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Common Contagious Diseases in a Nursing Home

Risk Factors for Contagious Diseases in Nursing Homes
April 11, 2025

Common Contagious Diseases in a Nursing Home

In nursing home environments, where residents live in close proximity and often have compromised immune systems, contagious diseases can spread rapidly and have serious consequences. At Senior Advocate Center, we understand the challenges faced by nursing home residents and their families when infectious illnesses occur. This comprehensive guide explores the most common contagious diseases in nursing homes, their causes, symptoms, prevention strategies, and legal considerations.

Understanding the Risk Factors for Contagious Diseases in Nursing Homes

Several factors make residents particularly vulnerable to outbreaks of contagious diseases in nursing homes:

  • Close living quarters where residents share dining areas, recreation spaces, and sometimes bedrooms
  • Compromised immune systems due to age and underlying health conditions
  • Frequent staff-to-resident direct contact during personal care activities
  • Communal activities that bring residents together in enclosed spaces
  • Frequent visitors who may unknowingly introduce pathogens
  • Healthcare worker rotation between different residents and facilities

Understanding these risk factors is the first step in developing effective strategies to prevent and control contagious diseases in nursing homes.

Respiratory Infections

Influenza (Flu)

Influenza remains one of the most common contagious diseases in nursing homes, with potentially severe consequences for elderly residents. According to the Centers for Disease Control and Prevention (CDC), between 70% and 85% of seasonal flu-related deaths occur in people 65 years and older.

Symptoms:

  • Sudden onset of fever
  • Muscle aches and fatigue
  • Cough and sore throat
  • Headache
  • Nasal congestion

Prevention and Control:

  • Annual flu vaccination for all residents and staff
  • Proper hand hygiene
  • Isolation of infected residents when appropriate
  • Antiviral medications for treatment and prophylaxis during outbreaks
  • Respiratory etiquette (covering coughs and sneezes)

COVID-19

The COVID-19 pandemic has had a devastating impact on nursing home residents nationwide. The close-quarters living environment and vulnerable population have made nursing homes epicenters for outbreaks of this highly contagious disease.

Symptoms:

  • Fever or chills
  • Cough and shortness of breath
  • Fatigue
  • Muscle or body aches
  • New loss of taste or smell
  • Sore throat

Prevention and Control:

  • COVID-19 vaccination and boosters
  • Enhanced infection control protocols
  • Visitor screening and restrictions during outbreaks
  • Regular testing of residents and staff
  • Proper use of personal protective equipment (PPE)
  • Improved ventilation

Pneumonia

Pneumonia is a serious lung infection that can be caused by bacteria, viruses, or fungi. For nursing home residents, bacterial pneumonia is particularly concerning due to its severity in older adults.

Symptoms:

  • Cough with phlegm
  • Fever and chills
  • Shortness of breath
  • Chest pain
  • Confusion or changes in mental awareness

Prevention and Control:

  • Pneumococcal vaccination
  • Influenza vaccination (prevents secondary pneumonia)
  • Proper oral hygiene to prevent aspiration pneumonia
  • Positioning residents upright during meals
  • Early detection and antibiotic treatment

Gastrointestinal Infections

Norovirus

Norovirus is highly contagious and causes outbreaks of gastroenteritis in nursing homes, often affecting both residents and staff. Its ability to survive on surfaces for extended periods makes it particularly challenging to control.

Symptoms:

  • Sudden onset of vomiting
  • Watery diarrhea
  • Stomach cramps
  • Nausea
  • Low-grade fever

Prevention and Control:

  • Strict hand hygiene with soap and water (alcohol-based sanitizers are less effective against norovirus)
  • Prompt cleaning and disinfection of contaminated surfaces
  • Isolating ill residents until 48 hours after symptoms resolve
  • Proper handling and disposal of contaminated linens and waste
  • Restricting ill staff from working until symptom-free

Clostridioides difficile (C. diff)

C. diff is a bacterium that causes inflammation of the colon and can be life-threatening, especially in older adults. It often occurs after antibiotic use disrupts the normal gut flora.

Symptoms:

  • Watery diarrhea (typically 3+ times per day)
  • Abdominal pain and tenderness
  • Fever
  • Loss of appetite
  • Blood or pus in stool in severe cases

Prevention and Control:

  • Antibiotic stewardship programs to reduce unnecessary antibiotic use
  • Contact precautions for infected residents
  • Thorough hand washing with soap and water
  • Environmental cleaning with sporicidal disinfectants
  • Early identification and treatment

Skin Infections and Infestations

Methicillin-Resistant Staphylococcus aureus (MRSA)

MRSA is a type of staph bacteria resistant to many antibiotics. In nursing homes, MRSA can cause skin infections, pneumonia, and bloodstream infections.

