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[PA] How are settlement values estimated in nursing home bedsore negligence cases?

Seth
Seth

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Settlement Estimate
The attorney’s estimate of $500,000 to $1,000,000 likely reflects the severity of the injuries, evidence of negligence, and the impact on your mother’s health. While no outcome is guaranteed, settlements in serious cases involving stage 4 bed sores and osteomyelitis can fall within that range. Federal rules require nursing homes to provide care that prevents pressure ulcers unless they are clinically unavoidable (42 CFR § 483.25(b)(1)), and Pennsylvania facilities must also meet state licensing standards (28 Pa. Code Chapter 201). Pennsylvania nursing homes are also required to carry primary professional liability coverage and participate in the state’s Mcare Fund, which provides excess coverage above the primary policy under the Medical Care Availability and Reduction of Error (MCARE) Act, 40 P.S. § 1303.711 through § 1303.712. Ask your attorney how they calculated the estimate and what evidence will support the claim.

Urgency and Power of Attorney
Your attorney’s concern about timing is valid. A power of attorney ends upon death (see 20 Pa.C.S. § 5605 on the effect of the principal’s death). If your mother passes away before the case is resolved, an estate may need to be opened to continue the claim, which can cause delays. Pennsylvania allows the estate’s personal representative to continue the claim through a survival action under 42 Pa.C.S. § 8302, and certain family members may have a separate claim under the wrongful death statute, 42 Pa.C.S. § 8301. Personal injury claims are also generally subject to a two-year filing deadline under 42 Pa.C.S. § 5524. Pursuing the case while she is alive is generally more straightforward.

Legal Process and Strategy
Ensure your attorney has a clear plan to prove negligence, including obtaining medical records, documenting communications with the nursing home, and consulting medical experts if necessary.

Emotional Considerations
Pursuing a lawsuit while your mother is in hospice can be emotionally difficult. Discuss ways your attorney can minimize your involvement in day-to-day litigation and handle the matter as sensitively as possible.

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My mother has lived in a nursing home in Pennsylvania for five years with advanced Parkinson’s disease. In March, she was identified as having a wound (which I was originally told was not a bed sore) when she was wheelchair bound. By the end of March, it was determined to be a bed sore. By mid-April, she was hospitalized and determined to have a stage 4 wound and osteomyelitis. I contacted an attorney in Pennsylvania who I am considering working with, and I want to know if the information the attorney gave me is likely accurate. The attorney told me this case is likely to win in court, with a settlement of $500,000, or going to trial with winnings between $500,000 and $1,000,000. The attorney also expressed urgency around starting the case sooner rather than later because if my mother were to pass away, he says my power of attorney would no longer be valid and there would be additional steps to first open an estate for my mother.

Lexi

Lexi, Chatbot

I’m sorry to hear about your mother’s situation; it must be incredibly difficult for you. Can you tell me if you have already gathered any medical records or documentation related to her care and the wound?

Not yet, only documentation of notes I’ve been taking and from the hospitalization.

Lexi

Lexi, Chatbot

Have you had any discussions with the nursing home regarding their responsibility for your mother’s condition?

Yes.

Lexi

Lexi, Chatbot

Is there anything else the lawyer should know before I connect you? Rest assured they’ll be able to help with your nursing home case.

No.

Seth

Seth

Hi there! My name is Seth, and I am a licensed attorney. Please know that my responses are for general information only and do not constitute legal advice.

I understand you’re dealing with questions about a nursing home negligence case involving your mother and potential settlement amounts. Have you considered consulting with a local attorney to explore your options?

What is the lowest possible settlement that is likely?

Yes, I have done so, and I wanted to use this resource as a second opinion to see if this attorney’s information was accurate.

Seth

Seth

Could you share more about any prior settlement offers or negotiations that have taken place in your mother’s case? This will help in understanding the potential range of settlements.

There were none thus far.

This has not been pursued legally until now.

