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Coalition Support Letter for Nursing Home Arbitration Act of 2009

March 26th, 2009

By: admin

Coalition Support Letter for Nursing Home Arbitration Act of 2009

March 5, 2009


United States Senate

Washington, DC 20510


Dear Senator:


Binding mandatory arbitration clauses are forcing the elderly and those with disabilities and their families to waive their constitutional right to seek redress in the courts when a nursing home resident suffers harm. These clauses are typically buried in contracts signed by families during one of the most stressful events in their lives – entrusting the care of a vulnerable loved one to strangers – and the clauses effectively compel family members to consent that they will waive the legal rights of a loved one if she or he is injured or dies from neglect or physical abuse while in the facility. The contracts are presented on a take-it-or-leave-it basis, and leave families in the impossible situation of having to sign a contract or forgo nursing home care altogether, a decision that most families are not in the position to make. The undersigned organizations urge you to support the Fairness in Nursing Home Arbitration Act of 2009 (S. 512/H.R. 1237), which would invalidate pre-dispute mandatory arbitration provisions in nursing home, assisted living, and other long-term care facility contracts.

Sixty percent of nursing home admissions are from a hospital and occur after a medical emergency, such as a stroke or broken hip. Individuals are often pressured to accept the first available bed without any opportunity to evaluate the care provided or consider other possible options, and research conducted at Brown University shows that hospitals are more likely to place African Americans in the worst nursing homes. When they unknowingly sign away their right to sue the facility, most families have had no experience with the severity of injuries their loved one could suffer if the facility neglects its responsibility to protect them – such as pressure sores that lead to infection and amputation of limbs; suffocation on bedrails and other restraining devices; physical and sexual assault; renal failure from dehydration; malnutrition; and death from fires in unsprinklered buildings. Some courts have even enforced arbitration clauses included in contracts signed by nursing home residents who were illiterate or had advanced dementia.

Countless government studies show that in spite of improvements in nursing home regulation and enforcement, state regulators still under-cite the seriousness of deficiencies in which residents are harmed; levy fines that are little more than the cost of doing business; and allow facilities to operate year-after-year with serious, repeat problems. Assisted living is poorly regulated in most states, although assisted living residents often have physical and mental disabilities similar to those of nursing home residents.

Mandatory arbitration clauses only further this crisis by serving to protect providers from accountability for bad care. By allowing the provider to pick the arbitration company with which it routinely does business and the rules of the arbitration, the system is set up to heavily favor the provider and leave the family with little or no hope of obtaining justice for their loved one. 

Families should not be required to sign a contract containing a pre-dispute mandatory arbitration clause as a condition of admission nor participate in an arbitration process that they have little or no control over, especially when the dispute involves the suffering and death of their parents and other loved ones. The Fairness in Nursing Home Arbitration Act would end the practice that forces many to do so.




National Organizations


Alliance for Retired Americans

Alzheimer’s Foundation of America

American Association for Justice

American Federation of State, County, and Municipal Employees

Assisted Living Consumer Alliance

Communications Workers of America

Consumer Federation of America

Center for Justice & Democracy

Center for Medicare Advocacy

Citizen Works

Consumer Action

Consumers for Auto Reliability and Safety

Consumers Union

Hartford Institute for Geriatric Nursing

Homeowners Against Deficient Dwellings

Home Owners for Better Building

Leadership Conference on Civil Rights

National Academy of Elder Law Attorneys

National Consumer Law Center (on behalf of its low income clients)

National Employment Lawyers Association

National Association of Consumer Advocates

National Association of Local Long-Term Care Ombudsmen

National Association of Social Workers

National Association of State Long-Term Care Ombudsman Programs

National Women’s Health Network

NCCNHR: The National Consumer Voice for Quality Long-Term Care

National Senior Citizens Law Center

Neighborhood Economic Development Advocacy Project

Public Citizen

Service Employees International Union

U.S. Public Interest Research Group


State Organizations



Long Term Care Ombudsman Program of Jefferson County

Central Alabama Aging Consortium



Arkansas Advocates for Nursing Home Residents



California Advocates for Nursing Home Reform

Foundation Aiding The Elderly

Long Term Care Services of Ventura County

Ombudsman Services of San Mateo County

Riverside County Long Term Care Ombudsman Program



Delaware Long-Term Care Ombudsman Program 

Citizens for Long Term Care


District of Columbia

Office of the D.C. Long-Term Care Ombudsman Program



ACTION: Advocates Committed to Improving Our NursingHomes

FANHI: Family Advocates for NursingHome and HomeCare Improvement



Georgia Office of the State Long-Term Care Ombudsman



Idaho Long Term Care Ombudsman program



Illinois Citizens for Better Care

Illinois Office of the Long Term Care Ombudsman



Indiana Long Term Care Ombudsman Program

Long Term Care Ombudsman, Area 12

United Senior Action of Indiana



Kansas Advocates for Better Care



Barren River Area Development District Area Agency on Aging

Kentuckians for Nursing Home Reform

Kentucky – Barren River District Long Term Care Ombudsman

Kentucky Protection & Advocacy

KIPDA District Long-Term Care Ombudsman Program

Nursing Home Ombudsman Agency of the Bluegrass



Advocacy Center

Louisiana Long Term Care Ombudsman Program



Manor Care Chevy Chase Family Council

Montgomery County MD Long Term Care Ombudsman Program

Voices for Quality



Massachusetts Advocates for Nursing Home Reform

Wynn Gerhard, Managing Attorney, Elder Law Unit, Greater Boston Legal Services, on behalf of our clients

Ombudsman Program, Consumer Advocates for Better Care of

Montachusett Home Care Corp.

SeniorCare, Inc./Long Term Care Ombudsman Program



Citizens for Better Care

Michigan Campaign for Quality Care



ElderCare Rights Alliance

Families Against Nursing Home Abuse, Albert Lea

Mid Minnesota Legal Assistance

Office of Ombudsman for Long-Term Care



Missouri Long-Term Care Ombudsman Program

St. Louis Long Term Care Ombudsman Program


New Hampshire

New Hampshire Office of the Long-Term Care Ombudsman


New Jersey

Bergen Regional Medical Center Long Term Care Family Council, Paramus NJ


New Mexico

New Mexico Long Term Care Ombudsman Program


New York

The Coalition of Institutionalized Aged and Disabled

FRIA, The Voice and Resource for Eldercare with Dignity

Long Term Care Community Coalition

New York State Ombudsman Alliance


North Carolina

Friends of Residents in Long Term Care

North Carolina Long Term Care Ombudsman Program



Dayton Long Term Care Ombudsman Program

Ohio Office of the State Long-Term Care Ombudsman



A Perfect Cause

Oklahoma Long Term Care Ombudsman Program




Pennsylvania Long-Term Care Ombudsman Program


Rhode Island

Rhode Island Long Term Care Ombudsman Program


South Dakota

South Dakota Advocates for Nursing Home Reform



Tennessee State Long-Term Care Ombudsman



NHVC, Inc.

Texas Advocates for Nursing Home Residents



Regional Long Term Care Ombudsman, Vermont Legal Aid, Rutland



TLC 4 Long Term Care Residents



Alzheimer’s Association, Western and Central WA Chapter

Resident Councils of Washington

Washington State Long Term Care Ombudsman



Coalition of Wisconsin Aging Groups

Wisconsin Long-Term Care Ombudsman Program



Wyoming Long-Term Care Ombudsman Program




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