Legal Representation in Cases of Nursing Home Abuse & Neglect

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Should you find your elderly loved one under less-than-expected care in a nursing home in the Dallas metro area, it is imperative that you seek legal counsel as soon as possible. The Dallas personal injury lawyers of Crowe Arnold & Majors, LLP have handled many cases of nursing home abuse and neglect in Dallas, so your loved one will benefit from our experience. We will work to get your loved one better care as soon as possible. For a free, comprehensive consultation, call (214) 231-0555.

In Texas, there are tort-reform laws and other regulations along with a strict statute of limitations that prevent many nursing home abuse victims or their estates and loved ones from filing viable personal injury claims. We are experienced in handling the convoluted legal system that surrounds nursing home litigation in Texas. We can help you traverse the obstacles people often encounter during the claims process so your elderly loved one can get the compensation he or she deserves.

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Nursing Home Abuse 

In trusting nursing homes with the care of loved ones, families expect a safe and nurturing environment. Unfortunately, this is not always the case. Neglect and abuse are persistent in these facilities. According to the National Council on Aging (NCOA), as many as 5 million older Americans suffer abuse annually, with a significant portion of these cases occurring within a nursing home.  

Residents can be mistreated by staff directly responsible for their care, such as nursing aides, therapists, doctors, other staff members, and even fellow residents. Nursing home abuse and neglect can profoundly affect older adults, often resulting in emotional distress such as anxiety, fear, and a loss of trust in others. When caregivers neglect their duties, whether through neglect, staffing issues, or inadequate training, this vulnerable population can sustain significant harm, ranging from severe illness to injury or, in the worst cases, death. 

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When Should You Intervene?

Generally, the people responsible for nursing home residents are their children or other close relatives. If the resident has a guardian other than a family member, it is important that someone with emotional interest in the resident keep an eye out for nursing home neglect or abuse. Unfortunately, some guardians tend to treat allegations of nursing home neglect or abuse with a dismissive attitude. If your elderly loved one is telling you he or she is being abused, it is best to take his claims seriously, even if he has a history of mental illness or things appear to be just fine.

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Nursing Home Abuse Statistics

Many of us don’t want to think that abuse like this will happen. We think that we’ve chosen a high-quality facility, and the staff always seems nice. The reality is, however, that an overwhelming number of elderly patients are abused, even in seemingly good conditions.

According to studies conducted by Adult Protective Services (APS) and other credible sources:

  • Texas has more than 2.5 million residents age 65 or older.
  • Almost one-half of people over 65 have a disability.
  • 1 out of 3 nursing homes in the United States have been cited for abuse, neglect, and other related infractions.
  • 1 to 2 million Americans over 65 has suffered abuse, neglect, or general mistreatment by their primary caregiver.
  • Close to half of all people with dementia experience some kind of abuse.
  • Elders who experienced abuse, even “minor” abuse, had a 300% higher risk of death compared to those who had not been abused.

Unfortunately, the reality may be even worse than these statistics demonstrate. According to the National Committee for the Prevention of Elder Abuse (NCPEA), an estimated 84% of elder abuse incidents are not reported to authorities, denying victims the protection and support they need. Clearly, this is a huge issue that needs to be addressed by the public in order for there to be effective change. Too many elderly individuals slip through the cracks and live out the remainder of their lives in fear and discomfort, which is absolutely unacceptable.

Types of Abuse in Nursing Homes

There are several different types of nursing home abuse, including: 

Medication Errors

Medication errors affect up to 27 percent of all nursing home residents, according to a study in the Journal of the American Geriatrics Society. The most prevalent mistakes include:

  • Administering an incorrect medication
  • Administering the wrong dosage
  • Not giving medications on time
  • Providing medications that should not be taken together
  • Administering expired medications

If your loved one suffered injury because of a medication error, a Dallas nursing home abuse lawyer can investigate the facts and determine if legal action is warranted.

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Let Us Help You Speak Up Against Neglect!

