A caregiver assists an elderly resident with walking inside a South Carolina nursing home.Spinal cord injuries in South Carolina nursing homes frequently result from falls, improper resident transfers, inadequate supervision, or a failure to provide necessary safety equipment. These injuries can have devastating and life-altering consequences, so nursing homes may be held legally responsible when their negligence harms a resident.

Spinal cord injuries are especially serious for elderly residents. Reduced bone density, underlying health conditions, and a diminished ability to recover from trauma mean that an injury survivable for a younger person could lead to permanent disability, severe complications, or even death for an elderly resident. Families of residents who have suffered spinal cord injuries in Charleston or other South Carolina nursing homes should know that these incidents are often preventable and may warrant legal action against the responsible facility.

The Hughey Law Firm represents nursing home residents and families throughout Charleston and South Carolina who have been affected by preventable spinal cord injuries. Firm founder Nathan Hughey began his legal career defending nursing homes before dedicating his practice to advocating for injured residents and their families. This background gives him valuable insight into how these injuries occur, the standards facilities are expected to follow, and the strategies nursing homes often use when facing liability claims.

Call (843) 881-8644 to schedule a free consultation, fill our contact form or connect through live chat to speak with our team.

Why Do Families Throughout South Carolina Trust Hughey Law Firm for Elder Abuse Cases?

nathan hughey

Unlike most personal injury firms, which handle elder abuse as one practice area among many, Hughey Law Firm specializes in it. Hughey Law Firm is different, and our expertise is verifiable. Here’s what you need to know about us:

  • Nathan Hughey, our founder, began his legal career defending nursing homes. Before founding the Hughey Law Firm in 2007, Nathan spent years representing nursing homes and care facilities in personal injury litigation cases. He understands how these facilities are managed, how they document care, how they respond to incidents, and how their legal teams approach defending claims. He now uses that knowledge exclusively to protect the people those facilities are supposed to serve.
  • Nathan Hughey teaches other attorneys about elder abuse law. He has delivered continuing legal education presentations on the subject to attorneys in South Carolina, demonstrating a level of expertise that is recognized and relied on by the legal community.
  • Attorneys and law firms across South Carolina refer elder abuse cases to us. Lawyers throughout South Carolina, including firms that handle other types of personal injury cases, refer their elder abuse cases to Hughey Law Firm because of our experience and track record in this area of practice. These referrals bring cases from every corner of South Carolina to us, not just from Charleston.
  • Over 70% of our caseload consists of elder abuse cases. We are not a firm that handles car crashes, workers’ compensation, and elder abuse under one roof with equal resources distributed across each area. Our firm is focused and our expertise runs deep.
  • Since 2007, we have resolved over 1,000 elder abuse cases in South Carolina. These cases include virtually every type of elder abuse and neglect, such as wrongful death, falls, broken bones, pressure ulcers, dehydration, malnutrition, medication errors, sexual assault, emotional abuse, and financial exploitation.

Over 600 cases resolved for $100,000 or more. A sampling of results includes:

  • $1,000,000 recovered for elder abuse resulting in pressure sores in a nursing home
  • $875,000 recovered for a client who suffered a broken neck and pelvis in a wheelchair accident
  • $497,500 recovered for a client who fell and broke their hip in a nursing home

The results described above are specific to those cases and are not intended to predict or guarantee the outcome of any future case. Each case is unique, and outcomes depend on the particular facts and legal circumstances involved. Hiring a lawyer is an important decision that should not be based solely on advertisements.

Charleston Nursing Home Spinal Cord Injury Guide

How Neglect and Abuse Can Lead to Nursing Home Spinal Cord Injuries 

Spinal cord injuries in nursing home residents most often occur due to falls, unsafe transfers, and other preventable accidents, which are usually the result of a facility’s failure to follow basic safety rules. Understanding how neglect and abuse cause these injuries helps explain why the facility is usually legally responsible, not the resident.

