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Bibliographies on this Web site were prepared for educational purposes by law students as part of Nancy P. Johnson's Advanced Legal Research course. The Law Library does not guarantee the accuracy, completeness, or usefulness of any information provided. Thorough legal research requires a researcher to update materials from date of publication; please note the semester and year the bibliography was prepared.

Nursing Home Abuse/Neglect

Danielle Columb Becker - Fall 2003 - Elder Law; Health & Biotechnology Law

Table of Contents

  1.  Introduction
  2.  Primary Sources
    1. Federal Statutes
    2. Federal Cases
    3. Georgia Statutes
    4. Georgia Cases
  3. Secondary Sources
    1. American Law Reports
    2. Law Reviews
    3. Treatises
    4. Newspapers
  4. Computerized Research
  5. Professional Groups

I. Introduction

As the baby boomer generation ages, our elderly population is growing by leaps and bounds. As a result, the need for strict regulation of nursing homes is going to become more and more important. Nursing home patient/ resident abuse and neglect is on the rise and the end is no where in sight, as the agencies entrusted to regulate these homes and protect perhaps the most vulnerable societal group are overloaded. Nursing home litigation has become a prevelant thing in the past few years, raising serious issues about the state most nursing homes are in. Most nursing homes are understaffed, which leads to problems with resident neglect. This website is designed to provide a variety of sources that would be useful in researching a nursing home abuse or neglect case. The statutes, both Georgia and Federal are helpful in determining the standard of care for nursing homes and whether such a standard was breached, specifically in the case of nursing home neglect cases. The case law in Georgia is very limited with regard to nursing home abuse and neglect cases because most nursing home cases settle. The Law Review articles and ALRs give you a good place to start when investigating a possible nursing home neglect or abuse case.

II. Primary Sources 

a. Federal Statutes

Federal statutes can be found in the United States Code Service (U.S.C.S.) and the United States Code Annotated (U.S.C.A.) . The United States Code can be accessed on the internet at the Legal Information Institute website or on Findlaw. The Code of Federal Regulations can be accessed on the internet at the GPO Access website or on Findlaw.

42 U.S.C.A. § 3058g State Long Term Care Ombudsman Program
42 U.S.C.A. § 1396rRequirements for Nursing Facilities
42 C.F.R. § 483.1 Requirements for Long Term Care Facilities: Basis and Scope
42 C.F.R. § 483.5Requirements for Long Term Care Facilities: Definitions
42 C.F.R. § 483.10Requirements for Long Term Care Facilities: Level A Requirement: Resident Rights
42 C.F.R. § 483.12Requirements for Long Term Care Facilities: Admission, Transfer and Discharge Rights
42 C.F.R. § 483.13Requirements for Long Term Care Facilities: Resident Behavior and Facility Practices
42 C.F.R. § 483.15Requirements for Long Term Care Facilities: Quality of Life
42 C.F.R. § 483.20 Requirements for Long Term Care Facilities: Resident Assessment
42 C.F.R. § 483.25 Requirements for Long Term Care Facilities: Quality of Care
42 C.F.R. § 483.30 Requirements for Long Term Care Facilities: Nursing Services
42 C.F.R. § 483.35 Requirements for Long Term Care Facilities: Dietary Services
42 C.F.R. § 483.40 Requirements for Long Term Care Facilities: Physician Services
42 C.F.R. § 483.45 Requirements for Long Term Care Facilities: Specialized Rehabilitation Services
42 C.F.R. § 483.55 Requirements for Long Term Care Facilities: Dental Services
42 C.F.R. § 483.60 Requirements for Long Term Care Facilities: Pharmacy Services
42 C.F.R. § 483.65Requirements for Long Term Care Facilities: Infection Control
42 C.F.R. § 483.70 Requirements for Long Term Care Facilities: Physical Environment
42 C.F.R. § 483.75Requirements for Long Term Care Facilities: Administration

