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Patient's Suicide: Court Faults Residential Care Facility for the Elderly
Legal Eagle Eye Newsletter for the Nursing Profession (4) 9
Jun 96
The family's lawsuit claimed the facility violated state
regulations by failing to secure the doors to the roof area with a buzzer or
bell to alert staff immediately if the door to the roof area was opened.
A woman jumped to her death from the roof of a
residential facility for the elderly. The family sued for wrongful death.
Regulations also require adequate assessment of each
resident?s mental status for indications of suicidal intent.
A residential care facility for the elderly is not
automatically held responsible whenever self-inflicted harm comes to a resident.
Such a facility does not have to guarantee the health and well-being of its
residents.
Instead, a residential care facility has specific legal
duties toward residents which are spelled out in state laws and regulations.
If a resident suffers harm, self-inflicted or otherwise,
which state laws and regulations were specifically designed to prevent, the
facility can be held liable in a civil suit for damages. CALIFORNIA COURT OF
APPEAL, 1996.
The family of an elderly woman filed suit for wrongful
death after she apparently committed suicide by jumping from the roof of the
residential care facility where she had lived. The lower court ruled in favor of
the facility and threw out the suit. However, the Court of Appeal of California
reversed the lower court and ruled that the case was valid and should go to
trial for assessment of the amount of monetary damages to be awarded to the
family.
The Court of Appeal was asked to wrestle with the issue
whether there is a constitutional right to commit suicide, and, if so, whether
that would render this lawsuit moot. The court declined to tackle this issue. It
ruled that when a person comes under the care of a facility governed by state
nursing home laws and regulations, the person and the person?s family are
entitled to assume that the facility will abide by the specific provisions of
those laws and regulations, including the duty to take specific steps outlined
in the laws and regulations to prevent harm to the resident, self-inflicted or
otherwise.
In addition to specific regulations for safety features
which must be incorporated in to the design and construction of residential care
facilities, such facilities also have specific legal duties with respect to
assessment of residents? mental status.
When assessment of a resident?s mental status would
indicate a need for concern over the possibility for self-inflicted harm, there
is a legal duty of reasonable care to try to prevent such harm. Persons may come
to reside in residential care facilities due to a lack of full mental capacity
for independent living.
According to the court, this possibility creates a special
relationship between residential care facilities and their residents which
imposes a duty on such facilities to take appropriate steps to attempt to
prevent voluntary acts of self-destruction.
Klein vs. BIA Hotel Corporation, 49 Cal. Rptr. 2d 60 (Cal.
App., 1996).
http://www.nursinglaw.com/suicide3.htm"


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