nursing home context.

The report indicates that the “young old” are the most likely to be abused, since they are the ones who are most often living with a spouse or adult child:  the two groups who are found to engage in abuse most frequently. However, the report also notes that nursing home abuse is much more prevalent than many realize or are willing to acknowledge.

Physical Abuse in Nursing Homes

Perhaps one reason why the instances of in-home abuse are so high is the fact that the abuse statistics include financial abuse. Removing financial abuse from the equation, the ratio of abuse occurring in a loved one’s home and in a nursing home drastically decreases. This is because the most common type of abuse in nursing homes is physical abuse.

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Earlier this week, researchers in Michigan released their discoveries in a recent study seeking out the common causes of nursing home abuse and nursing home neglect. According to the study, the working conditions for the employees of the nursing home have a big effect on the quality of care that residents are provided.

The study concludes that worker safety and happiness are directly related to resident safety and happiness. In fact, the article relies on the premise that, for the most part, individual nursing home employees are not bad people, but they are sometimes left in frustrating situations or those in which it is nearly impossible to provide the proper level of care. Chief among the problems that can lead to an abusive or neglectful situation is understaffing. In fact, it is believed that many of the most skilled and dedicated nurses leave the private nursing home sector due to frustrations related to understaffing.

Another factor, according to the study, is the quality and level of training that the employees receive prior to being allowed to work on their own. The more training that employees receive prior to being let out on their own, the lower the instances of abuse or neglect.

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Earlier this month in California, the family of a woman who died while in the care of a skilled nursing facility filed suit against the facility, claiming that the negligent care their loved one received while at the facility led to her early death. According to one local news source, the lawsuit alleges that the nursing home did not meet the state-mandated requirement for staff member-to-patient ratio, which was a major cause of the inadequate care.

Evidently, the elderly woman had lived at the facility for the three years prior to her death. About a month before her death, the woman suffered a serious fall and broke her hip. Her family was not notified, and she was not taken to the hospital until the next day. The woman remained hospitalized afterwards and died about a month later.

The woman’s family claims that the facility failed to create a proper care plan for their loved one, whom the nursing home staff knew suffered from seizures. They also claimed that the nursing home did not properly train staff, failed to monitor high-risk patients, and failed to report any discovered violations to the state.

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Earlier this month in San Diego, the U.S. Department of Justice and the California Department of Health joined the San Diego Sheriff’s Department in investigating potential elder abuse that stemmed from a nude video of a nursing home resident being posted on social media. According to one local news source, the video at issue was a short clip of several nursing home residents mocking a nude, elderly female resident.

Evidently, the clip was sent through the social media site, Snapchat. The transmission of the video presents several problems, and numerous parties may be criminally liable for their actions. In fact, thus far, two employees of the nursing home have been suspended while the investigation is conducted. According to the nursing home’s attorney, the facility welcomes the investigation because it is clearly against the facility’s protocol.

Judging by the attorney’s comments, it would seem that the nursing home is trying to distance itself from the employees’ actions as much as possible, likely because management knows that the facility itself could also potentially be held liable for this kind of infraction. In the meantime, however, the nursing home management is cooperating in the investigation. Charges have not yet been filed but are expected in the coming weeks.

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