b. Federal Cases

Schenick v. Living Centers-East, Inc., et al., 917 F.Supp. 432 (E.D.La. 1996).Allegations by survivor of nursing home patient that nursing home had breached contract to provide patient with reasonable and safe care and to treat patient with dignity and respect sounded in contract and not tort and were governed by ten-year prescriptive period; Louisiana statute which provides a one year prescriptive period for hospitals does not apply to actions against nursing homes.
Petre v. Living Centers-East, Inc., et al., 935 F.Supp. 808 (E.D.La. 1996).Court held that claims sounding in both tort and contract could be asserted; nursing home owed fiduciary duty to its residents; private cause of action exists for violation of statutory duties owed by nursing home; nursing home was "health care provider" subject only to one-year prescriptive period; but continuing tort doctrine applied to resident's claims.
Francis v. Health Care Capital, Inc., 933 F.Supp. 569 (E.D.La. 1996).Court held that Louisiana law did not bar administrator from asserting claims of both tort and breach of contract; nursing home was "health care provider," so that action was governed by one-year prescriptive period; and doctrine of continuing tort applied and allowed acts or omissions occurring more than one year before action was brought to potentially form basis of liability.
Campbell v. Beverly Enterprise, 724 F.Supp.439 (S.D.Miss. 1989).Court held that children of deceased nursing home patient could not recover mental distress damages from nursing home owner and operator for mistreatment, abuse, and neglect suffered by patient while at nursing home, in absence of traumatic physical injury, or at least threatened violent physical injury, to patient.
Daigle v. Opelousas Health Care, Inc., 774 F.2d 1344 (5th Cir. 1985).Court held that the existence of state regulation of nursing home industry and receipt of state funding by private nursing home did not create state action that would support suit under civil rights statute.
Brogdon v. National Healthcare Corp., 103 F.Supp.2d 1322 (N.D.Ga. 2000).Court held that Medicare and Medicaid Acts did not provide a private cause of action for residents of nursing homes to sue the owners or operators of nursing homes; claims under Georgia's Bill of Rights for Residents of Long- Term Care Facilities survived deaths of nursing home residents; and Medicaid and Medicare Acts did not preempt breach of contract claims by nursing home residents against owners based on lack of sufficient care.
Autrey v. 22 Texas Services, Inc., et al., 79 F.Supp.2d 735 (S.D.Tex. 2000).Plaintiffs attempted to sue the nursing home and the owners of the nursing home individually for the wrongful death of the resident. The court held that there were genuine issues of material fact regarding whether the corporate owner of the nursing home was undercapitalized in order to warrant piercing of the corporate veil. The court also held that Pennsylvania law applied in determining whether the corporate veil should be pierced.
McCain v. Beverly Health and Rehabilitation Services, Inc., 2002 WL 1565526 (E.D.Pa.).The Court held that policies expressed in statutes and regulations could form basis for negligence per se claim, despite lack of private cause of action, and allegations that nursing home had transported plaintiff's decedent in a wheelchair that could cause pressure sores, despite resident's high risk for developing pressure sores were sufficient to state claim for punitive damages.

c. Georgia Statutes

Official Code of Georgia
O.C.G.A. § 31-8-50 Long term care Ombudsman Program: Legislative Intent
O.C.G.A. § 31-8-52 Long Term Care Ombudsman Program
O.C.G.A. § 31-8-53

