News that will shock no one: nursing homes are chronically understaffed. - Mark P. Loftus

September 26, 2025

The Illinois Trial Lawyers newsletter today included a stoary that won’t shock most lawyers handling nursing home cases – most nursing homes aren’t adequately staffed. While Medicare doesn’t set a minimum staff to patient ratio, it does require that a registered nurse be on the premises at least eight hours a day and a licensed nurse be present at all times.

Kaiser Health News analyzed daily payroll records that Medicare had assembled from over 14,000 nursing home nationewide. Some of the jarring findings included:

  • On at least one day during the last three months of 2017, 25% of the facilities reported that not a single registered nurse was on the premises;
  • Even highly rated nursing homes sometimes had only 1 aide caring for 8 patients;
  • Some nursing homes reported instances where 1 aide was caring for 18 patients.

The Center for Medicare and Medicaid Services[CMS ] is alarmed and taking steps to address the fluctuations in nursing staffs. The ramifications of missing staff have real life ramifications. When nurses and aides are absent, residents can’t get the help the need to go to the bathroom. So those residents try to do so without necessary help and fall. Or the bedbound patient doesn’t get the necessary repositioning he needs. So bedsores develop. Other patients go without vital medications. David Stevenson, an Associate Professor of Health Policy at Vanderbilt University School of Medicine noted that staff “volatility means gaps in care.” In other words, when nursing homes are understaffed, residents get hurt.

The article mentioned Stan Hugo, a retired math teacher, whose wife Donna lives at Ithaca, New York nursing home facility. In 2017 he and other residents and family members became so dissatisfied with the care their loved ones received they formed a council to monitor operations. Medicare regulations require that nursing home administrators listen to the grievances and recommendations made by such councils.

Hugo visits his wife every day. And he counts the nursing assistants he sees attending to patients. On at least on occasion, he has seen 2 nursing aides trying to cover 40 patients.

This is a long standing problem that results in countless injuries and deaths. Now that the data is out there, perhaps CMS can craft a meaningful solution.

By Mark Loftus February 17, 2026
German Conglomerate makes a bid to end Roundup litigation 
By Mark Loftus February 17, 2026
By Mark Loftus February 3, 2026
THE ILLINOIS GENDER VIOLENCE ACT - IN A NUTSHELL Under the Illinois Gender Violence Act (GVA) 740 IlCS 82/1, victims of sexual assault, domestic violence and other forms of gender related violence can bring civil actions against perpetrators even when criminal charges are not filed. The GVA defines two of the four acts of “gender violence” - though the definitions are a bit convoluted: One or or more acts of violence of physical aggression satisfying the elements of battery under the laws of Illinois that are committed, at least in part, on the basis of a person’s sex; A physical intrusion or physical invasion of a sexual nature under coercive conditions satisfying the elements of battery under the laws of Illinois, whether or nor the act or acts resulted in criminal charges, prosecution or conviction. Under the Illinois Criminal Code, a person commits a battery when he or she knowingly, without legal justification, causes bodily harm or makes insulting/provoking physical contact with another individual. 720 ILCS 5/12-3. The Criminal Code requires physical contact. AND EMPLOYERS MAY NOW FACE LIABILITY In July, 2023 an amendment made it explicit that the GVA does extend to the workplace. As set forth in the Act, an employer is liable for gender-related violence in the workplace by an employee when the interaction arises out of and in the course of employment. Liability will only arise however, if the (1) the employee was directly performing his or her duties and the violence was the proximate cause of the injury or (2) while the agent of the employer was directly involved in the gender-related violence and the performance of the work was the proximate cause of the injury. Liability will only extend to the the employer however if it can be shown that (1) the employer failed to supervise, train or monitor the offending employee or 2) the employer failed to investigate and respond to reports directly provided to appropriate management personnel. Damages under the Act may include injunctive relief, and actual damages, damages for emotional distress and punitive damages. And importantly, the GVA is a fee-shifting statute - so a successful plaintiff may seek to recover attorneys fees. So, in cases of sexual harassment, may a plaintiff, include a count for damages under the GVA? The answer is an unqualified yes. And the contact need not be excessive or dramatic or prolonged - so long as there was no consent nor any justification for the physical contact. In fact, the Act notes that a legitimate threat that the harasser will commit an nonconsensual act is sufficient.
Red Tesla sedan driving on a road.
September 26, 2025
According to online reports, Tesla ignored a $60 million dollar settlement overture in the wrongful death case that ultimately resulted in a $242 million dollar jury verdict against the car maker. The lawsuit grew out of 2019 crash where a Tesla Model S with Autopilot engaged, plowed through a Florida intersection and crashed into a Chevy Tahoe. Neima Benavides Leon and her boyfriend, Dillon Angulo were standing near the Tahoe when the Tesla crashed into it. Leon was killed and Angulo suffered serious injuries. A lawsuit was filed against Tesla, asserting that although the Autopilot feature was engaged, the vehicle did not brake. Florida law permits a monetary demand to be issued before trial. If the defendant fails to accept the demand within 30 days it is considered rejected. If the plaintiff then goes to trial and secures a verdict 25% greater than the offer, the defendant is on the hook for plaintiff’s investigative expenses and attorneys’ fees. Tesla is appealing the jury verdict, citing “substantial errors of law and irregularities at trial.”.
Johnson's baby powder container, white bottle, blue text, red seal, 400g.
September 26, 2025
This important ruling got kind of lost in the news cycle. A couple weeks ago, the United States Supreme Court refused to vacate a $2.2 billion dollar ovarian cancer verdict against Johnson & Johnson[“J & J”]. The verdict was originally returned by a Missouri jury in 2018 on behalf of 22 women. The original verdict was actually $4.7 billion but a Missouri Appellate Court reduced the award to $2 billion. Each of the women claimed that there was asbestos and asbestos-laced talc in J & J talcum powder products they used, and they developed ovarian cancer as a result. Asbestos is known to cause cancer. Talc, in its raw form is often found in close proximity to naturally occurring asbestos. When J & J mined talc, that talc sometimes contained asbestos. And that asbestos sometimes found its way into J & J personal hygiene products. [In 2019, J & J recalled 33,000 bottles of J & J products after FDA testing found asbestos in test samples]. J & J, has known of the risk of asbestos contamination in talc products since the 1970’s. Some 21,000 plus ovarian cancer cases are pending against J & J throughout the United States.