Texas Enacts “Three Strikes” Law to Curb Nursing Home Abuse
In a bold step toward protecting some of the state’s most vulnerable residents, Texas has enacted a “Three Strikes” law aimed at curbing nursing home abuse. This legislation, designed to hold long-term care facilities accountable, is already changing how nursing homes operate.
What Is the “Three Strikes” Law?
Under the new law, a nursing home that is cited for serious violations three times within a specific period faces automatic revocation of its license. The law targets repeated offenses involving:
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Abuse or neglect of residents
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Dangerous staffing shortages
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Failure to maintain sanitary conditions
The goal is simple: protect residents by removing facilities that repeatedly fail to meet basic care standards.
Why This “Three Strikes” Law Was Needed
Nursing home abuse in Texas has become a growing concern. Reports of malnutrition, medication errors, physical abuse, and neglect have made headlines across the state. In many cases, the same facilities were cited multiple times without facing real consequences.
This law aims to close that gap and give regulators stronger tools to shut down persistently dangerous operations.
How the Law Works
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Strike One: A serious health or safety violation is recorded.
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Strike Two: A second violation—especially if related to the first—puts the facility under closer scrutiny.
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Strike Three: A third violation within a defined window (e.g., 24 months) leads to license revocation proceedings.
This doesn’t mean a facility is shut down overnight, but it does mean state agencies will step in with legal authority to act.
Impact on Residents and Families
This law provides greater peace of mind for families placing loved ones in care. It also:
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Increases transparency in facility inspections
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Gives families leverage when advocating for better care
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Encourages whistleblowing from within facilities
What Families Should Watch For
Even with the new law, families should stay vigilant. Watch for signs of:
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Unexplained bruises or injuries
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Poor hygiene or weight loss
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Sudden mood changes or fearfulness
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Lack of response from staff
Reporting Matters
If you suspect abuse or neglect, report it immediately to:
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Texas Department of Health and Human Services
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Adult Protective Services (APS)
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A personal injury attorney with experience in elder care cases
Final Thoughts
The Three Strikes law is a significant step toward accountability in long-term care. But laws alone aren’t enough—families, attorneys, and communities must stay engaged to ensure facilities prioritize dignity and safety for all.