Symptoms of MRSA skin infections:

  • Red, swollen, painful area on the skin
  • Warm to the touch
  • Pus or other drainage
  • Fever

Prevention and Control:

  • Proper hand hygiene
  • Contact precautions for infected residents
  • Proper wound care
  • Environmental cleaning
  • Avoiding shared personal items

Scabies

Scabies is a highly contagious skin infestation caused by the microscopic mite Sarcoptes scabiei. Outbreaks in nursing homes can be difficult to control due to delayed recognition.

Symptoms:

  • Intense itching, especially at night
  • Rash with small bumps and blisters
  • Thin, irregular burrow tracks on the skin
  • Common locations include finger webs, wrists, elbows, armpits, belt line, and genital area

Prevention and Control:

  • Early identification and treatment of cases
  • Treatment of all close contacts, even without symptoms
  • Washing and drying all clothing, bedding, and towels used by affected persons
  • Environmental cleaning
  • Proper use of PPE when caring for infected residents

Urinary Tract Infections (UTIs)

While not typically considered contagious, UTIs represent one of the most common infections in nursing homes and can spread via improper catheter care practices.

Symptoms:

  • Burning sensation during urination
  • Increased frequency or urgency of urination
  • Cloudy, strong-smelling urine
  • In elderly patients: confusion, agitation, or behavioral changes may be the only symptoms

Prevention and Control:

  • Proper hydration
  • Good hygiene practices
  • Avoiding unnecessary catheter use
  • Proper catheter care techniques
  • Regular toileting schedules

Prevention Strategies for Contagious Diseases in Nursing Homes

Preventing the spread of common infections and contagious diseases in nursing homes requires a comprehensive approach:

Vaccination Programs

Immunization remains one of the most effective tools for preventing many contagious diseases in nursing homes. Regular vaccination programs should include:

  • Annual influenza vaccines
  • Pneumococcal vaccines
  • COVID-19 vaccines and boosters
  • Shingles vaccines
  • Tdap (tetanus, diphtheria, pertussis) boosters

Infection Prevention and Control Policies

Robust infection control policies to limit the spread of contagious diseases in nursing homes should address:

  • Hand hygiene requirements
  • Personal protective equipment use
  • Environmental cleaning and disinfection
  • Resident placement and cohorting during outbreaks
  • Visitor policies during high-risk periods
  • Staff illness and return-to-work policies

Staff Education and Training

Ongoing education ensures staff understand and implement infection control measures correctly prevent contagious disease in nursing homes:

  • Regular training on infection prevention practices
  • Updates on emerging infectious threats
  • Competency evaluations for infection control procedures
  • Education on early recognition of infectious symptoms

Environmental Controls

Physical environment plays a crucial role in controlling contagious diseases in nursing homes:

  • Proper ventilation systems
  • Adequate spacing between residents in common areas
  • Sufficient handwashing facilities
  • Appropriate disinfection of shared equipment
  • Proper food handling and preparation areas

Surveillance and Monitoring

Early detection is key to controlling outbreaks:

  • Regular monitoring for signs and symptoms of infection
  • Systems to track infections and identify patterns
  • Laboratory testing capabilities
  • Communication protocols for suspected outbreaks
  • Regular auditing of infection control practices

Financial Compensation You May Be Entitled To If a Victim of a Contagious Disease in a Nursing Home

At Senior Advocate Center, we understand the devastating impact contagious diseases in nursing homes can have on residents and their families. If your loved one has suffered due to a preventable infection, they may be entitled to significant compensation.

