Nursing Home Abuse
Pennsylvania Nursing Home Sexual Abuse Lawyer
TR DeAngelo Law represents nursing home, personal care home and assisted living residents who were sexually abused, and the families who discovered it. Residents with dementia, stroke or other disabilities may be unable to report what happened, which makes the facility’s records, and its duty to watch for warning signs, central to these cases.
Residents who cannot speak for themselves
Sexual abuse in a nursing home is often discovered by someone other than the resident: a family member who notices a change, an aide who sees an injury, or a nurse who notices something wrong during routine care. Under federal nursing home rules, sexual abuse means non-consensual sexual contact of any type with a resident. The person responsible may be a staff member, another resident or a visitor.
Residents living with dementia may be unable to consent, describe the abuse or identify who was responsible. Families often sense that something changed well before anyone at the facility says a word.
Warning signs families notice
Signs that may point to sexual abuse include:
- Unexplained bruising or injuries in private areas
- Unexplained infections, including sexually transmitted infections
- Torn or stained clothing or bedding
- Fear or withdrawal around a particular person
- Sudden changes in mood or behavior
These signs do not prove abuse on their own. They are reasons for the facility to assess the resident, investigate and report.
What the facility must do
Federally certified nursing homes must have and follow policies that prohibit and prevent abuse. When abuse is alleged, the facility must report it to its administrator and to the state survey agency immediately, and no later than two hours after the allegation is made. A reasonable suspicion of a crime against a resident must also be reported to law enforcement, and the facility must send the results of its investigation to the state within five working days.
Pennsylvania adds its own duty. Under the Older Adults Protective Services Act, a facility employee or administrator who has reasonable cause to suspect that an older resident has been sexually abused must report it immediately to the local area agency on aging and to law enforcement.
When a facility delays a report, investigates poorly or keeps an accused employee on the schedule, those failures can become part of the case.
What these cases depend on
A facility’s defense is often that nothing happened, especially when the resident has dementia and cannot describe the abuse. These cases then turn on timing and records: when staff first noticed a sign, whether the resident was examined promptly, whether evidence such as linens and clothing was preserved, whether reports reached the state and police on time, and whether the accused person was kept away from residents. Physical findings, staff statements, the facility’s own investigation file and its history with the accused person can answer that defense. Each case turns on its own facts, and no lawyer can promise a result.
A nurse’s view of the chart
Nursing home charts are written shift by shift, and they often show what happened before anyone named it. A nurse reviewing them looks at skin and body checks, notes on mood and behavior, care plans for residents who need close supervision or have a history of aggression, staffing and assignment sheets, incident reports, the facility’s internal investigation file, and the timing of every report to the state, protective services and police.
When the abuser is another resident, the questions shift: whether the facility knew that resident’s history and behavior, whether the care plan addressed it, and whether staffing allowed the supervision the plan required. Nursing negligence claims →
Questions families ask
Who can be held responsible for sexual abuse in a nursing home?
The abuser can be held responsible. So can the facility and the companies that operate it, when the abuse followed failures in hiring, supervision, staffing, care planning or reporting.
What if the abuser was another resident?
A facility must protect residents from abuse by other residents as well as by staff. Earlier incidents involving the other resident, that resident’s care plan and the staffing on the unit are central questions.
Can a case go forward if the resident has dementia?
It can. A case may be built without the resident’s own account, through physical findings, staff observations, the medical record and the facility’s own investigation.
How long does a family have to bring a claim?
For most adult claims, the general deadline in Pennsylvania is two years. Different rules can apply when the resident has died or when the nursing home is owned by a county. Records and memories fade, and an early review helps preserve the evidence.
Related article: Bedsores and Pressure Injuries: When Hospital or Nursing Home Care Falls Short
Reviewed by Terry DeAngelo, Esq., RN. Terry is a Pennsylvania medical malpractice attorney, a registered nurse, and a United States Air Force veteran who served on active duty as a clinical nurse. He has been selected to the Pennsylvania Rising Stars list by Super Lawyers, 2022–2026. About Terry
This page provides general information only. It is not legal or medical advice and does not create an attorney-client relationship.
Clinical review before expert review
Before a case goes to expert review, Terry draws on the experience of various independent medical-legal consultants, including Doctor of Nursing Practice (DNP) and board-certified nurse practitioner consultants in critical care and neurology, family practice, nurse-midwifery and psychiatric-mental health, and a Doctor of Optometry (OD). Meet the consultant specialties →
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