SKILLED ADVOCACY FOR MONTANA SCHEDULE A FREE CONSULTATION
Senior old man sitting alone in a corner at Nursing Home

What Evidence Builds a Strong Nursing Home Neglect Case?

Gerstner Adam Law March 11, 2025

At Gerstner Adam Law in Billings, Montana, we’re committed to protecting the rights of vulnerable nursing home residents and their families.

When nursing home neglect occurs, building a strong case is essential to holding responsible parties accountable. 

Montana law allows victims to seek compensation through personal injury claims, but success depends on presenting clear and convincing evidence. Establishing proof of neglect requires careful documentation and legal strategy to demonstrate how a facility’s actions or inactions led to harm.

Medical Records and Documentation

One of the most important forms of evidence in a personal injury case involving nursing home neglect is medical documentation. Medical records provide objective proof of injuries, illnesses, or deteriorating health conditions that result from neglect. 

Records from hospitals, primary care physicians, and specialists can show whether the resident suffered from malnutrition, dehydration, bedsores, or infections due to improper care.

In addition to formal medical records, daily care logs maintained by the nursing home staff can reveal lapses in care. If records are incomplete, altered, or missing key details, this may further indicate neglect. 

Witness testimony from medical professionals who treated the resident can also strengthen the case by confirming that injuries were consistent with neglect rather than natural causes.

Photographs and Video Evidence

Visual evidence plays a critical role in personal injury claims against nursing homes. Photographs of injuries, unclean living conditions, or poor facility maintenance can help demonstrate the level of neglect a resident experiences. These images should capture the extent of any harm, such as bedsores, bruises, poor hygiene, or unsanitary bedding.

If possible, video recordings showing staff behavior, lack of supervision, or unsafe conditions can provide compelling evidence. Many families install security cameras in residents’ rooms, and surveillance footage from the facility may also reveal incidents of neglect. 

Under Montana law, video evidence must be obtained legally, and we help families understand what methods are permissible in pursuing a personal injury claim.

Witness Statements

Testimonies from witnesses are essential in proving neglect. This can include statements from other residents, staff members, visitors, or family members who observed inadequate care. Witnesses can describe behavioral changes in the resident, patterns of neglect, or specific incidents that resulted in injury.

Nurses or aides who no longer work at the facility may also provide valuable information on understaffing issues, improper training, or harmful policies that contributed to neglect. Their testimony can support claims that the nursing home failed to provide an appropriate standard of care.

Facility Records and Inspection Reports

Nursing homes in Montana are subject to state and federal regulations that require facilities to meet certain standards of care. Obtaining facility records, including staff schedules, hiring policies, and disciplinary records, can reveal systemic issues. 

A lack of sufficient staffing, unqualified employees, or previous violations can support claims of negligence.

Inspection reports from regulatory agencies such as the Montana Department of Public Health and Human Services may also serve as critical evidence. If prior citations for neglect, abuse, or safety violations exist, they strengthen the argument that the facility had a history of failing to protect residents.

Changes in the Resident’s Condition

Family members often notice early warning signs of neglect before clear evidence is available. 

Sudden weight loss, unexplained bruises, increased anxiety, or withdrawal from social activities may indicate a decline caused by improper care. Keeping a detailed journal of these observations, including dates and specific concerns, can be helpful when pursuing a personal injury claim.

If a resident’s medical conditions worsen without explanation, obtaining second opinions from outside healthcare providers can clarify whether neglect played a role. A physician’s assessment of whether an injury or decline in health could have been prevented can be persuasive in demonstrating negligence.

Staffing and Training Records

Under Montana law, nursing homes must employ enough qualified staff to meet residents’ needs. If a facility is understaffed or fails to train employees properly, residents may suffer as a result. 

Examining staffing schedules, training records, and hiring policies can reveal whether neglect was due to inadequate personnel or a failure to follow proper procedures.

When facilities prioritize profit over patient care by cutting staff or failing to train caregivers, they can be held accountable in a personal injury claim. Investigating staff turnover rates and prior complaints against employees can provide additional support for a case.

Medication Records and Errors

Medication errors are a serious form of nursing home neglect that can lead to severe health complications. Reviewing prescription records, administration logs, and pharmacy reports can help determine whether a resident received the correct dosage at the proper times.

If a resident was overmedicated, given the wrong medication, or missed doses, this can indicate neglect. Consulting medical professionals to analyze records can clarify whether errors contributed to a resident’s injuries or decline in health.

Financial Records and Unexplained Transactions

Neglect in nursing homes isn’t always limited to physical harm. Financial exploitation is another form of mistreatment that can be uncovered through a review of banking records, billing statements, and facility charges. 

Sudden withdrawals, unauthorized purchases, or unexplained changes to legal documents may signal that a resident was financially abused.

If a facility or staff member had access to a resident’s financial resources, a legal investigation may reveal whether fraud or coercion was involved. Personal injury claims can seek compensation for financial losses in addition to physical and emotional harm.

Communication Records

Reviewing communication between the nursing home and the resident’s family can highlight whether concerns were ignored or improperly addressed. If a facility fails to inform family members of injuries, health issues, or sudden changes in behavior, this could indicate negligence.

Emails, phone logs, and written correspondence may reveal patterns of miscommunication or attempts to cover up incidents. Gathering these records strengthens a personal injury case by showing that the facility failed to take appropriate action.

Professional Testimony and Analysis

In personal injury cases involving nursing home neglect, professional analysis from healthcare providers, elder care specialists, or forensic experts can help explain how neglect led to harm. 

These professionals can assess medical records, facility practices, and regulatory violations to provide an objective evaluation of whether negligence occurred.

Having experienced medical professionals testify about the standard of care that should have been provided strengthens the legal argument. Their findings can help establish a clear connection between neglect and the harm suffered by the resident.

Psychological Impact on Residents

Neglect in nursing homes affects not only physical health but also mental well-being. Emotional trauma, depression, and anxiety are common among residents who experience mistreatment. 

Psychological evaluations and therapy records can serve as evidence of the mental harm caused by neglect. Testimonies from family members regarding behavioral changes can further support claims of emotional distress.

Patterns of Neglect in the Facility

Investigating whether other residents have experienced similar neglect strengthens a case. Previous lawsuits, state investigations, or news reports about the facility can highlight ongoing issues. 

Gathering statements from former residents or their families can help establish a pattern of inadequate care, demonstrating that neglect is a systemic issue rather than an isolated incident.

Steps to Take if You Suspect Neglect

If you believe a loved one is suffering from nursing home neglect, documenting concerns early is critical. Taking photos, requesting medical evaluations, and filing complaints with Montana regulatory agencies can help build a case. 

Seeking legal guidance promptly allows for a thorough investigation and increases the likelihood of securing compensation for damages.

Building a Strong Legal Case

At Gerstner Adam Law, we’re dedicated to pursuing justice for nursing home residents and making sure their rights are protected. We’re proud to serve Billings, Montana, and the surrounding areas of Glendive, Miles City, and Sidney. Call today.