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Writer's pictureBrett Leitner

New York Nursing Home Abuse Attorneys: Unveiling a Pattern of Fraud & Self-Dealing

Updated: Oct 12, 2024

New York Nursing Home Abuse Attorneys

New York Nursing Home Abuse Attorneys - At Leitner Varughese Warywoda, we dedicate ourselves to fighting for the rights of nursing home negligence victims and their families.  Recently, we've observed a disturbing trend that raises serious concerns about the integrity of some operators within the New York nursing home industry. 


An increasing number of attorneys specializing in nursing home defense are withdrawing from representing large nursing home operators due to unpaid legal bills. This trend, coupled with an alarming rise in insurance coverage denials, points to a potential pattern of fraud, self-dealing, and bad faith practices that leave vulnerable residents and their families in dire straits.


The Problem: Unpaid Legal Bills and Denied Coverage


Across New York, attorneys who typically defend nursing homes in negligence lawsuits are finding themselves in the unusual position of suing their former clients.  These lawsuits reveal a pattern of nursing home operators refusing to pay for legal services rendered, often citing frivolous reasons or simply ignoring invoices altogether.  This troubling behavior appears to be linked to a simultaneous increase in insurance coverage denials, even in cases where operators seemingly have policies in place.


When a resident suffers harm due to negligence, families rightfully expect the nursing home's insurance to cover the damages.  However, we're seeing a surge in instances where coverage is denied, often based on technicalities or questionable interpretations of policy language. This leaves victims and their families with limited options for recovering compensation for medical expenses, pain and suffering, and other damages.


Unmasking the Scheme: Self-Dealing and Captive Insurance Companies


This pattern of unpaid legal bills and denied coverage suggests a deeper issue: the potential misuse of "captive" insurance companies. A captive insurance company is essentially an insurer created and controlled by the same entity it insures.  In the context of nursing homes, this means an operator might establish their own insurance company, pay premiums into it, and then deny legitimate claims when they arise.


This scheme allows nursing home operators to create an illusion of insurance coverage while retaining control over the funds.  They collect premiums, which may even be inflated, and then deny claims, effectively pocketing the money and leaving victims with no recourse.  This practice not only defrauds the injured parties but also undermines the entire purpose of insurance.


The Impact: Victims Left Without Recourse


The consequences of these practices are devastating for victims of nursing home negligence and their families.  Denied coverage can mean:


  • Financial Ruin: Families may face overwhelming medical bills and expenses related to the resident's care, with no means to pay them.

  • Emotional Distress:  The added financial burden exacerbates the emotional trauma of dealing with a loved one's suffering due to negligence.

  • Loss of Justice:  When legitimate claims are denied, families are left with a profound sense of injustice and betrayal.


Legal Recourse and the Fight for Justice


At Leitner Varughese Warywoda, we are committed to exposing these schemes and fighting for the rights of those who have been wronged.  Potential legal actions against nursing home operators and captive insurance companies include:


  • Breach of Contract:  Holding the insurance company accountable for failing to uphold the terms of the policy.

  • Bad Faith:  Pursuing claims against the insurer for unreasonable and improper denial of coverage.

  • Fraud:  Taking legal action against both the nursing home operator and the captive insurer for misrepresentation and deceptive practices.

  • Piercing the Corporate Veil:  Seeking to hold individual owners personally liable for the actions of the nursing home and the captive insurance company.


Our experienced attorneys are dedicated to:


  • Thorough Investigation:  Uncovering evidence of fraud, self-dealing, and bad faith practices.

  • Aggressive Representation:  Fighting tirelessly to protect the rights of victims and their families.

  • Holding Wrongdoers Accountable:  Ensuring that negligent nursing homes and their insurers are held responsible for their actions.


The trend of unpaid legal bills and denied insurance coverage in the New York nursing home industry is a serious issue with far-reaching consequences.  It's crucial to recognize the signs of potential fraud and self-dealing to protect vulnerable residents and their families.  If you or a loved one has been denied coverage for a nursing home negligence claim, don't hesitate to seek legal help.


Contact The New York Nursing Home Abuse Attorneys At LVW Law


Have you or a loved one been denied coverage for a nursing home negligence claim? Contact Leitner Varughese Warywoda today for a free consultation. We are dedicated to fighting for justice and holding negligent nursing homes accountable.  Call us at [phone number] or visit our website at www.lvlawny.com.


email: info@lvlawny.com | voice call: (212) 671-1110 | text message: (631) 886-4260

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