  • Medical Expense Reimbursement: Compensation for all additional medical treatments, hospitalizations, medications, and specialized care needed to treat the contagious disease and its complications.
  • Pain and Suffering Damages: Financial recovery for physical pain, emotional distress, and reduced quality of life resulting from the contagious disease in nursing home settings.
  • Rehabilitation Costs: Coverage for therapy services, specialized equipment, and ongoing care needed to recover from the effects of the infection contracted in the facility.
  • Wrongful Death Compensation: Monetary damages for families who have lost a loved one due to a preventable contagious disease in a nursing home, including funeral expenses and loss of companionship.
  • Punitive Damages: Additional financial penalties against nursing homes that demonstrated gross negligence or willful disregard for infection control protocols, potentially increasing your total compensation.
  • Transferred Medical Costs: Reimbursement for expenses related to transfer to higher-level care facilities when a contagious disease in a nursing home necessitated specialized treatment elsewhere.
  • Lost Quality of Life Damages: Financial recovery for permanent disabilities, reduced independence, or chronic health conditions resulting from a contagious disease contracted in a nursing home environment.
  • Emotional Distress Compensation: Damages for anxiety, depression, and trauma experienced by residents who suffered through preventable outbreaks of contagious diseases in nursing homes.
  • Breach of Contract Damages: Financial recovery based on the nursing home's failure to provide the safe, infection-controlled environment promised in residency agreements.
  • Statutory Damages: Compensation mandated by state and federal laws when nursing homes violate regulations designed to prevent contagious diseases in their facilities.
  • Family Hardship Compensation: Financial recovery for families who experienced significant hardship or out-of-pocket expenses while supporting their loved one through a contagious disease contracted in a nursing home.
  • Future Care Costs: Long-term financial support for ongoing medical needs and care requirements resulting from permanent damage caused by contagious diseases in nursing homes.

Legal Considerations Regarding Contagious Diseases in Nursing Homes

Our firm regularly represents families whose loved ones have suffered harm due to inadequate infection control measures that resulted in preventable contagious diseases in nursing homes.

The prevalence of contagious diseases in nursing homes raises several legal considerations:

Standard of Care Requirements

Nursing homes have a legal obligation to follow established infection control guidelines and maintain a standard of care that protects residents from foreseeable harm. This includes:

  • Following CDC and state health department guidelines
  • Maintaining appropriate staffing levels
  • Providing necessary training on infection control
  • Implementing and enforcing infection prevention policies

Reporting Requirements

Nursing homes are required by law to report certain infectious diseases to public health authorities. Failure to report contagious diseases in nursing homes can result in:

  • Regulatory penalties
  • Civil liability
  • Damage to reputation
  • Continued spread of disease

Liability Issues

When medical professionals and staff fail to take appropriate measures to prevent or control contagious diseases in nursing homes, they may face liability claims for:

  • Negligence
  • Medical malpractice
  • Wrongful death
  • Violation of residents' rights

How a Nursing Home Abuse Lawyer Can Maximize Your Compensation and Hold Long-term Care Facilities Accountable

Contagious diseases in nursing homes are a serious threat to residents. Our dedicated nursing home abuse lawyers work tirelessly to secure justice for victims of neglect and mistreatment in long-term care facilities, ensuring families receive the maximum compensation possible while holding negligent institutions accountable.

  • Thorough Investigation Skills: Our nursing home abuse lawyers conduct comprehensive investigations to uncover evidence of neglect, infection control failures, and institutional negligence regarding the spread of contagious diseases in nursing homes that might otherwise remain hidden from families.
  • Access to Medical Experts: We collaborate with qualified healthcare professionals who can definitively link contagious diseases and other injuries to substandard care in long-term care facilities, strengthening your compensation claim.
  • Knowledge of Regulatory Violations: Our team identifies specific federal and state regulations that nursing homes violated, transforming regulatory breaches into powerful evidence for maximizing your financial recovery.
  • Documentation of Damages: We meticulously document all physical, emotional, and financial damages suffered due to nursing home negligence, ensuring no aspect of compensation is overlooked in your claim.
  • Strategic Negotiation Tactics: Our nursing home abuse lawyers employ proven negotiation strategies that consistently secure higher settlements from long-term care facilities and their insurance companies.
  • Litigation Experience: When fair settlements aren't offered, our courtroom-tested attorneys bring compelling cases before judges and juries who recognize the seriousness of nursing home neglect and abuse.
  • Understanding of Insurance Practices: We navigate the complex tactics used by nursing home insurance providers to minimize payouts, countering their strategies to protect your right to full compensation.
  • Calculation of Long-term Costs: Our lawyers accurately project the future medical needs and ongoing care requirements resulting from nursing home negligence to ensure your compensation covers all future expenses.
  • Statute of Limitations Management: We ensure all legal deadlines are met precisely, protecting your right to hold long-term care facilities accountable before time-sensitive filing windows close.
  • Multilayered Liability Analysis: Our team identifies all potentially responsible parties beyond just the nursing home, including management companies, staffing agencies, and medical providers to maximize available compensation sources.
  • Communication Buffer: We handle all stressful interactions with nursing home representatives and their legal teams, allowing your family to focus on recovery rather than confrontational negotiations.
  • Contingency Fee Structure: Our nursing home abuse lawyers only collect payment when we secure compensation for your case, eliminating financial risk while pursuing justice against negligent long-term care facilities.

