The Nursing Home Reform Act (OBRA 1987) is the foundational federal law governing nursing home care in the United States. It applies to all nursing facilities that accept Medicare or Medicaid payments — which is virtually every nursing home in the country.
The Act requires nursing homes to:
- Conduct comprehensive assessments of each resident's functional capacity
- Develop individualized care plans based on those assessments
- Provide care that maintains or improves each resident's physical, mental, and psychosocial well-being
- Employ sufficient qualified staff to carry out care plans
- Protect residents from all forms of abuse, neglect, and exploitation
- Protect residents' rights — including the right to dignity, privacy, and freedom from restraints
The Centers for Medicare & Medicaid Services (CMS) enforces these requirements through regular inspections and can impose fines, reduce payments, or decertify facilities that fail to comply. Violations that cause resident harm are also grounds for civil lawsuits.
Time Limits Are Strict — Missing the Deadline Bars Your Claim Forever
Once a statute of limitations expires, no attorney can help you, regardless of how strong your case is. Contact an attorney immediately if you suspect nursing home abuse or neglect.
| State | Negligence | Wrongful Death | Elder Abuse Statute |
|---|---|---|---|
| California | 2 years | 2 years | 2 years (enhanced damages) |
| Florida | 2 years | 2 years | 2 years |
| Texas | 2 years | 2 years | 2 years |
| New York | 2.5 years | 2 years | 3 years |
| Illinois | 2 years | 2 years | 2 years |
| Pennsylvania | 2 years | 2 years | 2 years |
| Ohio | 1 year | 2 years | 1 year |
| Georgia | 2 years | 2 years | 2 years |
| North Carolina | 3 years | 2 years | 3 years |
| Arizona | 2 years | 2 years | 2 years |
Note: These are general guides only. The "discovery rule" may extend deadlines in some states, and shorter deadlines may apply to specific claim types. Always consult an attorney for your specific state and situation.
The right attorney can make a substantial difference in case outcome. Look for these qualifications:
See our complete guide to choosing a nursing home abuse lawyer →
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