Maryland Nursing Home Lawyer Blog

Is the Federal Government Allowing Maryland Nursing Homes to Cover Up Abuse and Neglect?

December 16, 2021 | Lebowitz & Mzhen

Nursing homes are a necessity of life for many families. Whether an older person doesn’t have any family members who can care for them, their family are too busy, don’t possess the requisite skills, or don’t have the room; hundreds of thousands of people are admitted to nursing homes each year. While most nursing homes hire caring, diligent staff members to care for residents, that is unfortunately not always the case.

When a family sets out to select a nursing home, there is only so much they can do in terms of due diligence. So much of what goes on in a nursing home is behind closed doors. Perhaps it’s not surprising that many nursing homes take affirmative efforts to hide instances of abuse and neglect. However, what’s more concerning is a recent report from the New York Times indicating that the federal government knew about instances of physical and sexual abuse and failed to inform the public.

Do nursing homes have a legal obligation to report abuse and neglect?

Yes, generally, nursing homes are under a legal duty to report abuse and neglect. For example, if one resident physically assaults another requiring the victim to be hospitalized, the nursing home must file a report with the state. One would assume that once a nursing home let federal authorities know of an incident, the government would then make that information public. Indeed, this is exactly the type of information families need when deciding on a nursing home.

Maryland Nursing Home Residents Face New Threat in Light of Omicron Variant

December 10, 2021 | Lebowitz & Mzhen

In light of the emergence of the new Omicron variant of Covid-19, Maryland nursing homes should take steps to prevent and reduce the likelihood of transmission amongst staff and residents. While people hoped that nursing homes and assisted living facilities have honed their strategies to keep the spread in check, the reality is that many of these facilities fail to engage in a flexible and adaptive approach to virus prevention. Some approach Maryland nursing homes can take include:

Encourage vaccination;
Consider local transmission rates in decision-making processes;

Keeping an Eye Out for Our Maryland Seniors This Holiday Season

December 3, 2021 | Lebowitz & Mzhen

With the holidays fully upon us, many families are making plans to gather to celebrate the season. For those of us with loved ones in nursing homes, it also is likely you are planning a visit for the holidays. These visits are important both for family bonding and catching up, but also as an opportunity to ensure that our seniors are remaining safe, well taken care of, and looked after by the staff in nursing homes.

Unfortunately, even during a joyous and cheery holiday period, nursing home abuse continues to be a major issue—and Maryland residents are no stranger to these challenges. Regardless of the season, nursing home abuse affects thousands of families in each year. With as many as five million seniors affected by elder abuse every year, it is crucial that holiday visits are rich in family time, but also in ensuring that your loved ones are not experiencing any type of abuse at the hands of other residents, family members, or nursing home staff.

Being proactive during nursing home visits can sometimes be challenging, especially if you do not know what exactly to look for. It is crucial to understand who is at risk and who the common perpetrators of abuse are.

Maryland Nursing Home Liability for COVID-19

November 24, 2021 | Lebowitz & Mzhen

From the beginning of the COVID-19 pandemic, many states passed legislation or issued executive orders shielding nursing homes and long-term care institutions from liability for COVID-19 harms that residents may have suffered. Maryland is one of several states that have introduced legislation allowing for this type of immunity. While not every COVID-19 case in a Maryland nursing home is due to another’s negligence, the fact of the matter is that the harrowing number of cases reflects the persistent low standard of treatment and care many of these facilities provide. Despite guidance from federal and state agencies, many nursing homes provide subpar care to their residents.

In light of these complicated and unclear immunities, many people are left wondering what recourse they have if their family members suffer injuries because of the neglect of a Maryland nursing home. The Maryland Nursing Home Bill of Rights provides that residents have the right to receive quality care, and facilities must treat residents with respect. Generally, nursing homes that fail to meet this standard will be held liable for the damages that their negligence causes. This duty does not mean that nursing facilities have an obligation to prevent their residents or patients from all viruses and infections. However, they must maintain policies to prevent and control infections.