Long Term Care Ombudsman Program: Responsibilities of the State Ombudsman

O.C.G.A. § 31-8-54Long Term Care Ombudsman Program: Responsibilities of the Community Ombudsman
O.C.G.A. § 31-8-55Long Term Care Ombudsman Program: Investigative and Entry Authority
O.C.G.A. § 31-8-56Long Term Care Ombudsman Program: Resolution of Complaints
O.C.G.A. § 31-8-57Long Term Care Ombudsman Program: Reporting of Abuse
O.C.G.A. § 31-8-58 Long Term Care Ombudsman Program: Confidentiality
O.C.G.A. § 31-8-59 Long Term Care Ombudsman Program: Notice to Residents
O.C.G.A. § 31-8-60 Long Term Care Ombudsman Program: Retaliation Prohibited
O.C.G.A. § 31-8-61 Long Term Care Ombudsman Program: Liability for Providing False Information
O.C.G.A. § 31-8-62 Long Term Care Ombudsman Program: Immunity
O.C.G.A. § 31-8-63 Long Term Care Ombudsman Program: Rules and Regulation
O.C.G.A. § 31-8-80 Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Short Title
O.C.G.A. § 31-8-82 Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Reporting of Abuse or Exploitation; records and reports
O.C.G.A. § 31-8-83 Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Investigations
O.C.G.A. § 31-8-84Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Protection of the Resident; Referral for Prosecution
O.C.G.A. § 31-8-85 Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Immunity
O.C.G.A. § 31-8-86 Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Confidentiality
O.C.G.A. § 31-8-87Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Retaliation Prohibited
O.C.G.A. § 31-8-88Reporting Abuse or Exploitation of Residents in Long Term Care Facilities: Notice of Reporting Requirement Distributed
O.C.G.A. § 31-8-100Bill of Rights for Residents of Long Term Care Facilities: Short Title
O.C.G.A. § 31-8-101 Bill of Rights for Residents of Long Term Care Facilities: Legislative Intent
O.C.G.A. § 31-8-102 Bill of Rights for Residents of Long Term Care Facilities: Definitions
O.C.G.A. § 31-8-103 Bill of Rights for Residents of Long Term Care Facilities
O.C.G.A. § 31-8-104 Bill of Rights for Residents of Long Term Care Facilities: Right to Notification of Rights
O.C.G.A. § 31-8-105 Bill of Rights for Residents of Long Term Care Facilities: Date for Notification of Rights
O.C.G.A. § 31-8-106Bill of Rights for Residents of Long Term Care Facilities: Right to Certain Information
O.C.G.A. § 31-8-107Bill of Rights for Residents of Long Term Care Facilities: Right to Non-discriminatory Admission
O.C.G.A. § 31-8-108 Bill of Rights for Residents of Long Term Care Facilities: Right to Care, Treatment and Services
O.C.G.A. § 31-8-109Bill of Rights for Residents of Long Term Care Facilities: Right to Freedom from Restraints, Isolation or Restriction
O.C.G.A. § 31-8-110 Bill of Rights for Residents of Long Term Care Facilities: Rights Relative to Pharmaceuticals
O.C.G.A. § 31-8-111 Bill of Rights for Residents of Long Term Care Facilities: Rights of Citizenship
O.C.G.A. § 31-8-112 Bill of Rights for Residents of Long Term Care Facilities: Right to Personal Choice
O.C.G.A. § 31-8-113 Bill of Rights for Residents of Long Term Care Facilities: Right to Personal Property
O.C.G.A. § 31-8-114Bill of Rights for Residents of Long Term Care Facilities: Right to Privacy
O.C.G.A. § 31-8-115Bill of Rights for Residents of Long Term Care Facilities: Right to Fiscal Management
O.C.G.A. § 31-8-116Bill of Rights for Residents of Long Term Care Facilities: Rights relating to Transfer or Discharge
O.C.G.A. § 31-8-117Bill of Rights for Residents of Long Term Care Facilities: Requirements for Temporary Suspension of Rights
O.C.G.A. § 31-8-118Bill of Rights for Residents of Long Term Care Facilities: Right to Pursue Interest; Conflicting Rights; Right to Voice Complaints and Make Recommendation
O.C.G.A. § 31-8-119Bill of Rights for Residents of Long Term Care Facilities: Coerced Contributions from Family Prohibited; Use of and Receipt for Contributions
O.C.G.A. § 31-8-120Bill of Rights for Residents of Long Term Care Facilities: Access to Facility
O.C.G.A. § 31-8-121 Bill of Rights for Residents of Long Term Care Facilities: Residents' Councils
O.C.G.A. § 31-8-122 Bill of Rights for Residents of Long Term Care Facilities: Compliance
O.C.G.A. § 31-8-123 Bill of Rights for Residents of Long Term Care Facilities: Use of State or Community Ombudsman
O.C.G.A. § 31-8-124 Bill of Rights for Residents of Long Term Care Facilities: Grievance Procedures
O.C.G.A. § 31-8-125 Bill of Rights for Residents of Long Term Care Facilities: Administrative Hearings; Informal Resolution
O.C.G.A. § 31-8-126 Bill of Rights for Residents of Long Term Care Facilities: Enforcement
O.C.G.A. § 31-8-127 Bill of Rights for Residents of Long Term Care Facilities: Rules and Regulations

