Residential care facilities for the elderly (RCFEs) and skilled nursing facilities (SNFs) are often confused as being the same thing. However, the two types of live-in facilities for elderly persons are very different, and are held to different standards of care. If you are the loved one of an elderly person who is residing in either type of care facility and suspect abuse or neglect, contact a San Diego nursing home abuse attorney for help as soon as possible.
Skilled Nursing Facilities in California
A skilled nursing facility, also often referred to simply as a nursing home, is a medical facility that is licensed by the State of California Department of Public Health. SNFs are licensed to provide 24/7, around-the-clock care to facility residents. Because these facility types are indeed considered to be medical facilities, they are held to a higher standard of care than are other types of housing for the elderly. At a minimum, a skilled nursing facility must provide physician, nursing, dietary, and pharmaceutical services, as well as an activity program, according to the California Department of Public Health. Professionals working in SNFs may be guilty of medical malpractice when negligence resulting in patient harm occurs.
Residential Care Facilities for the Elderly
Unlike a SNF, an RCFE is not a medical facility. Instead, these are facilities that provide things such as room, board, housekeeping, meals, supervision, and personal care assistance to elderly residents. Often referred to as assisted living centers, RCFEs are completely voluntary and are not designed for residents who need 24-hour care.
While RCFEs are not medical centers, they are still tightly regulated. Further, they must meet care and safety standards laid forth by the California Department of Social Services. And, some RCFEs can care for patients with minor medical needs and can help with tasks such as the distribution of medications. However, they are not required to have nurses or doctors on staff. Further, staff hiring standards are low; minimal training and education are required to work within an RCFE. There is also no specific staff to patient ratios.
Which Facility Type Should I Choose for My Loved One?
Making a decision about where your elderly loved one should be housed can be challenging and emotional. If your loved one requires medical services, a skilled nursing facility is best. If your loved one is fairly independent but needs help with basic tasks, like housekeeping or bathing, a residential care facility may be satisfactory.
While the two types of facilities are very different, both can be held liable for damages when negligence causes patient harm. If you suspect that abuse or neglect is occurring, you should report the abuse immediately and then call an elder abuse attorney.
Elder Abuse Attorneys Serving the San Diego Area
At Berman & Riedel, LLP, our experienced San Diego elder abuse attorneys can help your loved one. To learn more about elderly persons’ rights when residing in care facilities in California, negligence, liability, and civil suits, call our offices today at 858-350-8855 or contact us using our online form.




The first step is to report the abuse to the appropriate authorities. Call 911 if the situation is life-threatening. Otherwise, it can be reported to the police and appropriate agencies. For abuse in the community or a hospital, call Adult Protective Services at 1-833-401-0832. For abuse in a nursing home or long-term care facility, contact your local long-term care ombudsman or call 1-888-452-8609.
The next step is contacting a California elder neglect lawyer to help you safeguard your loved one’s rights, investigate the abuse, and hold the facility accountable.
There is no way to determine the exact value of an elder abuse or personal injury case, especially early in your case. However, an experienced attorney can give you an estimated range based on their experience with similar cases.
There are many factors that may influence the value of your case, such as:
Some damages are easy to calculate, such as lost wages and medical bills. Calculating the value of diminished earnings for the rest of your life or future medical needs, however, may require the help of experts. Non-economic damages like pain and suffering have no intrinsic financial value. These damages are challenging to calculate.
If your case goes before a jury, you may potentially be able to recover more than you could through a settlement. However, this introduces a new element of risk: the jury. The circumstances of your accident and even how sympathetic you or the defendant are can influence the outcome.
During your consultation and throughout your case, we will help you understand how these factors influence your case. We will also work tirelessly to document the value of all your damages and pursue maximum compensation on your behalf.




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