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My mom is in memory care. I found out another resident pushed her, she fell and broke her hip. She needs surgery to repair the fracture.
How is this usually handled? What are the options to ensure my mother is safe among the residents?
From what I am told, my mother was walking in the hall with her walker and was standing next to another resident. She did not instigate hostility, nor is that part of her behaviors. I was told the other resident seems to have felt mom got too close. Being unable to communicate to say "excuse me", this other resident instead pushed my mom which resulted in her breaking her hip that needs surgery to repair.
The Executive Director told me this was an isolated incident and this resident does not have a history of aggression. I am also told the staff there will be making sure my mother will be kept distant from this person. I think the staff cannot ever be 100% able to keep this person away from my mother and that is not much of a safety plan to me.
Can we force the offending resident to move out? Can we demand that perhaps my mother live in the 'assisted living' community instead if we hire an outside caregiver to gap the services she may need for MC?
What about the legal ramifications? What is the family of the offending resident liable for? This other resident caused my mother physical harm and I am not comfortable she is safe living among this person.
Thank you.

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Please contact your local ombudsman immediately. They are very familiar with cases like this as they happen frequently and can advise you.
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For those suggesting a lawsuit, something to keep in mind is personal injury attorneys make their $ mainly from cases with a settlement$$$ based on damages over time to the individual &/or their dependents. Like 45 yr old male with income of 125K, SAHM and 3 lil kids will get a bigger settlement as he has another 40 or so years that he could be working and investing to support that nonworking wife and 3 kids if not for the accident. 40 more years of being an active member of his church & community. Wife n kids show up at the hearings looking all sad and needy. Will be a nice fat settlement plus $$$ to cover all out of pocket medical and anticipatory medical & living costs. It will probably be a structured settlement. The tort atty makes $$$

But an elderly widow in a NH, it’s hard to place value on for damages. Average lifespan in the US is like 82…. If over 82 you are past any sort of actuarial tables used for value. You have no job / salary loss. If over 65 you are on Medicare so health care costs are being covered. And even if medical was included in a settlement (often done to kick the $$$ value up), Medicare has a required Secondary Payer Act which means any $ paid by Medicare - if included in the settlement - must be repaid to Medicare. It’s a strict rule. Plus if ya do a lawsuit, the elder plaintiff can be deposed. Elderly depositions can be pretty brutal as often the elder comes across as unreliable, unlikeable or even incompetent. For the OP, if depositions from others show that her mom was unable to be mindful of “personal space” with others before this incident happened, she will end up looking like the aggressor.

What you can want to have happen is accommodations done and at no or limited cost to the plaintiff. Like the facility places a bed hold at no cost till the resident returns from their hospitalization, or if there are any copays not covered by Medicare and their secondary health insurance, the facility pays those. Facility also does a plan to monitor the residents to keep them distanced & if it means a spotter is hired to do this during group activities the Nh pays. Attorneys can be hired to do negotiations like this. It’s fee based rather than on contingency.
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I would wonder, who is responsible for anynout of pocket Mom may incur. Does the MC have insurance to cover this or do you go after the person who pushed her. I can see the person who pushed her name blacked out of the report, but doesn't Mom's family have a right to know. I am aware this happens but now this will change Moms life.
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igloo572 Apr 23, 2025
The mom is on Medicare, so her hospitalization and rehab is going to be covered. The copays either by her secondary health insurance or out of pocket. The out of pocket, well imho that I could see being covered by a Duty of Care type of umbrella policy that facilities have for things like this. The harmed residents atty would send letters over on this. Then it goes into review and response back n forth.

There will be a Duty of Care liability policy. If the MC is part of a chain, all this info will be firmly at the corporate HQ. Your not getting squat out of them unless you have an attorney
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There should be an “incident report” that was done by the end of day or within 24 hrs of the event. It will have date, time, description on what happened, those involved and what type of effects (like bruised arm, eyeglass broken), etc. Plus what was done after the incident…. Like a resident taken to the ER, EMS called, etc. Doing an incident report is standard & likely required for their licenses. If this place is under Assisted Living licensing even though it’s doing Memory Care, requirements are less than if it’s a Skilled Nursing facility. The SNF is taking Medicare so Federal regulations come into play.

You want a copy of that report. ASAP. It likely will have the name of the person who pushed your mom blacked out. To get anywhere in this, personally I think you will have that report to take to a personal injury attorney with expertise in NH & MC facilities and see what their opinion is.

So mom has been hospitalized? She broke her hip, is hospitalized and scheduled for surgery, right? Imho you want to think about having the MC keep a “bed hold” placed on moms room till a determination is done as to the level of care she needs once surgery & rehab is done. And with no billing. Assuming you want her to return to this MC.