d. Georgia Cases 

State case law can be found using Westlaw, Lexis and LoisLaw; however these sources can be extremely expensive. Law school students can search each engine for free. Some cases are also available on Findlaw, which is completely free.
Associated Health Systems, Inc. v. Jones, 185 Ga.App. 798 (1988).

Statute restricting nursing home from imposing restraints on residents applied only to use of physical restraints or restrictions on mobility and did not encompass other forms of supervision, counseling, therapy or restriction of access to specified areas. Not only does nursing home owe contractual and statutory duty of care and protection to its residents to prevent harm to them, it also owes duty of supervision over any resident whose propensity to cause harm to others is known or should have been known to management

Thurman v. Pruitt Corp., 212 Ga.App. 766 (1994).Statutory cause of action for damages against long-term care facility for failing to provide rights guaranteed by Bill of Rights for Residents of Long- Term Care Facilities was distinct claim from allegations that nursing home committed professional malpractice by delivering below-standard nursing care
Coastal Health Services, Inc. v. Rozier, 176 Ga.App. 240 (1985).O.C.G.A. § 31-8-58, which authorizes disclosure by ombudsman of complaint concerning care and treatment of elderly patient of nursing home, merely removes problem of confidentiality in allowing disclosure of such investigative information in judicial proceeding, and does not eliminate application of regular rules of evidence.

III. Secondary Sources 

a. American Law Reports (A.L.R.) 

A.L.R. is a great place to start for most research projects, especially if it is a topic for which you are not familiar.

David P. Chapus, Annotation, Criminal Liability under Statutes Penalizing Abuse or Neglect of the Institutionalized Infirm, 60 A.L.R. 4th 1153 (1988). KF132.A522 4th ser.Considers the validity of statutes criminalizing the abuse, neglect or mistreatment of a resident or a patient in a nursing home. Abuse and/or neglect includes the failure of a nursing home to properly feed a resident, failure to properly staff a nursing home, and the use of physical force or restraint.
Laurent B. Frantz, Annotation, Patient Tort Liability of Rest, Convalescent or Nursing Homes, 83 A.L.R. 3d 871 (1978). KF132.A522 Ser. 3Analyzes the cases dealing with the liability of rest, convalescent or nursing homes for unintentional torts to their patients/residents.

Robin Cheryl Miller, Annotation, Construction and Application of State Patient Bill of Rights Statutes, 87 A.L.R. 5th 277 (2001).
KF132.A522 5th ser. c.1Collection and analysis of state and federal cases that discuss the construction or application of state patient bill of rights statutes insofar as those statues regulate the medical treatment or nonmedical care offered the patient at a health care facility, including whether a private cause of action is available under such a statute.

b. Law Reviews

John W. Bellflower, Jr., Respecting our Elders: Can Tennessee Do More to Protect its Elder Population from Institutional Abuse and Neglect?, 66 Tenn. L. Rev. 819 (1999).