Seth

Seth

Got it, thanks for letting me know. Have you been able to gather any additional medical records or documentation from the nursing home or hospital since your last update? This information can be crucial in building a strong case.

Seth

Seth

Since this is the beginning of the legal process, gathering all relevant medical records and documentation will be crucial. Have you started collecting these records from the nursing home and hospital yet?

Only from the hospital so far. The attorney offered to gather my mom’s medical records from the nursing home on my behalf.

Seth

Seth

That’s helpful to know. Since the attorney is handling the collection of records from the nursing home, do you have any specific concerns or questions about their strategy or the legal process moving forward?

I want to know if the attorney’s estimate of what this settlement can look like is realistic, as opposed to the attorney just trying to get me to sign on. The attorney also expressed urgency in pursuing the case while my mother is alive, which could be emotionally difficult for me, as she is now on hospice care. The attorney expressed that if my mother passed away, it would require opening an estate, which would delay the case by multiple months. I want another attorney’s opinion.

Seth

Seth

Based on your situation, there are several legal arguments and considerations in Pennsylvania that could potentially support your case:

In Pennsylvania, nursing homes have a legal duty to provide adequate care to their residents. The development of a stage 4 bed sore and subsequent osteomyelitis could indicate potential negligence or inadequate care, especially if the condition was not promptly identified and treated. This could form the basis for a negligence claim against the nursing home.

The attorney’s estimation of a settlement or trial award ranging from $500,000 to $1,000,000 could be based on several factors, including the severity of the injury, the cost of medical treatment, pain and suffering, and any long-term impacts on your mother’s health. These figures are speculative and depend on the specifics of the case, including evidence of negligence and the extent of damages.

Regarding the urgency and power of attorney, a power of attorney allows you to make decisions on behalf of your mother while she is alive. If she were to pass away, the power of attorney would indeed become invalid, and you would need to open an estate to continue pursuing the case. This involves additional legal steps, such as obtaining letters of administration or testamentary.

Seth

Seth

Settlement Estimate
The attorney’s estimate of $500,000 to $1,000,000 likely reflects the severity of the injuries, evidence of negligence, and the impact on your mother’s health. While no outcome is guaranteed, settlements in serious cases involving stage 4 bed sores and osteomyelitis can fall within that range. Federal rules require nursing homes to provide care that prevents pressure ulcers unless they are clinically unavoidable (42 CFR § 483.25(b)(1)), and Pennsylvania facilities must also meet state licensing standards (28 Pa. Code Chapter 201). Pennsylvania nursing homes are also required to carry primary professional liability coverage and participate in the state’s Mcare Fund, which provides excess coverage above the primary policy under the Medical Care Availability and Reduction of Error (MCARE) Act, 40 P.S. § 1303.711 through § 1303.712. Ask your attorney how they calculated the estimate and what evidence will support the claim.

Urgency and Power of Attorney
Your attorney’s concern about timing is valid. A power of attorney ends upon death (see 20 Pa.C.S. § 5605 on the effect of the principal’s death). If your mother passes away before the case is resolved, an estate may need to be opened to continue the claim, which can cause delays. Pennsylvania allows the estate’s personal representative to continue the claim through a survival action under 42 Pa.C.S. § 8302, and certain family members may have a separate claim under the wrongful death statute, 42 Pa.C.S. § 8301. Personal injury claims are also generally subject to a two-year filing deadline under 42 Pa.C.S. § 5524. Pursuing the case while she is alive is generally more straightforward.

Legal Process and Strategy
Ensure your attorney has a clear plan to prove negligence, including obtaining medical records, documenting communications with the nursing home, and consulting medical experts if necessary.

Emotional Considerations
Pursuing a lawsuit while your mother is in hospice can be emotionally difficult. Discuss ways your attorney can minimize your involvement in day-to-day litigation and handle the matter as sensitively as possible.

