Families rarely see neglect happen. They see its results: a pressure wound discovered at the hospital, an unexplained fall, sudden weight loss, a transfer that came too late. The question is what happened between the care the facility promised and the condition the family found.
Powell Law Offices represents nursing home residents and their families in Ocala and Marion County, Florida. The firm's trial practice has included decades of medical and nursing-care litigation, and William M. Powell personally handles the record review and expert work in each matter the firm accepts. Consultations are free and confidential.
The duties a Florida nursing home owes
Florida nursing homes are licensed under Chapter 400, Florida Statutes, which establishes residents' rights and allows a civil action when a violation of those rights or the facility's negligence causes harm. A facility must exercise reasonable care in light of each resident's known conditions: assessing risks such as falls, pressure injuries, and malnutrition; building and following a care plan; providing adequate supervision and assistance; administering medications properly; and responding when a resident's condition changes. A claim must be proved—by a preponderance of the evidence—through the facility's own records, staffing information, and qualified expert review.
Signs families bring to the firm
None of the following proves negligence by itself; each is a reason to look at the records closely:
- Pressure injuries (bedsores). Deep or worsening wounds, especially where turning schedules and skin assessments were documented but the wound progressed anyway.
- Falls and fractures. Particularly repeat falls after the facility had assessed the resident as a fall risk.
- Medication problems. Missed doses, wrong drugs, or sedation used in place of supervision.
- Dehydration and malnutrition. Rapid weight loss or laboratory findings inconsistent with the intake the chart records.
- Delayed response to deterioration. Infections, sepsis, or declining vital signs that went unreported to the physician or the family until the situation was critical.
- Unexplained injuries or departures. Bruising without a documented cause, or a resident who was able to wander away from the facility.
What the records show—and how to protect them
Nursing home cases are decided by documents: the chart, care plans and assessments, incident reports, medication records, and staffing information. Families can lawfully help by keeping their own notes and dates, photographing visible injuries, saving correspondence with the facility, and requesting copies of records through proper channels. Residents and their representatives are entitled to the resident's records; the firm requests the complete file, compares it with the hospital records that follow a transfer, and has it reviewed by qualified experts.
How these claims differ from medical malpractice
A Florida nursing home claim under Chapter 400 is not the same as a Chapter 766 medical malpractice claim, and the statute says so expressly. The frameworks differ in who may sue, what must be proved, and the presuit steps required. In general, a Chapter 400 claim must be preceded by a formal presuit notice to each prospective defendant, after which suit may not be filed for 75 days while the claim is investigated; the limitations period is tolled during that window. The deadline itself is generally two years from the incident or its discovery, with narrow extensions where fraud or concealment prevented discovery. Separate claims against treating physicians or a hospital may still proceed under the malpractice framework described in the firm's Chapter 766 overview; the firm evaluates which framework, or combination, fits the facts.
Who may bring the claim, and what may be recovered
The action may generally be brought by the resident, the resident's guardian, or—after a death—the personal representative of the estate. Compensation may include the resident's medical expenses, pain and suffering, and, in appropriate cases, punitive damages; where neglect caused a death, Florida law requires an election between survival and wrongful-death damages that counsel will explain. Each of these rules has conditions that depend on the facts, which is why the firm reviews the records before predicting anything.
This page describes Florida law in general terms as of November 2026 and is not legal advice. Deadlines, presuit requirements, and damages rules have exceptions and are applied to the specific facts of each case; consult a lawyer promptly. Nothing on this page accuses any particular Ocala or Marion County facility of wrongdoing, and the examples above are possible concerns—not proof of negligence.