Our elder abuse and neglect page mentions California's strong elder protection laws. This guide explains what the Elder Abuse and Dependent Adult Civil Protection Act actually adds, and what it takes to get there. Care facility cases in particular are covered on our nursing home abuse and neglect page.

How does an Elder Abuse Act claim work, step by step?

  1. Confirm the person is protected: 65 or older, or a dependent adult 18 to 64.
  2. Identify the type of abuse: neglect, physical abuse, abandonment or financial abuse, each defined in the Act.
  3. Prove the underlying claim. For neglect or physical abuse, the basic facts are proven first.
  4. Prove the extra element for the enhanced remedies: recklessness, oppression, fraud or malice, by clear and convincing evidence (CACI 3104), unless the 2026 rule on destroyed evidence lowers the standard.
  5. Connect the facility. To hold an employer liable for the enhanced remedies, the standard in Civil Code 3294(b) must be met (Welfare and Institutions Code 15657(c)).
  6. The court then decides the attorney's fees and costs the statute requires, and, after a death, the person's pre-death pain and suffering within the cap.

Who does the Act protect?

  • Elders: anyone in California age 65 or older (Welfare and Institutions Code 15610.27).
  • Dependent adults: people 18 to 64 with physical or mental limitations that restrict their ability to carry out normal activities or protect their rights, whether or not they live independently, and anyone 18 to 64 admitted as an inpatient to a 24-hour health facility (Welfare and Institutions Code 15610.23).

How is an Elder Abuse Act claim different from a regular injury claim?

Regular negligence claimElder Abuse Act claim (section 15657)
What must be provenNegligence, harm, and that the negligence was a substantial factor in causing it (CACI 400)Physical abuse, neglect or abandonment, plus recklessness, oppression, fraud or malice in committing it
Standard of proofMore likely true than not (CACI 200)Clear and convincing evidence; since January 1, 2026, a court may use the lower standard when a covered care facility destroyed, altered or concealed evidence (section 15657.02)
Attorney's fees and costsNo award under this ActThe court must award reasonable attorney's fees and costs to the plaintiff (15657(a))
If the person has diedThe survival claim cannot include pre-death pain and suffering in cases filed from 2026 (Code of Civil Procedure 377.34)Those limits do not apply, subject to the cap in Civil Code 3333.2(b) (15657(b))
Holding an employer liableResponsible for harm caused by employees' wrongful conduct within the scope of employment (CACI 3700)The employer standard in Civil Code 3294(b) must be met first (15657(c))

What counts as neglect or physical abuse?

Neglect is the negligent failure of someone who has care or custody of an elder or dependent adult to use the care a reasonable person in a like position would use. It includes failing to help with personal hygiene, food, clothing or shelter, failing to provide medical care, failing to protect from health and safety hazards, and failing to prevent malnutrition or dehydration (Welfare and Institutions Code 15610.57). Physical abuse includes assault, battery, sexual assault, unreasonable physical constraint, and prolonged or continual deprivation of food or water (Welfare and Institutions Code 15610.63). The same section treats misuse of chemical restraints and psychotropic drugs as physical abuse, as explained in whether a nursing home can sedate a resident without consent.

What do "recklessness, oppression, fraud or malice" mean?

This is the step that separates an Elder Abuse Act claim from ordinary carelessness. California's jury instruction defines recklessness as knowing it was highly probable that the conduct would cause harm and knowingly disregarding that risk, which is more than a failure to use reasonable care (CACI 3113). Civil Code section 3294 defines the other three: malice is conduct intended to cause injury, or despicable conduct carried on with a willful and conscious disregard of the rights or safety of others; oppression is despicable conduct that subjects a person to cruel and unjust hardship in conscious disregard of their rights; and fraud is an intentional misrepresentation, deceit or concealment of a material fact.

In care facility cases, the records are often central: repeated missed care, warnings that went unanswered, or charting that does not match what happened. That is one reason the 2026 rule on destroyed or altered evidence matters.

When is the facility, not just the employee, responsible?

Before damages or attorney's fees under section 15657 can be imposed on an employer for an employee's acts, the standard in Civil Code section 3294(b) must be satisfied (Welfare and Institutions Code 15657(c)). The employer must have known in advance that the employee was unfit and employed them with conscious disregard of others' rights or safety, or authorized or ratified the conduct, or been personally guilty of oppression, fraud or malice. For a corporation, that knowledge or conduct must be by an officer, director or managing agent.

What if the person has already died?

Since January 1, 2026, most survival claims cannot include the pain and suffering the person endured before death. Elder Abuse Act claims are the main exception, because section 377.34 says it does not affect them and section 15657(b) lifts its limits when the Act's standard is met. Our guide on what changed for pre-death pain and suffering in 2026 explains the rule. Who may bring an elder abuse claim after the death, including when the executor will not, is covered in our guide on elder abuse claims after a parent has died.

The family's own wrongful death claim is separate and measured differently; see what a family can recover in a wrongful death case. If there is no probate estate, the survival claim can be brought by a successor in interest, as explained in whether probate is needed for a survival claim.

What about financial abuse?

