When severe neglect or physical abuse results in an emergency transfer, residents are typically rushed to local trauma centers such as Seton Medical Center right in Daly City, or nearby facilities like Zuckerberg San Francisco General or UCSF. We immediately subpoena the emergency room admitting charts, EMT transport logs, and diagnostic scans from these hospitals, as independent ER doctors are often the first to document the “silent signs” of facility neglect, like severe dehydration or stage IV bedsores.