The Centers for Disease Control (CDC) provides Maryland nursing homes with guidelines on preventing the spread of disease within their facilities. These include:

Medical Malpractice Claims Against Maryland Nurses

November 19, 2021 | Lebowitz & Mzhen

Under Maryland, law nurses may be liable for medical malpractice if they fail to do what a reasonable nurse would do in a similarly situated circumstance, and a patient suffers harm as a result of that negligence. Many people think of medical malpractice claims in the context of a physician error; however, nursing is a critical part of a patient’s care, and deviance from appropriate care can have disastrous and deadly consequences. In most cases, these claims would fall under the nurses’ medical insurance coverage, the physician’s insurance, or the hospital’s medical malpractice coverage.

What Can Lead to A Medical Malpractice Case Against a Nursing Home?

There are many different errors or a combination of mistakes that can result in a patient’s injuries. However, the leading causes involve medication errors and failure to monitor. While a physician holds the primary responsibility for prescribing a medication, nurses must ensure that they properly administer medications. This is critically important in hospital settings where nurses often use a dispensing cabinet to retrieve the medication. While these cabinets have many safeguards, the nature of a busy hospital often leads to nurses bypassing some of these protections. In these cases, nurses may run the risk of retrieving the wrong medication or dosage. Administering the wrong medication, too much medication, or the failure to administer medication can have deadly consequences on vulnerable patients. Furthermore, nurses may be liable if they fail to assess, monitor, and communicate a patient’s medical condition. Appropriate documentation and communication to the health team are critical to a patient’s well-being.

Maryland Nursing Home Residents Face Real Dangers of Sexual Assault

November 11, 2021 | Lebowitz & Mzhen

When loved ones—or their family members—decide to go to live in a nursing home, they expect a safe environment. Most nursing homes care about the safety and health of their residents; however, in some cases, this is not the case. And while individuals are more likely to experience abuse as they age, the rates of abuse are higher for seniors who live in a nursing home. Because of this, it is important to recognize the signs of abuse in nursing homes and report suspected abuse as soon as possible.

According to a recent news report, a nurse at a health and rehabilitation center was accused of assaulting two residents. According to the criminal complaint, the nurse was in the room alone with the two elderly residents and sexually abused them. At least one of the residents reported that she was initially afraid to speak up because she thought she might be retaliated against—which would make her life at the nursing home that much worse. The nurse is facing charges of aggravated indecent assault without consent, indecent assault without consent, neglect of care of a dependent person, and abuse of care.

Unfortunately, elder abuse is somewhat common. According to facts and statistics published by the National Association of Nursing Home Attorneys, an estimated 5 million seniors are abused each year. And this abuse is more prevalent in nursing homes: 36% of nursing home residents witnessed abuse of another resident within the previous year. This abuse may include psychological abuse, financial exploitation, neglect, physical abuse, and sexual abuse.

New Federal Regulation Will Impact Many Maryland Nursing Home Residents

October 31, 2021 | Lebowitz & Mzhen

Although much of nursing home regulation and action happens at the state level across the country, federal regulations also often impact the day-to-day operations and quality of care that our seniors receive in long-term care facilities. If you have a loved one living in a nursing home facility, it is always important to keep up to date with recent developments both at the state and federal level so that you can best protect your family members and advocate on their behalf if necessary.

According to a recent news report, the 8th Circuit Court of Appeals approved of a federal regulation that allows nursing homes to use arbitration agreements with residents but prevents them from making the agreements a prerequisite for admission to the facility. In its opinion, the three-judge panel rejected arguments from a group of nursing homes that claimed that the regulation was unlawful.

In its opinion, the court concluded that it was reasonable for the Centers for Medicare & Medicaid Services (CMS)—the federal agency that promulgated the regulation—to regulate the use of arbitration agreements in nursing homes. The regulation, the court reasoned, would further the well-being and overall health and safety of residents, especially when the elderly individual is first admitted into the facility.