Financial abuse occurs when a person or entity takes, hides, appropriates, obtains or retains an elder's or dependent adult's property for a wrongful use, with intent to defraud, or by undue influence, or helps someone else do so (Welfare and Institutions Code 15610.30). A wrongful use includes taking property when the person knew or should have known the conduct was likely to harm the elder.

Financial abuse has its own remedies section. When it is proven by a preponderance of the evidence, the court must award reasonable attorney's fees and costs in addition to compensatory damages; when recklessness, oppression, fraud or malice is also proven by clear and convincing evidence, the section 377.34 limits do not apply (Welfare and Institutions Code 15657.5). A claim for financial abuse of an elder or dependent adult must be brought within four years of when it was discovered or should have been (Welfare and Institutions Code 15657.7).

What changes the answer?

The level of fault. Ordinary carelessness supports a negligence claim. The Act's enhanced remedies need recklessness, oppression, fraud or malice, proven by clear and convincing evidence (CACI 3104).

Missing or altered records. Since January 1, 2026, if a covered care facility intentionally destroyed, altered or concealed evidence, a court may apply the preponderance standard instead (Welfare and Institutions Code 15657.02). Our guide to the 2026 rule on destroyed or altered care facility records explains when it applies.

The kind of facility. A resident of a skilled nursing facility may also sue the licensee for violations of the resident's rights, with statutory damages of up to $500 per violation for violations on or after March 1, 2021 (Health and Safety Code 1430(b)). That remedy is in addition to others the law provides.

Who did it. An individual caregiver can be liable directly; an employer is liable for the enhanced remedies only when Civil Code 3294(b) is met (Welfare and Institutions Code 15657(c)).

A public facility. A county-run facility is a public entity, so a written claim is due within six months (Government Code 911.2), and punitive damages are never available against a public entity (Government Code 818).

The person's age. Someone under 65 is protected only as a dependent adult (Welfare and Institutions Code 15610.23).

What could this look like? An example

For example, imagine an 80-year-old resident of a skilled nursing facility who develops severe pressure sores. Her chart shows that staff wrote "turned every two hours" on nights when the facility's own staffing sheet shows no aide on her hall. Nurses' notes record the wound getting worse for three weeks before anyone called her doctor.

A negligence claim would focus on whether the care fell below the standard. An Elder Abuse Act claim would ask more: whether staff knew it was highly probable she would be harmed and consciously disregarded that risk, and whether a managing agent of the facility knew of or ratified the practice. If those points were proven by clear and convincing evidence, the court would have to award reasonable attorney's fees and costs, and, if she died, her estate could seek her pre-death pain and suffering within the cap. If the facility had altered the charts, the 2026 rule could lower the standard of proof. This example is made up to show how the Act works; it predicts nothing about a real case.

What mistakes do families make?

  • Assuming the Act's extra remedies are automatic, when the extra element must be proven by clear and convincing evidence.
  • Not requesting the full chart early, including staffing and medication records.
  • Focusing only on the aide involved and not on what managers knew.
  • Missing the four-year financial abuse rule, or assuming it applies to neglect claims too.
  • Assuming a death ends the case, when the estate's claims can continue.

What should a family do this week?

  1. Report the concern: to the ombudsman for a care facility, Adult Protective Services for abuse elsewhere, and 911 for danger or a crime.
  2. Request the full chart in writing, including care plans, nursing notes and medication records.
  3. Keep a dated log and photos.
  4. For money concerns, gather bank statements, deeds and any power of attorney or trust documents.
  5. Note the dates that start each deadline. Our guide to elder abuse deadlines in California lists each one.

If your loved one is in a nursing home in Sonoma County, start with what to do this week if you suspect nursing home neglect. The county's Adult Protective Services offices are listed on our Sonoma County page. For deadlines, see California personal injury deadlines.

Frequently asked questions

Does the Act cover abuse at home by a family member or hired caregiver?

Yes. Neglect is defined by who has care or custody of the elder or dependent adult (Welfare and Institutions Code 15610.57), not by where they live.

Is "clear and convincing evidence" hard to meet?

It is a higher standard than "more likely true than not," which is why the facility's own records matter so much. The 2026 rule can lower it when evidence was destroyed or altered.

Can we recover attorney's fees in every elder case?

No. The Act requires the court to award them only when its conditions are proven (Welfare and Institutions Code 15657(a) and 15657.5).

Can a resident sign away the right to a residents' rights lawsuit?

No. An agreement by a skilled nursing or intermediate care facility resident to waive the right to sue under Health and Safety Code 1430(b) is void.

What if the abuser has no money?

The employer may be responsible if Civil Code 3294(b) is met, and a residents' rights claim runs against the facility's licensee, which is liable for its employees' acts (Health and Safety Code 1430(b)).

Where is an elder abuse case filed?

Usually in the superior court of the county where the abuse happened or where a defendant lives. For Sonoma County, see what to expect at Sonoma County Superior Court.

If a loved one has been abused or neglected by a caregiver or care facility, contact Young Law Group today at (707) 343-0556 or through our contact page to schedule your free consultation and learn how we can help.

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