Broken Hips in a Nursing Home
A broken hip in a nursing home is almost always a life changing event, and in many cases it is also a preventable one. Families are often told that their loved one was fragile or simply fell because of age. The truth is that long term care facilities are legally required to maintain safe environments, monitor residents appropriately, and provide individualized care plans that reduce the risk of falls. When they fail to do so, residents can suffer injuries that accelerate physical decline, trigger long hospitalizations, and permanently alter their quality of life.
At Rightful Legal, Bristol County nursing home neglect attorney Tracy Paulsen represents individuals and families throughout Massachusetts whose loved ones have sustained hip fractures due to nursing home negligence. She understands how these injuries occur, what federal and state laws require of nursing homes, and how to obtain answers when facilities are evasive or defensive.
The Severity of Hip Fractures in Older Adults
A hip fracture often marks a turning point for elderly nursing home residents. The injury itself causes immediate and significant pain, but the repercussions continue for months or years. Many residents require emergency surgery, which can be risky for individuals with underlying heart, lung, or cognitive conditions. Others undergo lengthy rehabilitation that demands strength and endurance they may not possess.
Loss of mobility is one of the most devastating outcomes. Residents who previously walked independently may become reliant on wheelchairs or nursing staff. Reduced mobility can then lead to additional complications such as pressure ulcers, infections, respiratory conditions, and blood clots. Statistics consistently show elevated mortality rates in the year following a hip fracture among elderly adults. Given these risks, nursing homes must treat fall prevention as a top priority rather than an unavoidable challenge.
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How Hip Fractures Commonly Occur in Nursing Homes
Hip fractures seldom happen without warning signs. In many cases, the root causes reflect breakdowns in supervision, environmental safety, or medical assessment.
Residents may fall when left alone in a bathroom, during a transfer from bed to chair, or while attempting to walk when they are known fall risks. Wet floors, poor lighting, missing bed alarms, cluttered hallways, and unstable assistive devices all contribute to preventable accidents. Medication errors also play a significant role. Sedatives, antipsychotics, and blood pressure medications can affect balance, cognition, and reaction times. When a facility fails to review medications or adjust care as conditions change, residents face heightened danger.
Inadequate staffing is one of the most frequent underlying problems. When a facility is short staffed, residents may attempt to get out of bed on their own because help does not arrive. A single overworked aide may supervise too many residents at once, making it impossible to provide timely assistance. These situations often result in unwitnessed falls, leaving families with little information and many unanswered questions.
Massachusetts Statutes and Regulations Governing Nursing Home Safety
Nursing homes in Massachusetts are governed by a combination of federal regulations under the Nursing Home Reform Act and state level rules enforced by the Department of Public Health. These laws require facilities to ensure resident safety and reduce the risk of preventable injuries, including falls that lead to hip fractures.
Massachusetts General Laws Chapter 111 establishes broad standards for the operation and oversight of long term care facilities. Under these provisions, nursing homes must provide adequate staffing, maintain safe premises, and meet professional care standards. Chapter 111 also authorizes state inspections, investigations, and enforcement actions when facilities fail to meet their obligations.
Additionally, 105 CMR 150.000 sets forth detailed requirements for nursing home operations. These regulations mandate fall prevention measures, prompt medical evaluations after injuries, accurate documentation, proper supervision of residents with mobility limitations, and maintenance of equipment and physical spaces.
Federal regulations found in 42 CFR 483 also require nursing homes to develop individualized care plans, assess fall risks, and take reasonable steps to prevent foreseeable accidents. Failure to do so can create strong evidence of negligence in a civil nursing home neglect claim.
When a hip fracture occurs, violations of these statutes and regulations may reveal systemic failures. A facility that ignores care plans, fails to staff appropriately, or neglects safety requirements may bear legal responsibility for the harm caused.
This is why it’s important to have an experienced Massachusetts Nursing Home Neglect Lawyer at your side who understands both the state and federal regulations and what constitutes negligence. Attorney Tracy Paulsen has represented the rights of numerous nursing home clients and their families throughout Attleboro, Fall River, Taunton, Bristol County, Norfolk County and throughout Massachusetts. Attorney Paulsen has brought justice and compensation to residents who have broken or fractured their hip and suffered long-term debilitating consequences. If you or a loved one was injured in a Massachusetts nursing home facility, contract Attorney Paulsen today.
Signs That Negligence May Have Contributed to the Hip Fracture
Families frequently sense that something about their loved one’s injury does not add up. A resident who previously ambulated safely may suddenly fall without explanation. Staff may offer vague timelines or incomplete accounts. Medical records might appear inconsistent. These red flags often suggest deeper problems within the facility.