.T2975 .L4162Examines Tennessee's deficient Nursing Home Statute and Adult Abuse Act, the problems with Tennessee's attempt to provide a statutory cause of action through its Medical Malpractice Act, methods used by other states to provide a private cause of action, and a nursing home resident's bill of rights which is enforceable as a statutory standard of care.
David F. Bragg, Dealing with Nursing Home Neglect: The Need for Private Litigation, 39 S.Tex.L.Rev. 1 (1997). .S726 .T49 .L384Examines the applicable law, federal and state, with regard to nursing home abuse and neglect and the causes of action available for such cases.
Angela Snellenberger Quin, Imposing Federal Criminal Liability on Nursing Homes: A Way of Deterring Inadequate Health Care and Improving the Quality of Care Delivered?, 43 St. Louis U.L.J. 653 (1999)..S132 .L57 .U54
Analyzes the current mechanism used to ensure that nursing home residents receive appropriate care. Explores the possibility of imposing federal criminal liability on nursing homes as a means of deterring nursing homes from providing poor care to its residents.
Jennifer Marciano, Mandatory Criminal Background Checks of those Caring for Elders: Preventing and Eliminating Abuse in Nursing Homes, 9 Elder L.J. 203 (2001)..E43 .L39Addresses the abuses that nursing home patients suffer at the hands of nursing home employees and defines the different types of abuse that occur most frequently.
David A. Bohm, Striving for Quality Care in America's Nursing Homes: Tracing the History of Nursing Homes and Noting the Effect of Recent Federal Government Initiatives to Ensure Quality Care in the Nursing Home Setting, 4 DePaul J. Health Care L. 317 (2001). .D47 .J68 .H43Examines the nursing home industry in the context of past and present measures advocated by the federal government in its role to ensure quality care in the nursing home setting.
Jennifer N. Phan, The Graying of America: Protecting Nursing Home Residents by Allowing Regulatory and Criminal Statutes to Establish Standards of Care in Private Negligence Actions, 2 Hous. J. Health L. & Pol'y 297 (2002)..H843 .J687 .H43Examines the different types of elder abuse, possible factors that contribute to elder abuse, negligence actions associated with elder abuse, mechanisms that are supposed to effectively deal with elder abuse problems and why the do not, and why criminal and regulatory statutes should establish the standard of care in elder abuse negligence actions.
Margaret Colleen Cox, Amy Marlyse Burgert & James Eloi Doyle, Nursing Home Litigation and the Admissibility of State Surveys, 41 S. Tex. L. Rev. 593 (2000)..S726 .T49 .L384
Discusses the Texas Department of Human Services Survey, their satisfaction of the Texas Rules of Evidence and their admissibility in civil cases. Also discusses the legislative history of TDHS surveys.
John Pray, Note, State v. Serebin: Causation and the Criminal Liability of Nursing Home Administrators, 1986 Wis. L. Rev. 339 (1986)..W811 .L416Examines the court's decision and argues that the homicide causation analysis is applied in a stricter way than in the neglect conviction or previous Wisconsin cases, and the difficulties of prosecuting corporate criminals and the use of the criminal justice system in the nursing home context.
Christine V. Williams, The Nursing Home Dilemma in America Today: The Suffering Must be Recognized and Eradicated, 41 Santa Clara L. Rev. 867 (2001). .S285 .L38Addresses the substantial abuse occurring in long-term care facilities and some solutions the country will need to implement in order to correct the exploitation and mistreatment that exists in nursing homes today.

George S. Ingalls, Linda T. Layton & Nomiki B. Weitzel, Elder Abuse Originating in the Institutional Setting, 74 N.D. L. Rev. 313 (1998).
.N864 .D35 .L38Addresses abuse originating in the institutional setting designed specifically to protect the elderly population.

c. Treatises

Michael S. Reeves, Elder Care and Nursing Home Litigation in Georgia, § 2-4 (2000).KFG363.N8 R44 2000Discusses the purpose of nursing homes from a historical context and the statutory regulations enacted in an attempt to protect these elderly residents.
Joan M. Krauskopf, Robert N. Brown & Karen L. Tokarz, Elderlaw: Advocacy for the Aging, § 12.38 (2d ed. 2003).