Sexual abuse in nursing homes, though less common than physical or emotional abuse, is frequently underreported. Long-term care facilities may be exposed to civil liability if owners or administrators:

  • Failed to screen all employees and conduct thorough background checks for past sex crimes
  • Failed to provide adequate supervision of residents
  • Failed to implement trainings on how to prevent sexual molestation and abuse
  • Failed to provide a safe environment for residents
  • Failed to monitor visitors who could perpetrate sexual abuse
  • Failed to respond to reports of sexual assault or abuse among residents

Statistics show that majority of victims are women and suffer from some type of physical or cognitive impairment. Our attorneys have the resources to protect the rights of your loved one and help prevent future abuses from occurring.

Improper Wound Care

Is a nursing home responsible for improper wound care that leads to infection and injury? This is one of the most frequently asked questions fielded by our lawyers. The answer is yes. Nursing homes in North Texas have a legal duty to ensure that residents’ wounds are properly cared for so they do not get infected and lead to more serious complications like sepsis. In many cases, topical or systemic antibiotics are necessary to prevent bacterial growth and to facilitate healing. In some cases, untreated bedsores and wounds can cause fatal complications. A Dallas nursing home abuse attorney can outline your legal options if you suspect a relative or loved one suffered from negligent wound care.

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Elder Financial Abuse

Financial exploitation is another kind of nursing home abuse that involves the illegal use of a resident’s money, assets or property. Senior residents with dementia or Alzheimer’s disease in assisted living facilities are prime targets for financial exploitation. Nursing home staff may take advantage of this vulnerable population to defraud, take over power of attorney, and steal money through other means. Forged signatures, unusual ATM withdrawals, and new changes in legal documents are signs that it’s time to consult with a nursing home abuse lawyer Dallas trusts.

Improper Use of Restraints

We all like to believe that a skilled nursing home will provide the care and support that our loved ones need. Unfortunately, many understaffed facilities resort to restraining their charges – either physically or chemically – for the sole purpose of convenience. The only time restraints are legally allowed in assisted living centers is when the safety of the resident or staff is in jeopardy. When belts, straps, or sedative medications are used to punish residents or to make their jobs easier, then a lawsuit may be warranted if injuries result. This type of adult daycare abuse is unacceptable and best handled by a skilled lawyer at Crowe Arnold & Majors, LLP.


Self-neglect is when one disregards their health, safety, and well-being either by choice or because of physical or mental impairments. Indicators of elder self-neglect include soiled clothing, matted hair, body odors, poor personal hygiene, and withdrawn behavior. Self-neglect is considered a type of nursing home abuse in many states, as it is often triggered by mistreatment and caregiver neglect.

If your loved one has suffered because of abuse or abandonment in a nursing home that led to self-neglect, you may be eligible to pursue compensation for their injuries.

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Slip-and-Falls in Dallas / DFW Area Nursing Homes

Fall-related injuries are another major health threat for nursing home residents. Although the law requires nursing homes to provide adequate supervision, maintain safe conditions on the premises, and create personalized care plans based on each resident’s needs – including fall risks – many facilities in Texas fail in these duties. Slip-and-fall accidents happen in nursing homes for a variety of reasons, including:

  • Inadequate lighting
  • Wet floors
  • Improper bed height and lack of adequate bedrails
  • Clutter in rooms or hallways
  • Medications, especially sedatives and psychoactive drugs
  • Inadequate or undertrained staff
  • Lack of supervision
  • Poor foot care
  • Restraint abuse
  • Weakness linked to malnutrition and/or dehydration

An experienced personal injury attorney can help you establish liability by conducting an investigation of the facts and circumstances surrounding your loved one’s fall.

Can Fall-Related Injuries Be Prevented?

If your elderly loved one is susceptible to fall-related injuries and you’re concerned his or her nursing home is not taking the proper measures to prevent an incident, you may protect your loved one by developing a fall prevention plan that includes:

  • Placement in a physical conditioning or rehabilitation program
  • Modifications to your loved one’s living space to improve mobility and safety
  • Installation of an alarm system that activates when a resident is in distress and needs assistance
  • Regular vision checkups
  • Properly maintained assistive equipment like wheelchairs and walkers
  • Well-fitting shoes with sufficient tread
  • Proper medication with lowest risk of undesired side effects
  • Removal of trip and slip hazards from the living space

While it never hurts to be active when it comes to the safety of your elderly loved one, remember that the nursing home is ultimately responsible for his or her health and they can be held liable if something goes wrong.

