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When a loved one suffers harm while living in a nursing home, families often ask can you sue a nursing home for neglect and what steps come next. Nursing homes and their staff must follow established standards of care designed to protect resident health and safety. When a facility fails to meet those standards and a resident suffers injury as a result, Pennsylvania law may allow a negligence claim.
Murray Stone Wilson | Nursing Home Abuse Attorneys represents families facing serious concerns about substandard care in nursing homes. We help evaluate whether neglect contributed to an injury and explain available legal options for pursuing accountability and compensation under the law.

Yes, you can sue a nursing home for elder neglect. Neglect occurs when staff members fail to uphold the standard of care in a nursing home facility and cause subsequent harm to the residents as a result.
Unfortunately, nursing home neglect is quite common, affecting thousands of families each year. Data published through the National Library of Medicine reports that 95 percent of nursing home residents either experienced neglect themselves or witnessed neglect involving another resident, and 44 percent reported experiencing abuse. Neglectful nursing home care can have serious health consequences, including death.
Nursing home neglect should be distinguished from abuse. Neglect and abuse may both arise from negligence—including negligent hiring, understaffing, or lack of adequate staff training—they are different legal theories. Nursing home abuse occurs when a staff member intentionally harms an elderly nursing home resident, and neglect occurs when the harm is caused unintentionally, and is generally the failure of the nursing home to act. Neglect can result in serious harm even though it is not intentional.
If you suspect your loved one is suffering due to nursing home neglect or abuse, you need to take action as soon as possible. Each state has statutes of limitations that prevent lawsuits from being filed after a certain amount of time has passed. We can help you file your case quickly and protect your loved ones’ right to receive compensation for their injury.
When families evaluate whether they can sue a nursing home for neglect, several legal and factual factors guide how a claim progresses. Nursing home abuse claims turn on how neglect occurred, which duties applied to the facility and staff, and whether the conduct fell below required care standards. Those determinations depend on documentation, oversight responsibilities, and timely action to protect a resident’s rights.
The following elements explain how neglect gets evaluated within a nursing home negligence lawsuit and how accountability is assessed under Pennsylvania law.
The U.S. Department of Justice identifies nursing home neglect as failures to meet essential needs or protect vulnerable elders from harm, including abandonment or reported neglect within care facilities. Within nursing homes, neglect reflects ongoing care failures rather than isolated mistakes.
Common examples include dehydration, malnutrition, untreated bedsores, poor personal hygiene, missed medications, and delays in necessary medical care. Residents may also suffer harm when staff fail to monitor health conditions or respond to medical changes.
Unsafe or unsanitary facility conditions also factor into neglect determinations. Hazards such as faulty wiring, insufficient heat, missing handrails, nonfunctional plumbing, soiled bedding, persistent odors, infestations, or inadequate clothing often signal broader supervision and care failures.
Nursing home neglect claims move forward when evidence shows a facility failed to meet required care standards and a resident suffered harm as a result. Legal review focuses on how the facility operated day to day, including staffing practices, care planning, supervision, and compliance with licensing and safety requirements tied to nursing home abuse prevention.
Records play a central role in establishing responsibility. Medical charts, incident reports, staffing logs, and inspection findings often reveal whether care lapses contributed to injuries such as infections, falls, pressure injuries, or medical decline. When documentation links care failures to measurable harm, families may pursue damages related to treatment costs, emotional distress, loss of independence, or fatal outcomes.
The right to pursue a nursing home abuse claim in Pennsylvania depends on legal authority and the resident’s ability to act independently. Parties who may file a lawsuit include:
Legal standing requires more than an emotional connection. Authority must come from documentation, a court appointment, or statutory rights under Pennsylvania law. Reviewing admission agreements, medical records, and estate documents early helps clarify who may act on a resident’s behalf and prevents delays that could limit available legal options.
Determining responsibility in a neglect case requires looking beyond a single incident or caregiver. Liability depends on who had authority over resident care, facility conditions, and staffing practices at the time harm occurred. In many cases, responsibility extends to the nursing home itself, management entities, administrators, or outside contractors involved in daily operations.
Pennsylvania regulations place obligations on licensed facilities to provide adequate supervision, safe living conditions, and appropriate care planning. When those obligations go unmet, legal review focuses on which parties controlled policies, staffing decisions, and corrective actions. Properly identifying responsible parties helps ensure accountability reflects the source of the care failure rather than only the visible outcome.
Protecting resident safety and preserving legal rights often require early, coordinated action. Families should begin by documenting injuries, living conditions, and communications with facility staff, since medical records, photographs, witness statements, and inspection findings frequently establish the foundation of a neglect claim. Formal reports to state authorities also create an official record and may trigger regulatory review through the Pennsylvania Department of Health complaint process.