  • Inadequate supervision. Falls are the leading cause of spinal cord injuries in adults over 65, according to the National Spinal Cord Injury Statistical Center. In a nursing home, these falls are almost always preventable when staff follow each resident’s required fall prevention plan.
  • Unsafe Transfers. Transferring a resident from a bed to a wheelchair or shower chair is one of the most physically demanding and highest-risk tasks in nursing home care.
  • Failure to plan for fall risk. South Carolina nursing homes must assess every resident for fall risk upon admission and after any significant change in their condition. Then, they must create a care plan to address those risks.
  • Understaffing: When staff-to-resident ratios are too low, caregivers cannot give each resident the attention they need. High-risk residents are often left unattended for long periods of time, which creates serious danger.
  • Physical abuse. In some cases, rough handling, forceful repositioning, or direct assault by staff can cause spinal trauma, which elderly residents are especially vulnerable to due to their fragile bones and connective tissue.

What Is a Spinal Cord Injury? 

A spinal cord injury involves damage to the spinal cord itself or the surrounding structures, such as the vertebrae, intervertebral discs, and ligaments. This damage disrupts the transmission of signals between the brain and the body. According to the Mayo Clinic, the spinal cord is the primary communication pathway between the brain and the rest of the body. Damage to the spinal cord at any level can result in permanent loss of function below the injury site.

In a nursing home context, spinal cord injuries most commonly occur in one of four ways.

  • Falls from beds
  • Falls from wheelchairs
  • Unsafe transfers
  • Direct falls during ambulation

Elderly residents are at dramatically higher risk for serious spinal cord injuries from these mechanisms than younger patients. Additionally, pre-existing degenerative changes in the cervical and lumbar spine reduce the spinal canal’s tolerance for additional compression or displacement. Spinal cord trauma has more severe physiological consequences, progresses more rapidly, and is less amenable to recovery in elderly patients than in younger patients.

Signs and Symptoms of a Spinal Cord Injury

Spinal cord injuries may not show obvious symptoms right away, especially in elderly residents with cognitive impairment who may have difficulty describing their symptoms. A lack of dramatic symptoms after a fall doesn’t mean that spinal trauma didn’t occur. Swelling in the spinal canal can develop over hours or days, and neurological symptoms may appear or worsen gradually rather than suddenly.

After any fall, difficult transfer, or incident involving force to the neck or back, families and staff should watch for the following:

  • Loss of movement in the arms or legs ranging from weakness to complete paralysis
  • Altered sensation including numbness, tingling, or an inability to feel heat, cold, or touch
  • Pain or stinging in the neck, back, or limbs which may signal nerve damage
  • Loss of bladder or bowel control in a previously continent resident 
  • New or unusual reflexes or muscle spasms differing from the resident’s normal baseline
  • Breathing difficulty or trouble clearing secretions which can signal a life-threatening cervical spinal cord injury

If any of these signs appear, seek emergency medical evaluation immediately. Don’t let the facility simply “monitor” the resident, insist on an independent medical assessment. Early, aggressive treatment is critical to limiting permanent damage from spinal cord trauma.

Long-Term Effects on Elderly Resident 

The long-term consequences of a spinal cord injury for an elderly nursing home resident are profound and usually permanent. Understanding these consequences is essential to appreciating why the available compensation in these cases must reflect not only the immediate medical costs, but also the lifetime costs of care and loss produced by the injury.

  • Permanent paralysis or motor deficits
  • Elevated care requirements and costs result
  • Secondary health complications
  • Psychological consequences
  • The impact on surviving family members

When a Nursing Home Can Be Held Liable for a Spinal Cord Injury

A South Carolina nursing home can be held liable for a resident’s spinal cord injury if the home failed to meet its duty of care and that failure caused or contributed to the injury. Several legal theories may apply.

  • Duty of care. Under South Carolina law and federal regulations, nursing homes must provide care that meets the highest practical standard for each resident’s physical, mental, and emotional well-being.
  • Negligent supervision. A facility breaches this duty when it leaves a resident with a known fall risk or who needs help transferring unattended in a potentially injurious situation, regardless of why staff were absent.
  • Failure to follow care plans. If a resident’s care plan identifies a fall risk and outlines protective steps that the facility failed to take, this documentation is direct evidence of negligence.
  • Unsafe facility conditions. The facility must maintain its physical environment and can be held liable when conditions such as poor lighting or broken equipment contribute to an injury.
  • Who can be held responsible. Liability may extend beyond the facility itself to the management company that controls staffing and budget decisions, as well as to third-party contractors that provide therapy or staffing services.