Nursing Home Contagious Disease Victim Cases We Take

At Senior Advocate Center, our legal team has extensive experience representing elderly residents harmed by preventable contagious diseases in nursing homes due to negligence, inadequate protocols, or staff misconduct.

  • COVID-19 Outbreak Cases: We represent families whose loved ones suffered or died due to nursing homes failing to implement proper safety protocols, inadequate PPE usage, or allowing infected staff to continue working during the pandemic.
  • Influenza Negligence Claims: Our firm handles cases involving nursing home residents who contracted severe flu due to the facility's failure to vaccinate residents, isolate symptomatic individuals, or maintain appropriate infection control practices.
  • MRSA Infection Litigation: We pursue justice for victims of antibiotic-resistant staph infections acquired in nursing homes through improper wound care, contaminated equipment, or insufficient hygiene practices.
  • C. Difficile Outbreak Cases: Our attorneys represent residents who developed this dangerous intestinal infection due to improper antibiotic stewardship, inadequate cleaning protocols, or failure to isolate infected individuals in long-term care settings.
  • Norovirus Exposure Claims: We advocate for residents who suffered from preventable gastrointestinal outbreaks caused by contaminated food handling, insufficient sanitation, or failure to follow proper containment procedures.
  • Scabies Outbreak Negligence: Our team pursues compensation for nursing home residents who endured painful skin infestations due to delayed diagnosis, improper treatment, or failure to implement appropriate isolation measures.
  • Pneumonia Cluster Cases: We represent families of residents who contracted pneumonia due to inadequate vaccination programs, poor respiratory care, or failure to recognize and treat early symptoms in vulnerable nursing home populations.
  • Tuberculosis Exposure Litigation: Our firm handles cases where nursing homes failed to screen staff or residents, delayed reporting known TB cases, or inadequately implemented airborne infection isolation measures.
  • Hepatitis Outbreak Claims: We seek justice for residents infected with hepatitis due to improper medication administration practices, contaminated equipment, or inadequate sterilization procedures in nursing facilities.
  • Conjunctivitis (Pink Eye) Spread Cases: Our attorneys represent victims of preventable eye infection outbreaks caused by poor hand hygiene, shared personal items, or failure to isolate infected residents in nursing home environments.
  • Urinary Tract Infection Patterns: We investigate cases involving recurring or facility-wide UTI outbreaks stemming from improper catheter care, inadequate hydration, or substandard hygiene practices in long-term care settings.
  • Respiratory Syncytial Virus (RSV) Claims: Our team advocates for elderly victims of this serious respiratory virus when nursing homes fail to implement proper seasonal precautions, visitor screenings, or staff illness policies.

What to Do if You or a Loved One Is a Victim of a Contagious Disease in a Nursing Home

Our nursing home abuse lawyers understand the distress and confusion families experience when their loved ones contract preventable contagious diseases in nursing homes where they should have received proper care and protection.

  • Seek Immediate Medical Attention: Ensure your loved one receives prompt and appropriate medical care from qualified healthcare providers, even if this means transferring them to a hospital for treatment of the contagious disease.
  • Document Everything: Keep detailed records of all symptoms, treatments, conversations with nursing home staff, and photographs of visible conditions to create evidence of the contagious disease and its impact on your loved one.
  • Request Medical Records: Formally request complete copies of all medical records from both the nursing home and any hospitals or specialists involved in treating the contagious disease outbreak.
  • Report to Regulatory Authorities: File official complaints with your state's nursing home licensing board, department of health, and elder care ombudsman about the contagious disease incident and suspected negligence.
  • Preserve Evidence: Collect and safeguard any physical evidence related to the contagious disease outbreak, including medication containers, photos of living conditions, or written care instructions provided by the facility.
  • Identify Witnesses: Make note of other residents, visitors, or staff members who may have witnessed inadequate infection control practices or can confirm the timeline of the contagious disease outbreak.
  • Contact Other Affected Families: Connect with families of other residents who may have been affected by the same contagious disease outbreak to share information and potentially strengthen your case.
  • Maintain a Timeline: Create a detailed chronology of events leading up to, during, and following the contagious disease diagnosis, noting all communications with nursing home administration about the situation.
  • Evaluate Care Options: Consider whether your loved one should remain in the current nursing home or be transferred to another facility that demonstrates better infection control protocols for contagious diseases.
  • Review Facility Policies: Request and review the nursing home's infection control policies and procedures to identify any violations that may have contributed to the contagious disease outbreak.
  • Track Financial Impact: Keep meticulous records of all additional expenses incurred due to the contagious disease, including medical bills, specialist consultations, medications, and transportation costs.
  • Consult a Nursing Home Abuse Attorney: Contact Senior Advocate Center for a free consultation with our experienced attorneys who specialize in outbreaks of contagious diseases in nursing homes.

