What Is Nursing Home Abuse and Neglect?

Hundreds of thousands of people rely on nursing homes to provide quality, safe services. However, when there is nursing home neglect, abuse or mistreatment of patients, beyond reporting the facility to the local government authorities, it is the responsibility of the caregiver to contact a lawyer to fight for your loved one (and by pointing out a problem, helping other residents as well.)

While there are no exact statistics on institutional abuse, any abuse is unacceptable. Each incident, major or minor, may be a terrifying experience and a significant breakdown in the responsibility of government and institutions to assure a safe and caring environment for elderly and disabled individuals. The price for abuse is measured in the physical and psychological harm to the resident as well as by the economic costs of treating the abused resident.  Unfortunately, a substantial amount of maltreatment is never reported.

Common Signs of Nursing Home Neglect and Abuse

What is Nursing Home Abuse?

Nursing Home Abuse Definition
Nursing home abuse is defined as mistreatment or neglect of nursing home residents encompassing the following seven categories; physical abuse, misuse of restraints, verbal/emotional abuse, physical neglect, medical neglect, verbal/emotional neglect, or personal property abuse.
nursing home wheelchair
Nursing Home Abuse Can Include Rough Handling In and Out of a Wheelchair

Difference Between Nursing Home Abuse and Neglect

Nursing home abuse is similar to nursing home neglect, but there are differences. Nursing home neglect refers to a sub-standard care or a breach of duty that causes the patient to be harmed. The sub-standard care or breach of duty has to be a reasonably foreseeable outcome of the negligent actions taken by the nursing home staff. Nursing home abuse indicates that there was specific intent to harm the patient.

Signs of Abuse Leading to Personal Injury Claims

Some of the more common nursing home abuse cases for which injury claims have been pursued include:

  • Bed Sores
  • Neglect and Negligent Care
  • Pressure Ulcers
  • Dehydration and malnutrition
  • Abuse and Assault
  • Restraint Injuries and Strangulation
  • Falls and Fractures
  • Wandering and Leaving the Facility
  • Wrongful Death

Potential medical malpractice lawsuits may also arise from nursing home care, including:

  • Misdiagnosis or Failure to Diagnose
  • Prescription Errors
  • Medical Mistakes
Montage of Elderly and Care Givers
Nursing Home Abuse Can Be Reported By Patients, Care Givers and Law Enforcement

Abuse Isn’t Always Obvious

Even the best run nursing homes may not know that patients are being abused. In one case two patients complained about an unhelpful aide. The nursing home took immediate action and fired the aide. Unfortunately when other aides found out, they started to abuse the two men in ways that wouldn’t be obvious to supervisory staff. Forms of subtle abuse include:

  • Pinches and elbows when handling the patient
  • Rough handling in and out of a wheelchair
  • Use of cold water and excessive water pressure in a shower

Every claim for abuse in nursing homes and nursing home negligence does have a deadline, known as a statute of limitations, which requires that any lawsuit be filed by a certain date, which is generally two years in New Jersey. Therefore, it is important to review any potential nursing home negligence claim with a qualified attorney as soon as possible to make sure your family’s legal rights are protected.

Fortunately, the law is on your side when demanding that loved ones receive professional and competent care.

elderly man in wheel chair

Most Common Forms of Abuse

Physical neglect, verbal and emotional neglect and verbal or emotional abuse are perceived as the most prevalent forms of abuse. Nursing home staff, medical personnel, other patients, and family or visitors all contribute to abuse. However, aides and orderlies are the primary abusers for all categories of abuse except medical neglect. Respondents believe nursing home staff lack the training to handle some stressful situations.

Administrative or management factors also contribute to nursing home resident abuse (e. , inadequate supervision of staff, high staff turnover, low staff to resident ratios).

Empty Nursing Room Corridor
When A Nursing Home Fails to Employ A Reasonable Amount of Staff Members, Residents May Be Neglected Due to Poor Patient Supervision

Frequently Asked Questions about Nursing Home Abuse

Q: If a resident of a nursing home has no contract with the home, can he or she still sue the home for improper care?