There is the strong possibility that mom will not be returning to MC after her hospitalization. As her care plan will be more on the SNF level. But a bed hold gives you all options.
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This wasn’t an accident. The other resident didn’t bump into mom causing a fall. That would be an accident. She was pushed. The OP needs to hear a plan on how this will never happen again. They can’t guarantee this person will never come in contact with mom. And how will mom feel seeing this other person around. Will she be afraid?
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There are personal Injury Lawyers who will take the case at No cost to you . I have seen some horrible stuff at Nursing Homes . I went to see my Mom and she told me " The Night workers Kick the OldGuy out of hissed and sleep . " Then she had a spy come Into her Room and go through her drawers supposedly Looking for Paper and a pen but was harassing My Mother . I saw another woman Had been Punched In the face . The Patients on assisted Living Look scared . You wouldn't Know because On the surface It Looks Divine - it sits next to the Kennedy church Our Lady of Victory in centerville . I thought my Mom was in a good Place . I went to visit my brother next in 2014 - the room mates Tv was Blasting , the bathroom was filthy, I found a diaper filled with shit - His room was Hot . I tell you and this is suppose to be One of the better rehabs on cape cod . The food was horrendous .Everyone working there Looked mad . One younger Lady said " help me , I dont Know how I got here . " Again on the Outside Looked like a Nice Place . Another place was filled with Alzheimers people it was a hell Hole . They would Not let My mom leave . I had to fight that One . Another Place Owned by a doctor who wrote the death certificates in Hyannis . You have to very careful where you Place your loved ones and do a ton of research . YELP , Propublica ( Medicare Fraud and neglect ) get her out of there .
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Talk to a personal injury lawyer who specializes in nursing home neglect and abuse. Speak to your state's Ombudsman too and explain what happened. What I'm about to say next isn't going to go over well with some people, but that doesn't make it untrue.

A memory care facility and a daycare center for children are kind of alike. If your toddler gets seriously injured at their daycare, that daycare facility gets sued. If it's another child who hurt them, that kid gets thrown out that very day.The family is not responsible for what the other resident did to your mother. The facility is because it's their job to make sure all the residents are safe. It's the job of the daycare center to make sure all the kids are safe and secure also.

To answer your question as to whether or not the resident who hurt your mother can be forced out of that memory care facility. Yes, they can but that is a matter for the administration of the facility.

You should know that all care facilities lie. The memory care is most likely not being truthful about the other resident never having any history of pushing, shoving, or aggression. They only start getting truthful, less secretive, and cooperative when they hear from lawyers. So you need to consult with one as soon as possible. The memory care may agree to evict the resident who hurt your mother, but the facilty will do nothing unless they start hearing from lawyers.
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KNance72 Apr 21, 2025
Yes a personal Injury Lawyer will take the case Burnt .
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I would see an attorney to ask about legal options. I really don't think that there are any, sadly.
The facility should have rules and regulations under which someone can be asked to leave. My brother's ALF surely did have, and one of those was any assaultive behavior.

At the time of the shove and fall with severe injury did you file any assault papers at all. That is to say, is there a police report?

I think you need expert advice. Do see someone.
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Sadly, this situation occurs occasionally in LTC facilities. Accidents happen no matter how careful people are. Perhaps your mother is better suited to use a wheelchair if the stability using a walker is compromized.


Can we force the offending resident to move out? - You can hire a lawyer to see if you can force the offender out, with your money and time. Probably highly unlikely since the incident is an isolated occurance and the SOP seems to have taken place.

Can we demand that perhaps my mother live in the 'assisted living' community instead if we hire an outside caregiver to gap the services she may need for MC? - Sure you can try to demand. Be aware your demands, especially if presented in an aggressive manner, will create a hostile relationship with the facility.

What about the legal ramifications? - Again consult with a lawyer with your money and time.

What is the family of the offending resident liable for? - Family is liable at all. What are you trying to gain from pursuing liability from a third party?

This other resident caused my mother physical harm and I am not comfortable she is safe living among this person. - Talk with the admin or director about moving your mother to another unit or look into transfering to another facility if you feel her safety is a major concern.
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BurntCaregiver Apr 21, 2025
@AMZebbC

Being violently assaulted and sustaining injuries that require surgery to fix is not an accident. The memory care facility like the daycare center is responsible for the safety of the people they are getting paid to care for.
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Now you focus on what your mom needs and put your (righteous) anger and dismay about the cause behind you. Sh*t happens and I can't see going to war over this or attempting to lay blame, it sounds as though it was a random event and there was no way to predict this happening. Give yourself time to see how this plays out, even within a few weeks the circumstances may be totally changed.
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BurntCaregiver Apr 21, 2025
@cwillie

What would you do if say you had a five-year old in school or daycare and one day another kid attacked him and he got a broken hip that required surgery to fix and suffered months of pain?

Would you still be saying 'sh*t happens' and accidents happen and put it behind you?

I think most people would definitely think it's worth going to war over if it was their child. It's worth going to war over if it's any vulnerable human being. The OP's mother is paying big bucks to be in memory care and because the facility accepts that money every month, they take on the responsibility for her safety. So if the facility chooses to cut corners by not hiring enough staff to maximize profit by minimizing spending, or does not evict violent and aggressive residents because they don't want to lose that cash flow, that's on them. They need to pay the price for their choices.

Not being assaulted in residential care is not an unreasonable expectation.

Every care facility something like this happens in should be made an example of to all other care facilities. When these places learn that they will be held responsible, residents will get better and safer care.
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The pusher's family is not liable at all, only that individual resident. Different facilities will handle this in different ways. Logically if s/he pushed one resident s/he certainly can push another. I think separating them is a reasonable immediate plan but not a long-term one. I would make sure this resident is on meds for agitation and aggression. Just because this resident hasn't done this before doesn't mean it won't become a regular part of their dementia behavior. I wish your Mom a speedy and full recovery.
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AMZebbC Apr 21, 2025
Geaton777 - Personal health information laws will prevent the facility from disclosing the mediciations or healthcare plan with the poster since she isn't the POA or Healthcare Proxy for the resident that pushed her mother.
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