The attorney claims they calculated that estimate based on this nursing home’s insurance coverage, which generally will cover up to $500,000. The attorney says that in Pennsylvania there is additional coverage for situations like these directly from the state of Pennsylvania’s funds that will also contribute up to $500,000, thus bringing him to the estimate of up to $1 million. Does that sound accurate?

Seth

Seth

The attorney’s explanation about the insurance coverage and additional state funds contributing to the settlement estimate sounds plausible. In Pennsylvania, nursing homes typically have liability insurance, and there may be additional state funds available for certain claims. However, it’s always a good idea to verify these details with your attorney to ensure clarity.

Would you recommend pursuing this case as soon as possible, or do I have time to consider and deal with my mom’s care?

Seth

Seth

Given the circumstances, it’s generally advisable to pursue the case sooner rather than later, especially considering the attorney’s advice about the power of attorney and potential delays if your mother were to pass away. However, it’s also important to balance this with your emotional well-being and your mother’s care.

You might consider discussing with your attorney how they can handle the bulk of the legal work to minimize your involvement, allowing you to focus on your mother’s care. They can often proceed with gathering evidence and preparing the case while keeping you informed and involved only when necessary.

Should I be concerned about the nursing home retaliating against my mother while she is alive?

Seth

Seth

It’s understandable to worry about potential retaliation, but nursing homes are legally obligated to provide care without discrimination or retaliation. If you have concerns, you can discuss them with your attorney, who can advise on steps to protect your mother. Additionally, you might consider monitoring her care closely and documenting any changes or issues. If you notice anything concerning, report it immediately to the appropriate authorities.

How long would this case be delayed if my mother passed away and I had to open an estate?

Seth

Seth

If your mother were to pass away, opening an estate could delay the case by several months. This process involves appointing an executor or administrator, which requires court approval. The time frame can vary depending on the court’s schedule and the complexity of the estate.

Your attorney can provide more specific guidance based on local procedures and help expedite the process as much as possible. If you have any more questions or need further assistance, feel free to ask.

And is there anything you recommend doing to cross-verify the information I’m receiving from the attorney?

Seth

Seth

To cross-verify the information from your attorney, you might consider the following steps:

  1. Consult Another Attorney: Getting a second opinion from another attorney experienced in nursing home negligence cases can provide additional insights and confirm the information you’ve received.
  2. Research: Look into Pennsylvania’s laws regarding nursing home liability and state funds for such cases. This can help you understand the legal framework and verify the attorney’s claims.
  3. Check Credentials: Ensure your attorney is in good standing with the state bar association and has experience in similar cases.
  4. Ask for References: If possible, ask your attorney for references from past clients who had similar cases.

The attorney also stated that, for the strength of the case, it would be important to document that I had a conversation with the nursing home about transferring my mother to another facility, because it is important to demonstrate that I did not want to keep my mother in a facility that was negligent. Now that my mother is on hospice care, I’m afraid that she’s not even in a condition to consider the possibility of transferring her.

Seth

Seth

It’s understandable to be concerned about your mother’s condition and the implications of transferring her. While documenting your concerns and any conversations with the nursing home can be helpful, the fact that your mother is now on hospice care may naturally limit the possibility of transferring her.

You can still document your concerns and any discussions you’ve had about her care. This can demonstrate your awareness and proactive approach to her well-being, even if a transfer isn’t feasible.

Your attorney can help you navigate this aspect and ensure that your actions are appropriately documented for the case. If you have any more questions or need further assistance, feel free to ask. I’m here to help!

Seth

Seth

As mentioned at the outset, nothing here is intended to create an attorney-client relationship, so you will need to consult with a local attorney. I am here to help answer general legal questions.

Can you help me identify a local attorney that would give me a quick and free consultation on this?

Seth

Seth

Unfortunately, I am unable to provide referrals. I suggest www.avvo.com or www.martindale.com. Is there anything further I can help answer today as it pertains to this?

No, thank you.

Seth

Seth

Great. Thank you for reaching out. Take care, and best of luck to you.

Seth

Seth

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Seth
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