Health visitor and elderly woman during home visit.

The Henry Law Firm is an experienced legal practice dedicated to advocating for the rights and well-being of elderly individuals. Serving the state of Ohio, we have built a reputation for unwavering commitment to protecting the interests of senior citizens. As the population ages, the need for vigilant legal representation becomes increasingly crucial, especially in matters concerning nursing home care and elder abuse.

Assisted living facilities are legally bound to provide proper resident care; federal law prohibits anything less. At The Henry Law Firm, we understand the unique challenges faced by Ohio’s senior citizens and their families. Our attorneys are well-versed in the intricacies of elder law, providing comprehensive legal guidance to ensure that nursing home regulations are strictly adhered to. We are committed to safeguarding the rights of nursing home residents, ensuring they receive the care and respect they deserve. Through diligent legal advocacy, we strive to hold negligent facilities accountable and protect vulnerable individuals from abuse and neglect.

What Is the Nursing Home Reform Act?

The Nursing Home Reform Act, enacted in 1987 as part of the Omnibus Budget Reconciliation Act (OBRA), establishes federal standards for nursing home care to ensure the health and safety of residents and reduce the number of nursing home rights violations. The act mandates regular inspections, sets minimum staffing requirements, and enforces residents’ rights to receive proper medical care, participate in their care planning, and live free from abuse and neglect. The goal is to improve the quality of resident care in nursing homes across the United States.

Overview of Nursing Home Regulations in Ohio

Nursing home regulations in Ohio are designed to ensure that residents receive high-quality care in a safe and respectful environment. These regulations are enforced by the Ohio Department of Health (ODH) and align with federal standards set by the Centers for Medicare & Medicaid Services (CMS). Here is an overview of the key aspects of nursing home regulations in Ohio:

Licensing and Certification

All nursing homes in Ohio must be licensed by the Ohio Department of Health. This licensing process ensures that facilities meet the minimum standards required for operation. Additionally, nursing homes that participate in Medicare and Medicaid programs must be certified by CMS. The certification process of providing Medicaid services and receiving Medicare benefits

involves rigorous inspections and compliance with federal regulations.

Inspections and Surveys

Nursing homes in Ohio are subject to regular inspections and surveys conducted by the Ohio Department of Health. These unannounced inspections occur at least once every 9 to 15 months and are designed to assess the facility’s compliance with state and federal regulations. Inspections evaluate various aspects of care, including resident rights, quality of life, and the physical condition of the facility.

Resident Rights

Ohio law provides specific rights to nursing home residents, which are outlined in the Ohio Revised Code Sections 3721.10 to 3721.17. These rights include, but are not limited to:

  • The right to be treated with dignity and respect.
  • The right to privacy and confidentiality.
  • The right to participate in their own care planning.
  • The right to voice grievances without fear of retaliation.

Staffing Requirements

Nursing homes in Ohio must maintain adequate staffing levels to meet the needs of their residents. This includes having a sufficient number of licensed nurses and direct care staff on each shift. The Ohio Administrative Code 3701-17-08 specifies the minimum staffing requirements to ensure that residents receive timely and appropriate care.

Quality of Care

Facilities are required to provide proper care that meets the individual needs of each resident. This includes proper medical care, nutrition, hydration, and personal hygiene. Nursing homes must also develop and implement comprehensive care plans for each resident, which are regularly reviewed and updated.

Medical worker mistreating an elderly man in a nursing home

Abuse and Neglect Prevention

Nursing homes in Ohio are mandated to have policies and procedures to prevent abuse, neglect, and exploitation of residents. Staff members are required to undergo background checks and receive training on recognizing and reporting abuse. Any allegations of abuse, poor hygiene, the theft of personal property, or neglect must be promptly investigated, and appropriate actions must be taken to protect residents.

Compliance and Enforcement

The Ohio Department of Health has the authority to enforce compliance with nursing home regulations. This includes issuing citations, imposing fines, and, in severe cases, revoking the facility’s license. Non-compliant facilities are required to submit corrective action plans and may be subject to increased oversight.

Nursing home regulations in Ohio are comprehensive and designed to protect the health, safety, and rights of residents. These regulations ensure that nursing homes provide a high standard of care and operate in a manner that respects the dignity and well-being of their residents. The Henry Law Firm is committed to advocating for the rights of nursing home residents and ensuring that these regulations are strictly enforced to prevent abuse and neglect.

