March 2, 2026

Edited by Shawn Steel

The Rise of Elder Abuse Cases

Nursing Home Neglect

As America’s population ages, millions more are headed to nursing homes of all types — Independent Living, Assisted Living, Memory Care, or Skilled Nursing Facilities.


If the facility is far from family, many times the family is unaware of potential neglect. If the patient is in Memory Care or Skilled Nursing, the patient may be unable to inform the family of abuse or neglect.

In James v. Alameda Health Care and Wellness Center, the Alameda Superior Court heard testimony that James, a 71-year-old Air Force veteran, entered the Center to recover from serious tongue cancer surgery. He required skilled nursing care to attend ongoing oncology appointments and to assist with daily needs. Critically important was turning and repositioning to prevent pressure sores.


Defendant failed to transport James to at least seven oncology visits, disrupting his cancer treatment. Staff also failed to turn and reposition him, leading to massive pressure sores. The jury found 1,437 violations of the Residents’ Bill of Rights. See here.


James suffered a severe, deep, infected sacral ulcer that tunneled to the bone. Records showed over 500 missed turns. James died at the facility.


The jury found the Healthcare Center liable for elder neglect and awarded James $918,500 for pain and suffering. The jury further found recklessness, malice, oppression, and fraud, awarding punitive damages and other compensation for a total of $7,637,000.


James v. Alameda Health Care et al., Alameda Superior Court, Hon. Rebekah Evenson, Aug. 22, 2025.

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Think You Know L.A. Traffic?

James Moore, a traffic engineering expert from USC, examined the data and concluded:

  • Most are congested choke points near freeways and shopping centers
  • Extremely congested intersections
  • Many contain protected right-turn lanes
  1. Highland & Sunset
  2. Sepulveda & Lincoln
  3. MLK & Crenshaw
  4. 3rd & Alvarado
  5. El Segundo & Hoover
  6. Los Feliz & Griffith Park
  7. PCH & Sunset
  8. Santa Monica & Highland
  9. Fountain & Hyperion
  10. Crenshaw & 9th
  11. La Cienega & Centinela
  12. Vermont & 29th
  13. Wilshire & Sepulveda
  14. PCH & Chautauqua


The article explains the specifics of each intersection. Email John Tawlian for your free copy.


 

Elder Neglect Cases Live or Die on Documentation Because the Patient Often Can’t Testify

In nursing home litigation, the facility’s chart is either the smoking gun or the escape hatch. When a resident is in memory care or a SNF, they often can’t reliably report neglect, so the case gets proved through records: missed Dx, missed transports, wound progression, weight loss, infection markers, and the timing of family complaints. If you treat seniors (or consult with families), document baseline function, objective decline, and red flags with dates and push for prompt escalation when something feels “off.” Juries will forgive a lot, but they don’t forgive botched treatment/progression documentation and paper trails that look like a cover-up. (And if the facility can’t produce clean records, it usually tells you everything you need to know.)

 
 

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