A:
Yes, nursing home residents (or their survivors) who are harmed due to nursing home neglect may recover damages under several different legal theories, even in the absence of a contract. A resident might have a cause of action that arises out of negligent personal supervision and care, negligent hiring and retention of employees, negligent maintenance of the premises, or negligent selection or maintenance of equipment. In addition, a nursing home resident who has been abused can pursue damages for assault and battery.

Nursing Home Award Banner
Even The Best Nursing Homes May Not Be Aware of Aides That Abuse Patients With Rough Treatment

Q: What rights do residents of nursing homes have?
A:
Nursing home residents have rights guaranteed by law, just as all residents in a nursing facility that participates in the Medicare program has the right, under statute, to be free from verbal, sexual, physical and mental abuse, and any physical or chemical restraint that is imposed for purposes of discipline or convenience, rather than to treat a medical condition. Restraints may be used upon the written order of a physician who specifies the duration and circumstances under which the restraints are to be used, but only to insure the safety of the resident or other residents. If a nursing home is not regulated by federal statute, its residents will still have rights under state laws, which will vary from state to state.


Medicare Has Specific Regulations Regarding How a Patient Can Be Treated. These Are In Addition to Any Local New Jersey Regulations.

Q: What will happen if a nursing home resident complaints of neglect or abuse?
A:
Today, all states have a system for reporting allegations of abuse, neglect, and exploitation of the elderly, for investigating the allegations. An investigation will usually include interviews with the resident, his or her family members, and nursing home staff and management. If the allegations are founded, adult protective services will provide services to the older person to try to remedy the problems and prevent their recurrence; however, there may be situations where the victim or the victim’s family do not feel satisfied or justly compensated for the injury or indignity suffered at the hands of the nursing home. In such cases, the resident or resident’s family member should speak to an attorney about bringing a civil action for damages against the nursing home. In addition, the circumstances may warrant a criminal prosecution.

Q: What qualifies as “neglect” in the nursing home setting?
A:
Most states define neglect of an older person as the failure to provide him or her with services essential to health and safety, such as food, shelter, clothing, supervision, and medical care. Whether such failures are intentional, or simply careless, often will determine whether a case against a nursing home is framed as one for neglect or abuse.


Neglect is defined as failure to provide him or her with services essential to health and safety, such as food, shelter, clothing, supervision, and medical care

Q: Why are neglect and abuse common in the nursing home setting?
A:
Several factors have been shown to contribute to the abuse or neglect of nursing home residents, including poorly qualified and inadequately trained staff; staff with a history of violence; insufficient numbers of staff; the isolation of residents; and, the known reluctance of residents to report abuse out of embarrassment or fear.

Q: How can acts of abuse or neglect by a nursing home be addressed in legal proceedings?
A:
An act of abuse, neglect or exploitation of an older person might give rise to one or all of the following proceedings: 1) an investigation and finding by an adult protective services agency; 2) a civil cause of action for damages (a lawsuit); and/or, 3) a criminal prosecution. These proceedings have different objectives: the objective of a protective services investigation is to provide immediate help and relief to the victim and prevent further harm; the goal of a civil action (lawsuit) is to remedy damages, and the criminal prosecution is meant to punish the harmful conduct.


A Consultation with an Expert in Local Nursing Home Related Laws is a Good Place to Start When Concerned About a Loved One (Image courtesy of Ambro at FreeDigitalPhotos.net)

Q: What constitutes “exploitation” in the nursing home setting?
A:
Many states define exploitation as the wrongful use of an older person’s resources for profit or advantage. Some definitions refer simply to the misuse of an older person’s funds, property or person. Other states specify that to qualify as exploitation, resources must have been obtained without the older person’s consent, or obtained through undue influence, duress, deception or false pretenses.

Contacting an Attorney

The trial attorneys at Gartenberg Howard LLP are experienced in the law and legal procedures for obtaining justice and compensation for nursing home negligence or abuse.

After requesting a free consultation with one of our attorneys, there is no obligation to hire our law firm to handle your family’s nursing home negligence lawsuit.

For additional help and a free consultation call us at (201) 488-4644 or request a consultation by filling out the form on this page.