List of Restrictions on Nursing Homes

Nursing homes are subject to numerous regulations designed to protect the rights and well-being of residents. Here are some key restrictions placed on nursing homes:

Physical Restraints

A nursing care facility is generally prohibited from using physical restraints on residents unless absolutely necessary for medical reasons and prescribed by a physician. Physical or chemical restraints can only be used to ensure the physical safety of the resident or others and must be the least restrictive option available. The misuse of restraints for convenience of nursing home staff or as a form of punishment is strictly forbidden.

Imposing Unlawful Fees

An assisted living facility cannot impose unlawful fees or charges on residents. This includes charging for services that should be covered under Medicare or Medicaid, or adding hidden fees for basic care and necessities. Facilities must provide a clear and detailed explanation of all costs and services to residents and their families, ensuring transparency and fairness in how they’re billing the resident’s financial accounts.

Neglecting Medical Needs

Many nursing home residents have significant health care needs. As such, inadequate care for a medical condition is a form of nursing home abuse.

Neglecting the medical needs a resident requires is a serious violation of nursing home regulations and federal law. Facilities are required to provide adequate medical care, including timely access to healthcare professionals, proper medication management, and appropriate treatment for chronic conditions. Failure to meet needed medical treatment can result in severe penalties and legal action. Nursing homes must also ensure that residents receive regular assessments and that care plans are updated to reflect any changes in their health status.

Preventing Family Visits

Skilled nursing facilities would never prevent residents from receiving visits from family members and friends. Federal and state laws guarantee residents the right to have visitors at reasonable times, and facilities must accommodate these visits while ensuring the safety and privacy of all residents. Restrictions on visits can only be imposed in specific circumstances, such as during a public health emergency, and cannot deny access based on anything but legitimate safety concerns.

Involuntary Discharges

Involuntary discharges or transfers of residents are heavily regulated to protect residents from being unfairly removed from their nursing homes. Nursing homes can only discharge or transfer a resident under certain conditions, such as non-payment, the facility’s inability to meet the resident’s needs, or if the resident poses a danger to others. Even in these cases, the facility must provide proper notice, typically written notice 30 days in advance, and assist in finding an appropriate alternative placement. Residents have the right to appeal involuntary discharges.

These restrictions are to ensure that nursing homes operate in a manner that prioritizes the health, safety, and rights of their residents. By adhering to these regulations, nursing homes can provide a higher standard of care and create a more supportive and respectful environment for those who rely on their services.

Woman expressing care towards elderly

Guidance on Filing Complaints for Nursing Home Abuse

Filing a lawsuit against a nursing home is a critical step in protecting the rights and well-being of residents. If you suspect abuse or neglect, follow these steps to ensure nursing home violations are addressed promptly and effectively:

Document the Abuse: Keep detailed records of any signs of abuse or neglect, including dates, times, and descriptions of incidents. Photographs, medical records, and witness statements can be invaluable.

Report to Nursing Home Administration: Immediately report your concerns to the nursing home administration. They are required to investigate and address complaints. Request a written response outlining the steps taken to resolve the issue.

Contact the Ohio Department of Health (ODH): If the nursing home’s response is inadequate, file a complaint with the ODH. You can do this online, by mail, or by calling the ODH complaint hotline at 1-800-342-0553.

Notify the Long-Term Care Ombudsman: The Ohio Long-Term Care Ombudsman Program advocates for residents’ rights and can assist with filing complaints. Find and contact your local ombudsman at 1-800-282-1206 for support and guidance.

Involve Local Authorities: In cases of severe abuse or if immediate danger is present, contact local law enforcement or Adult Protective Services (APS). They can intervene and ensure the resident’s safety.

Seek Legal Assistance: Consult an attorney specializing in elder law or nursing home abuse to explore legal options. They can help you understand your rights and pursue compensation if necessary.

Our firm places a strong emphasis on preventing and addressing instances of abuse and neglect in nursing homes. We believe that every resident has the right to live in a safe, dignified, and supportive environment. Whether it involves investigating claims of mistreatment, pursuing legal action against negligent facilities, or advocating for systemic changes, The Henry Law Firm is dedicated to making a meaningful difference in the lives of Ohio’s senior citizens. Our mission is to provide the legal support necessary to protect the most vulnerable members of our community and ensure that their rights are upheld at all times.