Elderly Neglect and Abuse Stemming from Staff Shortages Could Affect Maryland Residents

October 24, 2021 | Lebowitz & Mzhen

When we send our loved ones to a nursing home, we expect them to be given the attention and quality care they deserve. Since the COVID-19 pandemic, however, many nursing homes have had to shut their doors to visitors as elderly residents have presented as high-risk for catching the virus, leaving abuse and neglect often concealed behind closed doors. As a result of outbreaks and quarantines, many facilities also became short-staffed—and many elderly residents suffered as a result.

According to a recent news report, a nursing home was fined $27,739 after elderly residents were neglected following staffing shortages. Based on a report released by the federal Centers for Medicare and Medicaid Services, the nursing home left residents with bedsores in their waste for up to eight hours at a time. In addition, the nursing home failed to protect residents from emotional and physical harm, abuse, and mental anguish. With more than 100 cases of COVID-19—including 37 staffers—reported at the nursing home during an outbreak earlier this year, the facility became even more short-staffed than ever before, with no registered nurses or supervising staff available to keep an eye on residents. At one point, there was only one certified nursing assistant per 53 residents, which prevented vital sign monitoring every few hours for significantly ill residents.

Unfortunately, Maryland is no stranger to similar elder abuse and neglect and staffing challenges in its nursing homes. In addition, many elderly Maryland nursing home residents have been subject to different kinds of physical, emotional, and sexual abuse.

Can Families Place a Camera in a Maryland Nursing Home?

October 17, 2021 | Lebowitz & Mzhen

With each passing year, more states are enacting laws that allow for the installation of cameras in nursing homes and other similar long-term care facilities. After all, sending our loved ones to nursing homes is never an easy endeavor. When we put our loved one’s care in the hands of strangers, it can often be challenging to feel at ease when abuse or neglect could be taking place behind closed doors. To proponents of allowing cameras in nursing home facilities, allowing cameras ensures increased accountability and safety from abuse and neglect for our loved ones.

According to a recent news report, other states are continuing to consider enacting laws that would allow cameras to be placed in their loved ones’ rooms in nursing homes. Proponents argue that such laws could go a long way in building a record and substantiating claims of abuse or neglect, instead of relying on staff who may fear repercussions as a result of reporting. Cameras could also be beneficial for nursing home staff to refute false claims. Although cameras will likely not solve all existing problems for elderly residents, proponents argue it could be a step in the right direction to increase transparency, accountability, and safety in these long-term care facilities.

In light of COVID-19, many nursing homes have had to close their doors to visitors because of public health and social distancing protocols. Because elderly residents of nursing homes remain a highly at-risk group in the midst of the global pandemic, many suspect that the ongoing pandemic increased the frequency of abuse or neglect taking place behind closed doors as in-person visits became restricted or limited.

Filing a Claim After Abuse in Maryland Nursing Home

October 11, 2021 | Lebowitz & Mzhen

Families of nursing home residents know all too well that they have to put a good amount of trust in nursing homes. Families cannot be with their loved ones all the time and some residents are unable to report abuse, or even understand that they are being abused in the first place. Abuse can take different forms, including physical, emotional, and financial abuse. There may be signs of abuse, such as broken bones and unexplained injuries, fear or distress, poor living conditions, and missing finances. Victims of Maryland nursing home abuse may be able to file a claim against the perpetrator, the facility, and anyone else responsible for the harm.

What Are Nursing Home Residents' Rights?

Maryland nursing home residents have the right to live in a safe and sanitary environment free from abuse. Nursing homes are required to report any allegations of abuse to Maryland’s Office of Health Care Quality within five working days of the alleged violation. They must also conduct an investigation and provide a report to the state. Nursing homes also have to have proper policies and procedures in place in order to prevent abuse and keep their residents safe. Nursing homes that fail to report abuse are subject to fines and other sanctions.