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Nursing Home Neglect vs. Nursing Home Abuse

Nursing home neglect is similar to abuse, but may be the result of lack of care versus active abuse. Bedsores, for example, may be considered neglect because they occur when staff fails to give proper care. Over-sedation, however, would most likely be considered abuse because staff is actively mistreating the patient. Further examples of neglect:

  • Lack of interaction and attention can result in psychological harm to the resident.
  • Urinary tract infections can become rampant when caregivers don’t assist residents in visiting the bathroom often enough.
  • Heatstroke and other temperature-related conditions can also arise from neglect. Many elderly patients have limited mobility, and cannot take steps to regulate their own body temperatures.

Nursing Home Abuse Signs

Close family involvement in the life of a nursing home resident is a huge factor in the quality of treatment the resident receives. Visit your elderly loved one frequently, and while you’re there, look for these signs of nursing home abuse:

  • Bedsores: Nursing home patients are often times unable to move themselves into bed, requiring the attention and care of a nurse to accomplish the simplest of tasks. Unfortunately, for lack of proper care in nursing homes, many residents end up developing bedsores (pressure ulcers or decubitus ulcers), which in some cases can be fatal.
  • Change in behavior of the patient: If your loved one seems more lethargic than usual, it may be a result of over-sedation. A patient that is constantly sedated does not offer a challenge to the staff and keeps the day going without interruption. By silencing their patients, inattentive, lazy, and downright incompetent staff members drain residents of their energy and ultimately leave the care unit vulnerable to legal action.
  • Poor record-keeping: When records are not well kept, nursing home patients may be treated for their ailment with the wrong kind of therapy or medication. Nursing homes, like any other business, seek to maximize their profits, but unfortunately this often comes at the cost of a loved one’s health and dignity.
  • Unusual bruises, scratches, or other injury: These injuries can result from a slip-and-fall accident or other abuse. Nursing home neglect often comes in the form of careless maintenance rendered by a staff that is unaware of the fact that the seniors walking through the hallways suffer from poor sight, poor motor coordination, mental debilitation, or a combination of all three, resulting in slip-and-fall accidents.

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Other possible signs include:

  • Dehydration
  • Frequent admissions to the emergency room
  • Lack of hygiene
  • Significant weight loss
  • Financial loss and abuse
  • Missing medication or medication not taken
  • Missing personal items

If nursing home abuse is identified, the family member most closely involved in the life of the nursing home resident should contact a personal injury lawyer immediately. The statute of limitations can quickly expire, leaving your loved one without any legal recourse.

What to Do if You Suspect Your Loved One is Being Abused or Neglected

Nursing home abuse and neglect are heartbreaking realities that are challenging for families to witness. If you suspect that your loved one may be suffering,  it is crucial to act quickly and decisively: 

Gather Evidence: When addressing concerns about your loved one’s care, gathering evidence is essential because administrators may dispute your claims. If this happens, remain calm and make your case with substantive evidence. For example, you can document physical injuries by taking pictures and noting the time and date you first noticed them. Take notes of any changes in behavior or appearance, e.g., your loved one is withdrawn, has lost weight, or their personal hygiene has deteriorated. Take photographs of unsanitary conditions, such as poorly maintained restrooms, shower stalls, soiled linens, or trays of dirty dishes left in the hallway. 

Speak with Management: Request a meeting with administrators to discuss your concerns and seek assurances that appropriate action will be taken. Keep a detailed record of all communication with the facility, including dates, times, and the names of staff members involved and their promises to address the situation. 

Consult with a Doctor: If your family member has suffered serious injuries from a fall or complications with bedsores or other potentially fatal health conditions, make sure they receive timely medical attention. Further, document any medical evaluations and diagnoses linked to the suspected abuse. 

Report Suspected Abuse: If you believe your loved one is in immediate danger, call the authorities and notify the police as soon as you can. Ensure you file a complaint with them. Each state has some form of protective services for adults. If you are unsure who to contact in your state, call the National Center on Elder Abuse at 1-800-677-1116. 

Talk to a Dallas Nursing Home Abuse Lawyer: If you recognize the signs of abuse or neglect, speak to our team, who can begin a comprehensive investigation. We can offer guidance on your legal options, help you gather additional evidence, and advocate on your behalf. We are prepared to assist you in helping your family member recover from the abuse and securing the damages award you deserve. 

