If the unthinkable happens and you have to file a nursing home or assisted living facility lawsuit, here is some guidance to help you choose your lawyers and understand the process. A nursing home lawsuit is a type of medical malpractice lawsuit—they are costly, emotionally draining, and long. While we have had quick settlements in nursing home cases when the care is egregious, that is the exception rather than the rule. Done right, however, these lawsuits can help families achieve a sense of justice; can alert the community to the dangers of a particular nursing home or health care provider, and can even help to change the culture of mistreatment and mismanagement in nursing homes.Step 1 - Collect your evidence
Before your meeting with a lawyer, collect as much evidence as you can easily assemble. Don’t spend too much time—it is your lawyer’s job to get most documents. However, there are some things that you have better access to, so if they are readily accessible, you can bring them to your first meeting. These documents include:
- Pictures of your loved one, before, during and after the nursing home’s negligence
- Medical Records from the nursing home or from any related hospitalizations.
- Autopsy report/death certificate
- Invoices or bills for funeral expenses
- Journals/Letters that show your concerns about the nursing home, and any communication with the nursing home staff or management (sometimes phone records can help to substantiate numerous calls to a nursing home)
- Lists of all medical providers, and medication for the past five years
There are three things to ask lawyers who you are interviewing:
- When was your last jury trial?: If your lawyer hasn’t tried a case to a jury in the past three years, that’s a red flag. You do not want a lawyer who is afraid to go to trial—those lawyers are more willing to settle cases for less than full value, which is not the memory that your loved one deserves. This give you an idea of some of our results at trial.
- Are you involved in any associations?: Your lawyer should be a member of organizations that provide continuing legal education (CLE). Your lawyer should receive publications and should have recently attended some types of nursing home or medical malpractice seminar.
- How many nursing home or medical malpractice lawsuits have you settled or taken to trial?: If that number is not at least ten you should find out why. Most likely, in our opinion, the answer is that you should keep searching for a lawyer better qualified to handle your nursing home malpractice claim.
You will want to meet with your lawyer in person. You will have to sign some documents, including a retainer agreement (the contract between you and your lawyer), and medical authorizations (allowing your lawyer to obtain medical records). Ask your lawyer to explain the process to you:
- How often will we communicate?: You should communicate with your lawyer at least once a month. Sometimes there won’t be anything to report, but it’s important for your case to stay on the lawyer’s radar.
- How long will the case take?: No one can ever know the answer to this question, but the lawyer can give you averages. In Maryland, most nursing home malpractice cases take one to two years to get to trial from the day the case is filed. The investigation phase may take between three months and a year, depending on how complex the medical situation is, and how many experts the lawyer will need to hire.
- What is a realistic outcome?: This is always a tough question, and no lawyer should ever make you any promises (particularly before they have seen any evidence or talked to any experts). But, they can explain some major factors in the value of nursing home lawsuits generally, including Maryland’s medical malpractice damage cap, distribution among surviving beneficiaries, and the cost to repay insurance liens or Medicare/Medical Assistance liens. It is important that you and your lawyer be on the same page with regard to the value of the legal claim.
When your lawyers have the initial documents from you, they will investigate the claim. This will include obtaining copies of all medical records from the nursing home and from hospitals who saw your loved one during the nursing home stay. It may also require copies of medical records pre-dating the nursing home admission to get a better idea of your loved one’s medical condition upon admission. Armed with these medical records, your lawyers will consult with expert medical witnesses, including possibly nursing home medical directors, internal medicine physicians, wound-care specialists, and registered nurses. If the relevant experts agree that the nursing home failed to do what they were legally required to do, and if the experts agree that those failures caused the injury, then your lawyers will draft and file a lawsuit.Step 5 - Discovery
The first step in a lawsuit is discovery. All parties will exchange written discovery, including interrogatories, requests for production of documents, and requests for admission of facts. Your lawyer will take care of most of this, but will need to speak with you about the proposed answers to make sure that some details are correct. Also, most nursing home cases include depositions. You have the right to attend all depositions (though most clients choose not to). The nursing home’s lawyer will probably want to take your deposition. This is a recorded series of questions and answers. Your lawyer will prepare you for the deposition, and will be there with you for the deposition.Step 6 - Trial
After all discovery is done, the case will move toward trial. Some cases settle by negotiation between the lawyers, and some cases get set for mediation. The trial will likely last between four days and a week. The plaintiff should plan to be there every day. The lawyers will give opening statements to the jury, which is an outline of how they expect the case to proceed. The plaintiff will need to testify—your lawyers will spend ample time with you to prepare you for what you will be asked. It can be a nerve-wracking situation, but your lawyers should give you the information you need to make it as easy as possible. After your lawyer presents his evidence—your statement, the medical evidence, and other witnesses, the defense lawyer gets to do the same thing. The lawyers then give closing arguments—a summary of what happened and what they want the jury to do. The jury will then go back into their room to decide the case.If You Need Help
If you need to know whether you have grounds to bring a nursing home medical malpractice case, contact our medical negligence attorneys at 1.800.553.8082, or get a free online evaluation of your potential case. Our experienced nursing home attorneys will evaluate the conduct of the nursing home employees, and let you know if your loved one’s injury or death was preventable.More Maryland Nursing Home Lawsuit Information
- How does a nursing home lawsuit progress in Maryland?
- How much are nursing home lawsuits worth in Maryland?
- Bed Sore Injuries in Nursing Homes (perhaps the most preventable problem)
- Decubitus Ulcers and Deformities (background and Maryland law)
- Dehydration: a stealth killer in nursing homes
- Two Common Defendants in Maryland Nursing Home Suits
- Sample Nursing Home Complaint (sample lawsuit against Manor Care in death case)
- Example Interrogatories in Nursing Home Lawsuit
- Expert Report (sample certificate of merit and expert report defending Manor Care in a nursing home case)
- Plaintiff's Expert Report (expert report prepared by our expert in a suit against Manor Care)
- Sample Mediation Statement in a Nursing Home Case (example mediation statement in a successful effort to settle a nursing home case)
- Sample Nursing Home Lawsuit Settlement Agreement (release)
- Sample Scheduling Order in a Nursing Home Case