Take Action Today: Protect Your Loved One's Rights

Don't let nursing homes escape accountability for preventable outbreaks of contagious disease in nursing homes. Contact Senior Advocate Center for a free, confidential consultation and discover how our experienced legal team can help your family secure the justice and compensation you deserve.

Nursing Home Abuse Lawyer FAQs

How long do I have to file a lawsuit for a contagious disease in nursing homes? Most states have a statute of limitations ranging from one to three years for nursing home negligence cases, but this timeframe can vary depending on your location and whether the case involves wrongful death. Consulting with Senior Advocate Center promptly ensures your claim is filed within the required legal deadlines.

What evidence is most valuable in nursing home contagious disease cases? Medical records documenting the diagnosis and treatment of the contagious disease, infection control logs from the facility, staffing records showing potential understaffing during outbreak periods, internal communication about the outbreak, and state health department inspection reports are particularly powerful forms of evidence in these cases.

How much does it cost to hire a nursing home abuse lawyer for a contagious disease case? Senior Advocate Center handles nursing home contagious disease cases on a contingency fee basis, meaning you pay nothing upfront and we only collect legal fees if we successfully secure compensation for you. This arrangement ensures access to justice regardless of your financial situation.

Can I sue if multiple residents have the same contagious disease in a nursing home? Yes, widespread outbreaks of contagious diseases in nursing homes often indicate systematic failures in infection control protocols, which strengthens your case by demonstrating a pattern of negligence rather than an isolated incident. Class action lawsuits may be appropriate in some situations.

Will filing a lawsuit mean my loved one will have to leave their nursing home? Filing a lawsuit against a nursing home does not automatically require your loved one to relocate. However, many families choose to transfer their relatives to facilities with better safety records. We can advise on the potential benefits and challenges of each option based on your specific circumstances.

How can I prove the nursing home was responsible for my loved one contracting a contagious disease? Establishing liability typically involves demonstrating that the facility failed to follow standard infection control protocols, adequately train staff, maintain proper staffing ratios, or implement isolation procedures. Our attorneys work with medical experts to establish the connection between these failures and your loved one's illness.

What types of compensation are available for emotional suffering in cases of contagious disease in nursing homes? Victims can seek damages for pain and suffering, mental anguish, loss of enjoyment of life, and emotional distress. For family members who lost a loved one, compensation may include loss of companionship and emotional suffering associated with watching a family member suffer from a preventable contagious disease in a nursing home.

How long do cases of contagious disease in nursing homes typically take to resolve? While some cases settle within 6-12 months, more complex situations involving severe injuries or death may take 1-2 years to reach resolution, particularly if the case proceeds to trial. Our attorneys work efficiently to resolve your case as quickly as possible while still securing maximum compensation.

Can I report a nursing home for poor infection control without filing a lawsuit? Yes, you can file complaints with your state's department of health, the nursing home ombudsman program, or adult protective services. These reports can trigger investigations and regulatory actions, and the findings may strengthen a subsequent legal claim regarding contracting a preventable contagious disease in a nursing home if you decide to pursue one.

What if my loved one signed an arbitration agreement with the nursing home? While many nursing homes include arbitration clauses in their admission agreements, these provisions can sometimes be challenged based on how they were presented, whether the resident had capacity to understand them, or if they're unconscionable under state law. Our attorneys can evaluate the specific agreement to determine potential options.

How do you determine the value of cases regarding contagious diseases in nursing homes? Case valuation considers factors including the severity and duration of the illness, permanent effects, additional medical expenses incurred, level of pain and suffering experienced, degree of negligence demonstrated by the facility, and relevant insurance policy limits. Every case is unique, and our attorneys provide realistic assessments based on decades of experience.

If my loved one died from a contagious disease in a nursing home, who can file a lawsuit? The personal representative of the deceased's estate typically has legal standing to file a wrongful death lawsuit, though eligible family members vary by state law. Generally, surviving spouses, children, and sometimes parents or siblings may pursue claims, depending on your state's specific regulations regarding wrongful death actions.

Do You Have A Claim?

If you or a loved one may be the victim of nursing home abuse or neglect, report it here. You may be entitled to compensation for pain and suffering.

Our expert partner attorneys offer free consultations for your claim.