Common indicators of negligence include:
- Unwitnessed falls with no clear explanation of how the resident got out of bed or moved without assistance.
- Missing or malfunctioning safety equipment such as bed alarms, wheelchair brakes, or grab bars.
Other warning signs may involve prior undocumented falls, sudden changes in medication without monitoring, or a care plan that does not reflect the resident’s actual needs. When these issues appear, further investigation is essential. If you or a loved one experienced any of these indicators of negligence in a Massachusetts nursing home, call Attorney Paulsen today at 617-821-5856.
What Happens After a Hip Fracture in a Nursing Home
Once a resident breaks a hip, immediate medical attention is required. Many residents are transported directly to a hospital for imaging and surgical evaluation. The facility must document the circumstances of the fall, notify family members promptly, and revise the resident’s care plan to prevent further injury.
Unfortunately, documentation is often incomplete or inaccurate. Some nursing homes fail to report falls in a timely manner. Others may minimize staff involvement or overlook conditions that contributed to the injury. These inconsistencies can complicate a family’s ability to get clear information and pursue justice.
Attorney Tracy Paulsen investigates every aspect of the injury, including staffing records, care plans, medication logs, incident reports, witness statements, and regulatory compliance history. She understands how to identify discrepancies and compare facility practices to required standards. She fights for the rights of those harmed in nursing home falls and brings justice to victims and their families.
The Compensation Available in a Broken Hip Case
A civil claim can help families recover financial compensation for the physical, emotional, and economic harm caused by a preventable hip fracture. Damages may include medical expenses, hospitalization, surgery, rehabilitation costs, pain and suffering, and loss of quality of life. If the injury causes long term disability or contributes to a resident’s decline or death, the available damages may be significant.
Massachusetts also permits wrongful death claims under certain circumstances. If a hip fracture accelerates a resident’s death or creates complications that ultimately prove fatal, the resident’s heirs may seek damages for funeral costs, loss of companionship, and other harms recognized under state law.
Punitive damages are not typically available in Massachusetts negligence cases, but grossly reckless conduct and willful violations of safety requirements may increase a facility’s exposure through other legal mechanisms. Thorough documentation and regulatory evidence are crucial in these cases.
Have You or a Loved One Suffered a Hip Injury at a Nursing Facility?
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How Rightful Legal Builds Strong Nursing Home Injury Cases
Broken hip cases require detailed investigation and careful reconstruction of the events leading up to the fall. Tracy Paulsen and the team at Rightful Legal gather medical records, safety assessments, staffing logs, and witness accounts to determine whether the facility fulfilled its legal duties. They often consult with medical experts, nursing standard of care specialists, and long term care professionals to understand exactly what the facility should have done differently.
Rightful Legal also examines whether the nursing home complied with Massachusetts statutes, state regulations, and federal requirements. Evidence of regulatory violations can strengthen a claim and demonstrate systemic problems that contributed to the injury.
Nursing Home Lawyer Paulsen prioritizes communication with families. Many relatives feel shut out by nursing home administrators and overwhelmed by medical jargon. Tracy Paulsen ensures that clients understand each stage of the process and receive answers grounded in evidence rather than speculation. She makes sure her clients are always in the know and fully aware of what is happening with the their case.
Protecting Loved Ones After a Preventable Hip Fracture
Families want reassurance that their loved one is safe after a fall. They want transparency, accountability, and corrective action. Unfortunately, not every facility provides honest explanations or meaningful improvements. Taking legal action can help ensure that the resident receives the care they need going forward and that the nursing home corrects the practices that caused the fall.
Some families also face pressure from facilities to accept internal reviews or statements that the fall was unavoidable. It is essential to seek independent legal counsel before signing documents or agreeing to facility proposed resolutions.
Contact Rightful Legal for a Comprehensive Evaluation
A broken hip in a nursing home is a serious event that often reflects preventable negligence. If your loved one suffered a hip fracture in a Massachusetts nursing home, you do not have to accept incomplete explanations or silence from facility staff. Attorney Tracy Paulsen will review the records, investigate the circumstances, and help your family pursue justice and compensation.
Rightful Legal is committed to standing up for vulnerable residents and holding long term care facilities accountable so that families today and in the future are safe and cared for. To speak with a nursing home injury lawyer and receive a detailed case evaluation, contact the Rightful Legal and Attorney Paulsen today.