Proving nursing home abuse can be challenging due to its time-sensitive nature– injuries may heal, and staff turnover is frequent. It is important to remember that taking swift action against nursing home abuse is essential for protecting your loved one and ensuring accountability for those responsible. 

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Nursing Home Neglect FAQs

Q: Who are the most common perpetrators of elderly abuse?

A: According to surprising statistics provided by the National Center on Elder Abuse, it is estimated that 36% of nursing homes violate elderly abuse laws and 91% lack adequate staff to provide proper care for residents. Clearly, elder abuse is a huge issue in both residential homes and assisted living facilities.

Q: How do I find out whether my elderly loved one’s nursing home or assisted living facility is a good one?

A: You may contact your Long-Term Care Ombudsman for information about the nursing home or assisted living facility. You may also try Nursing Home Compare, a federal website that allows you to find Medicare- and Medicaid-certified nursing homes in your area and learn how they rate by various quality measures.

Q: What can I do if I suspect that my elderly loved one is being abused by his/her caretaker in a residential home?

A: You should call and discuss the suspicious situation with Adult Protective Services (APS), a Long-Term Care Ombudsman, or local law enforcement. They will ask you what you saw/heard/observed that indicated abuse and the identity of the suspected perpetrator. They will also inform you of who you can contact for further assistance.

Q: What if my elderly loved one is being abused in a state-operated setting or private assisted living facility?

A: If your elderly loved one is staying in a state-supported living center, state hospital, or community mental health/retardation center, get in touch with APS Facility Investigations. If s/he is staying in a psychiatric hospital or other medical facility, contact Texas Department of State Health Services (DSHS). If a nursing home, assisted living facility, private ICF/MR, or adult day care is involved, reach out to Texas Health and Human Services.

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Q: What will happen after I make a report to APS?

A: Upon receiving your report, APS will evaluate the situation and act accordingly. If it’s an emergency, APS will immediately forward the report to police or emergency medical staff. If not, your case will be assigned a priority response time based on the level of victim risk and an APS staff will eventually take on your case (if your report meets the APS target population).

The assigned caseworker will contact the victim, assess his/her risk factors, and his/her capacity to understand the situation and to give informed consent for further investigation.

If your elderly loved one expresses his/her consent and allows the investigation to continue, the caseworker will make arrangements to address and resolve problems with your elderly loved one’s health, home, and finances. The caseworker may continue to monitor service provision to assure that victim risk is reduced or eliminated.

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Nursing Home Wrongful Death

If abuse goes on long enough, it can lead to death. Finding out that your elderly loved one has died due to nursing home abuse is the worst-case scenario, and hopefully abuse never reaches that point. If it does, you will want justice.

Depending on the circumstances of your case, you may be entitled to compensation for punitive damages in addition to economic and non-economic damages, such as funeral expenses, pain and suffering, and emotional distress. We will work to prove not only liability but also the full extent of damages so that you are granted an optimal settlement or verdict.

Preserving Your Dallas Nursing Home Case

After you have consulted with a reliable Dallas nursing home abuse lawyer and filed your lawsuit, try to avoid all contact with the nursing home and their insurance agents unless it is permitted by your attorney. They may claim they are truly sorry for your loss and are only interested in your well-being, but you shouldn’t fall for their schemes. They only care about one thing: the bottom line. And they will do everything they can to weaken your claim.

With assistance from the experienced legal team at Crowe Arnold & Majors, LLP , you may be able to negotiate an optimal settlement deal before trial. If matters come to a head, our aggressive trial lawyers will fight hard to preserve your right to full and fair compensation in and out of the courtroom. To learn more about our firm and the legal services we provide, contact our office at (214) 231-0555 today.

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Texas Nursing Home Negligence Case Results

  • Confidential Settlement – Nursing home negligence burn / wrongful death case
  • Confidential Settlement – Nursing home negligence bedsores / wrongful death case
  • Confidential Settlement – Nursing home negligence fall resulting in subdural hematoma / wrongful death case
  • Confidential Settlement – Nursing home negligence amputation from bedsores case

Click here to see more case results.

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