Nursing Home Abuse Lawyers in Pennsylvania: How to Tell Neglect From an Accident

Bed sores, unexplained falls and fractures, malnutrition, medication errors and wrongful death in Pennsylvania facilities.

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Kenneth R. Schuster, founding member of Schuster Law
Kenneth R. Schuster Founding Member. Practicing in Delaware County since 1982.

A pressure sore that reaches stage three or four, a fall nobody witnessed, sudden weight loss, or an injury the facility cannot explain are the four findings that most often turn out to be neglect rather than accident. Request the complete medical chart in writing, photograph everything, and report it to the Pennsylvania Department of Health.

The four findings that are almost never just bad luck

Facilities describe most of these as accidents. Sometimes that is true. These four are worth a second opinion every time.

  • Pressure sores at stage three or four. A bed sore takes time to develop and it is preventable with repositioning. A deep one is a record of hours that did not happen.
  • A fall nobody saw. Falls happen. A fall with no witness, no incident report and a delay before the family was told is a different thing.
  • Weight loss and dehydration. A resident who loses a significant amount of weight over a few months is usually not being helped to eat.
  • An injury the facility cannot explain. A fracture, a bruise in an unusual place, a burn. Ask how it happened and note whether the answer changes.

What to do this week

  1. Photograph everything, dated, including the room and the bedding, not only the injury.
  2. Request the complete medical chart in writing. You are entitled to it. Ask specifically for the care plan, the repositioning and wound care records, the medication administration record, the weight log and every incident report.
  3. Write down who you spoke to and when, and what they said. Staff explanations change.
  4. Report it to the Pennsylvania Department of Health, which licenses and inspects nursing homes and takes complaints from families.
  5. Do not sign anything the facility puts in front of you about the incident.

Records are the case. They are also the thing that gets thinner the longer you wait to ask for it.

Arbitration clauses in the admission paperwork

Many Pennsylvania facilities include an arbitration agreement in the admission packet, often signed during the worst week of a family’s year. It can push a future claim out of court and in front of a private arbitrator.

These agreements are not automatically enforceable. Whether the person who signed had authority to bind the resident, whether it was presented as a condition of admission, and how it was explained all matter. Send us the admission paperwork before you assume the courthouse is closed to you.

Who can be responsible

Not only the aide in the room. Chronic understaffing is a corporate budget decision, and Pennsylvania facilities are frequently owned by management companies and holding entities several steps removed from the building. Hiring practices, training, staffing ratios and how quickly the facility responded once a problem was documented are all part of it.

If your relative died

Pennsylvania gives families two related claims. A wrongful death claim covers the family’s losses, including funeral costs. A survival action covers what the resident themselves endured before dying. They are brought together and the deadlines are strict, generally two years.

Families often wait because it feels like litigating a grief. The practical problem is that the records get harder to obtain and the staff who were there move on.

What it costs

Nothing up front, and nothing unless we recover. A first conversation about whether what you saw is actionable is free, and if we think the facility did nothing wrong we will tell you that plainly.

The attorneys who handle these cases

Every one of these bar numbers is searchable on the Pennsylvania Disciplinary Board register. The person who takes your call is the person at your hearing.

Questions people ask us about this

How do I know if it was neglect or just an accident?

The records usually answer it. A pressure sore that reached stage three, a fall with no incident report, or significant unexplained weight loss are patterns rather than accidents. Request the complete chart in writing, including the care plan and repositioning records, and have somebody read it against what you were told.

We signed an arbitration agreement when Mom was admitted. Is our case over?

Not necessarily. These agreements are frequently challenged and sometimes unenforceable, depending on who signed, whether they had legal authority to bind the resident, and how it was presented. Send us the admission paperwork before you accept that you cannot go to court.

How long do we have to bring a nursing home claim in Pennsylvania?

Generally two years. For a death, the wrongful death and survival claims run from the date of death. There are situations where the clock runs from when the harm was discovered, but that is an argument rather than an assumption, so treat two years as the deadline.

Can we sue if the facility is short staffed?

Understaffing is not a defense, it is often the claim. Staffing levels are a management decision, and where a resident was harmed because there were not enough people to reposition, feed or supervise them, the responsibility runs up to the company that set the budget.

Will my relative be retaliated against if we complain?

Retaliation against a resident for a complaint is unlawful, and residents have protected rights under both federal and Pennsylvania regulation. In practice, families worry about this a great deal. Document everything, report to the Department of Health, and tell us if the care changes after you raise a concern.

What records should I ask for?

The complete medical chart, and specifically the care plan, the repositioning and wound care records, the medication administration record, the weight log, nursing notes, and every incident report. Ask in writing and keep a copy of the request with its date.

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Free case review

Tell us what happened. A named attorney reads every one, and you pay nothing unless we recover for you.

Step 1 of 2: what happened

Two questions in, and nothing about you yet. Free, and it does not commit you to hiring us.

Would rather talk now? (610) 601-2980