Nursing home abuse and neglect in Orange County is more common than many people think, and some studies estimate that it impacts 10% or more of older adults. Indeed, according to the National Council on Aging (NCOA), one out of every 10 people aged 60 and older suffers some type of abuse each year, and some studies suggest that only about one out of every 24 cases of elder abuse is actually reported, which could mean that the rates of abuse and neglect are significantly higher than what we already know. Some signs of abuse or neglect may be more obvious than others, such as physical bruises or cuts or reports made by seniors who have experienced abuse. Yet as an article in U.S. News & World Report intimates, it is always important to think about signs and symptoms of abuse that may not be as obvious or transparent. Often, the way to learn about some of these issues is to ask questions. Our Orange County nursing home neglect lawyers can tell you more.

When Nursing Home Abuse is Not Transparent

The article in U.S. News & World Report emphasizes that, more often than you might anticipate, “there are harsh secrets in nursing homes” that frequently include “resident neglect or abuse.” As that piece underscores, the COVID-19 pandemic worsened safety and health issues that were already present in many nursing homes in California and across the country as those facilities failed to implement effective infection control measures or to address the effects of isolation and emotional neglect. Yet often, these kinds of issues will only be known to prospective residents or to current residents’ family members if they ask. 

Since nursing home abuse and neglect in Riverside County can take many forms, it can be challenging to know whether or not a specific sign is likely to indicate nursing home abuse. It is imperative to keep in mind that any sign or symptom that raises concern should be investigated. Given that even small changes in a senior’s behavior can indicate a much larger problem, it is critical to take any concerns seriously. At the same time, some signs and symptoms of nursing home abuse and neglect are more common than others, so you should be particularly attuned to certain indicators. The following are ten of the most common signs of elder abuse in nursing homes and assisted living facilities in Southern California.

1. Unexplained Bruises and Other Soft Tissue Injuries

Anytime a senior has unexplained bruises, cuts, burn marks, or any other related injuries, they should be taken extremely seriously. They are often a sign of physical abuse.

Nursing homes must have enough employees to provide sufficient care to residents. When skilled nursing facilities do not have enough employees to attend to the needs of all residents, the nursing home may be understaffed. It is important to know that understaffing can result in resident injuries and can be the cause of nursing home neglect, for which the facility may be liable. A nursing home or its employees do not need to engage in intentional acts of abuse or neglect for the facility to be liable. Rather, “passive neglect,” or unintentional neglect resulting from understaffing that results in injuries, can mean that the facility is legally responsible. Our San Diego County nursing home neglect attorneys can say more.

Staffing Requirements at Nursing Homes

In Southern California and throughout the state, nursing homes have a duty to have sufficient employees to provide care to the residents at the facility. Skilled nursing facilities must employ enough people to ensure that residents receive the attention and care they need and to ensure that residents do not suffer harm as a result of a lack of necessary attention or care. 

If you have an elderly loved one in a nursing home or assisted living facility in Los Angeles County, you might have learned at some point that your loved one developed a bed sore. When bed sores are identified very early on, they are treatable and do not often have long-term or severe consequences. However, when bed sores are not properly identified and treated, they can become so serious that they can actually result in life-threatening medical emergencies. You might be wondering: is the presence of a bed sore always a sign of nursing home neglect or abuse, or are there situations in which a relatively minor bed sore can occur and be treated without the presence of abuse or neglect? And are all serious bed sores the result of abuse or neglect? These are critical questions to consider, and our Los Angeles County nursing home neglect lawyers are here to help.

Understanding Bed Sores

In order to understand when bed sores can be a result of nursing home neglect or abuse, it is essential to be clear about what bed sores are and how they form. According to the Cleveland Clinic, bed sores are, quite simply, “wounds that occur from prolonged pressure on your skin.” They occur most frequently among “people who are immobile for long periods, such as those who are bedridden or use a wheelchair.” They can be extremely painful and can result in significant and life-threatening infections if untreated. Bed sores are staged according to severity, with Stage 1 bed sores being the least severe and Stage 4 bed sores being the most severe.

If you have an elderly loved one in a nursing home or assisted living facility in Orange County, you may be wondering about the first signs that could point to abuse or neglect. Depending upon the type of elder abuse or neglect, it can be extremely difficult to identify early warning signs, especially when those signs and symptoms do not include obvious physical harm. Given that there are so many different types of nursing home abuse and neglect that can result in injury and even death, it is important to understand that early warning signs are not always the same, and anything that seems different or suspicious should be treated seriously. Indeed, any unexplained changes in an elderly loved one, including changes in personality or demeanor, as well as indications of infection, warrant further consideration. Our Orange County nursing home abuse lawyers can explain in more detail. 