Important Evidence in Nursing Home Spinal Cord Injury Lawsuits

Successfully building a nursing home spinal cord injury claim requires access to the facility’s records, which become less complete and reliable with each passing day after the incident.

  • Resident medical records and care plans
  • Incident reports
  • Staffing records
  • Surveillance footage
  • Facility inspection records
  • Expert medical testimony

Compensation Available to Injured Residents and Families

According to South Carolina law, nursing home spinal cord injury victims and their families can pursue compensation for the following types of damages.

  • Medical expenses
  • Rehabilitation and therapy costs
  • Enhanced long-term care costs 
  • Lost quality of life 
  • Pain and suffering compensation 
  • Emotional distress 
  • Wrongful death damages 
  • Punitive damages 

All nursing home spinal cord injury cases at Hughey Law Firm are handled on a contingency fee basis. You pay no legal fees unless we recover compensation for your family.

Steps to Take After a Nursing Home Spinal Cord Injury 

In the event of a spinal cord injury in a South Carolina nursing home, the steps taken in the immediate aftermath of the incident can significantly impact the resident’s medical outcome and the strength of any subsequent legal claim. The following is a detailed explanation of these steps.

  • Step 1: Ensure an immediate emergency medical evaluation. 
  • Step 2: Document the resident’s condition and the circumstances of the incident. 
  • Step 3: Request and preserve all medical records and care plan documents. 
  • Step 4: Report the incident to South Carolina Adult Protective Services (APS). 
  • Step 5: Report the facility to the South Carolina Department of Health and Environmental Control (DHEC). 
  • Step 6: Do not give a recorded statement to the nursing home or its insurer. 
  • Step 7: Contact Hughey Law Firm as soon as possible. 

How Hughey Law Firm Advocates for Residents Suffering Catastrophic Injuries

Cases involving spinal cord injuries in nursing homes require a specific combination of medical knowledge, elder care regulatory expertise, and civil litigation experience that general personal injury practices typically lack. The Hughey Law Firm handles every aspect of these cases, from the initial investigation to trial, if necessary.

  • We conduct thorough investigations and preserve evidence. 
  • We coordinate with medical experts. 
  • Full damage development. 
  • We hold ourselves accountable through negotiation and trial.

Contact Us Hughey Law Firm

Contact a Charleston Spinal Cord Injury Lawyer Today

If your loved one has sustained a spinal cord injury at a nursing home in Charleston or elsewhere in South Carolina, the Hughey Law Firm team is ready to evaluate the circumstances and pursue accountability and compensation for your family. Spinal cord injuries are devastating and almost always preventable. The facilities responsible for them should be held accountable under the law.

Call (843) 881-8644 for a free consultation, fill out our contact form, or use live chat to speak with our team now. We represent families throughout Charleston, the Lowcountry, and across South Carolina.

Disclaimer: The information on this page is intended for general informational purposes only and does not constitute legal advice. Every case is different. Past results do not guarantee future outcomes. Hiring a lawyer is an important decision that should not be based solely on advertisements. Ask us to send you free written information about our qualifications and experience before you decide. The Hughey Law Firm is located in Charleston, South Carolina.

Frequently Asked Questions

About Nursing Home Spinal Cord Injury

Yes. If the injury causes or contributes to a resident’s death, the estate’s personal representative may file a wrongful death claim on behalf of eligible survivors, subject to specific procedural requirements and deadlines. Contact Hughey Law Firm as soon as possible after the loss.

Generally three years from the date of injury or its discovery, though medical malpractice claims require specific pre-suit notice under South Carolina law. Contact an attorney promptly to confirm all applicable deadlines.

Depending on the case, the facility, its corporate management company, third-party staffing agencies, contracted therapy providers, and individual staff members in cases of direct abuse may all bear liability.

Yes. Falls caused by inadequate supervision, failure to follow fall prevention plans, or unsafe conditions constitute actionable negligence. The facility’s fall risk assessment and care plan often provide direct evidence of foreseeable risk and the facility’s failure to act.

You must show the facility had a duty of care, breached it through specific failures in supervision, staffing, or care plan implementation, and that the breach caused the injury.

Yes. A facility is liable under South Carolina law when its failure to provide adequate supervision, follow the resident’s care plan, or implement safe transfer procedures caused or contributed to the injury.