Alongside reporting concerns, legal review helps families track filing deadlines under Pennsylvania law. Statutes of limitations restrict how long claims remain viable, and delays may weaken available evidence. Coordinating regulatory complaints with civil action allows safety concerns to receive prompt attention while legal accountability moves forward.
To prove nursing home negligence, you will need evidence showing your loved one was hurt by the negligent actions of the nursing home and/or its staff. You can start by keeping a written and photographic record of any signs you see of nursing home neglect. An experienced attorney will further help you to gather this evidence and present the strongest case possible. Your attorney needs to prove each of the following:
Nursing homes owe a very strict duty of care to each of their residents due to the important nature of the services nursing homes provide, including food, shelter, hygiene and medical care. Your lawyer has to prove your loved one was in the care of such a nursing home and owed this duty. This is usually established by providing the nursing home contract your loved one entered into upon becoming a nursing home resident.
Next, your lawyer needs to prove the nursing home breached this duty of care. This is usually done by showing how the nursing home or its staff members deviated from the accepted standard of care. This often requires testimony from one or more nursing home experts regarding what other, non-negligent nursing home staff would have done under the circumstances.
Your loved one must be able to establish the direct link between the breach of the duty of care and his or her injury. In other words, your lawyer has to prove that had it not been for the breached duty of care, your loved one would not have experienced harm.
A nursing home resident who has suffered neglect can file a lawsuit to seek justice and compensation. If a resident is unable to file on their own, close family members can often file on their behalf. The steps you need to take to file a nursing home negligence lawsuit include:
If your loved one is suffering due to nursing home neglect, and in danger of imminent physical harm, the first step is to call 911 and have your loved one protected immediately.
It is important to have a written record of everything that happens during the inspection and investigation process. Take photographs of relevant injuries and facility disrepair as it pertains to said injuries. Keep a timeline of when you first suspected nursing home neglect and record of every nursing home staff member, official or administrator with whom you interacted.
File a formal complaint with the appropriate government or state agency. Officials will then conduct an investigation and inspection of the facility.
An experienced nursing home neglect lawyer can help you and your loved one in this difficult time by making sure your loved one is cared for and compensated for any injuries they have suffered.
Nursing home neglect can take several forms.
Medical neglect occurs when nursing home staff fail to help residents manage their medical needs. Staff may not dispense resident medications on time, or may leave fractured bones or bedsores untreated. Failing to get medical attention in a timely manner, such as calling 911 in an emergency, is also a form of medical neglect.
Basic needs include your loved one’s need for food, water, and toileting. If a nursing home resident does not get enough food or water or the necessary toileting assistance, this can lead to malnutrition, dehydration and even death. Such neglect can lead to severe malnutrition, dehydration, and even death.
This type of neglect includes a failure to change or clean bed linens and clothing, bathe residents, appropriately clean their rooms or other nursing home facilities on a regular basis.
If you are worried your loved one may be suffering due to nursing home neglect, here are common warning signs your suspicions may be true:
While at a nursing home, residents should stay physically active and as mobile as possible. This is usually achieved through daily activities and physical or occupational therapy programs. If your loved one is showing signs of decreased mobility, it is possible that they are being left to sit in their beds or wheelchairs for prolonged periods of time.
Poor dental hygiene or personal grooming may let you know nursing home staff is not attending to a resident’s needs. Look for other signs such as dirty bed linens or soiled clothing that has not been washed.
Nursing homes should be free of pests, mold, dust build up and garbage. If you find your loved one’s nursing home to be chronically dirty, they could be at higher risk of neglect.
Being neglected by staff can make nursing home residents anxious and depressed. Residents may withdraw from family and friends and be reluctant to talk, or they may lash out in anger.
If they are not getting enough food and water, a nursing home resident will appear malnourished or dehydrated. Look for signs of such neglect such as dry, papery skin, dry mouth, hair loss, complaints of being cold, weight loss, or fatigue.
If a nursing home is inadequately staffed, there are fewer watchful eyes to watch over your loved one and ensure they do not harm themselves. Residents who are not carefully watched can fall and suffer serious injuries such as broken bones, bruises, and cuts or scrapes. Neglectful staff may not even be aware a resident is injured and may not get them the proper care and attention.
If your loved one has suffered due to nursing home negligence, contact an experienced elder abuse lawyer at Murray Stone Wilson | Nursing Home Abuse Attorneys today. We are here to help you hold negligent nursing homes accountable and to get the compensation you need and deserve.
No one should have to suffer through negligent nursing home care. Call our offices or fill out our contact form to get your free case review.
This page has been written, edited, and reviewed by a team of legal writers following our comprehensive editorial guidelines. This page was approved by our team of attorneys, who have more than 30 years of combined legal experience in helping victims of nursing home abuse.
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