KF390.A4 K7 1993

Discusses tort remedies for nursing home residents
Sanford V. Teplitzky & S. Craig Holden, Health Law Handbook, § 8.42 (2003). KF3821.H43Discusses the criminalization of nursing home fraud and abuse.
William H. Danne, Jr., New York Jurisprudence, § 43 (2d ed. 2003).KFN5065.N48 1979Discusses reporting, investigations and protection against patient abuse, mistreatment or neglect.

d. Newspapers

Christopher T. Hurley, Nursing Home Ills Better Background Checks, Monitoring are Needed, Fulton County Daily Report, May 23, 2002, Vol. 113, No. 101.

WESTLAW

Discusses the need for better background checks and monitoring with the use of "Granny cams" of nursing homes.
Cherie Song, States Cap Nursing Home Damages, Fulton County Daily Report, July 8, 2003, Vol. 114, No. 131.WESTLAW Discusses the pros and cons of imposing caps on nursing home damages and examines some of the states that have instituted damage caps.
June D. Bell, 'Bad Faith' Shown in Discovery Means Home Loses Suit, Fulton County Daily Report, September 9, 1998, Vol. 109, No. 175.WESTLAWDiscusses the effects of defendant's bad faith shown in discovery.
Staff, Nursing home residents need relief, The Atlanta Journal and Constitution, November 16, 2000, at A18.

Atlanta Journal Constitution

WESTLAW

Examines several instances in which the Office of Regulatory Services with the Department of Human Resources, the state agency responsible for handling nursing home complaints, failed to act.
Diane Loupe, Abuse alleged at nursing home 96-year old is hospitalized, Atlanta Journal Constitution, May 28, 1992, at B2.

Atlanta Journal Constitution

WESTLAW

Recounts an incident of abuse at a local nursing home, Cobb Geriatric Center.
David Beasley, Alleged sex abuse, neglect probed at nursing home, Atlanta Journal and Constitution, January 10, 1987, at B1.

Atlanta Journal Constitution

WESTLAW

Recounts an alleged incident of sexual abuse at the Wilcox County Nursing Home
Staff, Nursing-home neglect posses danger, Atlanta Journal and Constitution, December 19, 2000, at A16.

Atlanta Journal Constitution

WESTLAW

Discusses the fact that nursing home residents are being neglected and abused and no state regulatory agency is doing anything about it.
Julia Malone, Study: Overseers ignore nursing home complaints, Atlanta Journal and Constitution, November 10, 2000, at D1.

Atlanta Journal Constitution

WESTLAW

Discusses the fact that state regulators ignore the complaints of abused and neglected nursing home residents and rarely interview the residents involved.

IV. Computerized Research

Findlaw This cite is absolutely FREE and provides links to many useful websites. This is a great place to begin your research projects
Westlaw This is my favorite website. It is extremely user friendly, however it can be very expensive. Westlaw has recently begun to offer various different plans which can reduce the cost. It is free to law students.
Lexis This website is very similar to Westlaw. It, too, is very expensive. This site is also free to law students.
LoisLaw This website is a great tool for smaller firms that cannot afford the expensive versions of Westlaw or Lexis. It is free to law students and offers great rates to recent graduates.
Google This is a great site for searching almost any research topic. It is a great place to start.
Yahoo This site is very similar to Google. It is also a great place to start any research project.
Atlanta Journal Constitution This is a good place to search the local news in Georgia. However, you can only search the archives. If you want to read the entire article, you must subscribe.
New York Times This is a good place to search national and internation news. However, you can only search the archives. If you want to read the entire article, you must subscribe.
USA Today This website allows you to search both the newspaper and the internet with a google search engine. It also allows you to access several articles for free, but it requires you to subscribe to get the rest.

V. Professional Groups

Nursing Home Abuse and Neglect Information CenterInvestigative and Consultant Service provided by the Bauman and Rasor Group, Inc., which assists law firms in investigation and litigation of nursing home abuse and neglect cases.
American Trial Lawyers Association Offer several CLEs regarding Nursing Home litigation and abuse or neglect of the elderly. Offers many resources on their website; however, you must be a member in order to access them.