Identifying Early Signs of Elder Abuse and Neglect Can Be Complicated

One of the reasons that elder abuse or neglect can persist is that family members of the elderly person do not immediately recognize signs of symptoms of abuse. According to an article from the National Institute on Aging and the National Institutes of Health, it is critical to know that elder abuse can affect any older adult, and it can occur in nearly any location — from nursing homes with histories of abuse to state-of-the-art facilities that do not appear to have any outward indicators of problems. 

When we think about characteristics that make people particularly vulnerable to nursing home abuse or neglect in San Bernardino County, we often think about age, socioeconomic factors, community relationships, and a nursing home resident’s relative health. It is important to know that older adults are subject to abuse and neglect in ways other patients may not. Nursing home residents who cannot afford certain types of care or do not have family members or trustworthy loved ones in their community to consider their best interests can suffer injuries due to nursing home abuse or neglect — sometimes at higher rates than others. The Alzheimer’s Association also underscores that nursing home residents with Alzheimer’s disease and other forms of dementia are especially vulnerable to abuse, often because they do not have the cognitive abilities to recognize abuse or to report it.

What about gender and sex? And, in particular, are women at higher risk of certain types of abuse in nursing home settings? Our San Bernardino nursing home abuse attorneys want to say more about gender-based violence and elder abuse in Southern California.

Women Residents of Nursing Homes Are More Likely to Be Victims of Sexual Abuse

Older adults, including nursing home and assisted-living facility residents in Riverside County, may be more likely to suffer serious fall injuries than younger people. Yet it is important to remember that falls are preventable, and nursing homes have a duty to take steps to ensure resident safety. If a fall does occur in a Riverside County nursing home or assisted-living facility, it is important to seek advice from a Riverside County nursing home negligence lawyer who can determine whether the facility may be liable. In the meantime, the following are five things you should know about falls and nursing homes.

1. Falls are Extremely Common But Preventable Among Older Adults

Falls occur much more frequently than you might think among older adults. Indeed, according to the Centers for Disease Control and Prevention (CDC), there were 36,000 fall-related deaths among adults aged 65 and up in 2020, which makes falls the “leading cause of injury death for that group.” Around 3 million older adults experience injuries in falls that require treatment in an emergency department, and approximately 800,000 require hospitalization. Among older adults, about 20% of all falls result in serious injury.

Could “ownership transparency” help to prevent injuries and severe harm to patients in skilled nursing facilities in San Diego County? Nursing home abuse and neglect in Southern California have many causes, including issues of understaffing and failure to properly investigate staff members prior to employment. Commentators often argue that certain nursing homes put profits before patient well-being. According to a recent article in Skilled Nursing News, the Biden administration has been focusing on “ownership transparency,” or addressing who owns — or what entities own — skilled nursing facilities across the country. The idea is that nursing homes that are owned by real estate investment trusts (REITs) may not provide the same quality of care as other nursing homes.

The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule aimed at “ownership transparency,” or as the article describes it, “a rule requiring more ownership disclosures and floating definitions of private equity and real estate investment trusts.” Yet as the article reports, “providers are pushing back on elements of this proposal,” and commentators argue that “the proposed policy’s definitions of different ownership structures is still too vague.” What do you need to know about the proposed rule and its implications? Our San Diego County nursing home abuse lawyers can say more.

Proposed Rule is Part of Broader Ownership Transparency Plan

“Cost-cutting is to be expected in any business, but nursing homes are particularly vulnerable. Staffing often represents the largest operating cost on a nursing home’s ledger. So, when firms buy a home, they cut staff. However, this business model has a fatal flaw. “Nurse availability,” Gupta and his colleagues wrote, “is the most important determinant of quality of care.”

“The data revealed a troubling trend: when private-equity firms acquired nursing homes, deaths among residents increased by an average of ten per cent.”

Read this compelling article from the New Yorker.

When a senior in a Los Angeles County nursing home suffers an injury because of the facility’s negligence or because of an intentional act committed by a staff member, it may be possible to file a claim against the facility in order to seek compensation and to hold the facility accountable. Yet it can be difficult to know when a facility should be sued, especially since there are so many different types of injuries and harm that an older adult can experience. One type of harm that may not be discussed as often as physical abuse in nursing homes but that can cause serious psychological injuries is harm to a person’s dignity. What rights does a nursing home resident have in California concerning rights to dignity and the right to be free from psychological or emotional harm? Our Los Angeles County nursing home abuse attorneys can provide you with more information.

Harm to a Person’s Dignity Can Be a Form of Nursing Home Abuse

It is critical to know that nursing home abuse is a term that can refer to many different types of harm — not just physical abuse. Indeed, there are many kinds of elder abuse and neglect that can occur at nursing homes and assisted living facilities in Southern California. In some cases, a staff member at a nursing home might not even intend to cause harm but may be so busy or overwhelmed that they cannot fully perform the requirements of their job, which results in a nursing home resident suffering an injury. In other cases, various forms of intentional abuse, including physical abuse, psychological abuse, and willful deprivation, may result in harm to a person’s dignity.

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