Protecting the Rights of Abused & Neglected Seniors


Our firm focuses exclusively on elder law litigation, ensuring your loved ones receive the justice and protection they deserve.

San Francisco Elder Abuse Attorney

Advocating for Seniors and Families in San Francisco, CA

San francisco elder abuse attorneyFamilies trust nursing homes, assisted living facilities, memory care communities, and hospitals to protect elderly loved ones. When a senior in San Francisco is harmed by neglect, abuse, poor supervision, or unsafe facility practices, families deserve answers and accountability.

At Stebner, Gertler, & Guadagni, we have represented seniors and families throughout San Francisco for more than 25 years in elder abuse and neglect cases. As an elder abuse law firm focused solely on this area of litigation, we investigate serious claims involving physical elder abuse, emotional abuse, neglect, preventable injuries, financial exploitation, and wrongful death.

Elder abuse is often tied to deeper systemic problems. Facilities may operate with too few caregivers, fail to train staff properly, ignore resident complaints, or place corporate profits ahead of resident safety. Our attorneys work to uncover what happened, identify every responsible party, and pursue justice for vulnerable seniors and their families.

Key Takeaways: Elder Abuse Cases in San Francisco

  • California Protections: The California Elder Abuse Act (EADACPA) protects seniors and dependent adults from abuse, neglect, abandonment, isolation, and reckless disregard for their safety.
  • Common Claims: Elder abuse cases may involve physical elder abuse, falls, bedsores, dehydration, malnutrition, medication errors, wandering, emotional abuse, financial exploitation, or wrongful death.
  • Facility Accountability: Nursing homes, assisted living facilities, memory care units, and hospitals may be held liable when their failures cause harm.
  • Evidence Matters: Medical records, staffing logs, care plans, incident reports, photographs, witness statements, and prior complaints can help prove abuse or neglect.

How Elder Abuse Happens in Care Facilities

Elder abuse often develops when facilities fail to provide the supervision, staffing, training, and medical attention residents need. While some cases involve intentional misconduct by an individual caregiver, many others reflect a broader pattern of neglect within the facility.

Understaffing and Missed Care

When too few caregivers are responsible for too many residents, basic needs are often missed. Seniors may wait too long for help using the restroom, remain in soiled clothing, miss meals, suffer falls, or experience medical decline because no one is monitoring their condition closely enough.

Physical Elder Abuse

Physical elder abuse may involve hitting, pushing, rough handling, improper restraint use, or any conduct that causes pain or injury to an older adult. Unexplained bruises, fractures, cuts, fearfulness, or sudden changes in behavior should be taken seriously.

Neglect and Reckless Disregard

Neglect occurs when a facility or caregiver fails to provide necessary care. This may include failing to provide food, water, hygiene, medication, medical attention, mobility assistance, or protection from known risks such as bedsores or wandering. In severe cases, neglect can lead to infection, hospitalization, or death.

Why Families Choose Stebner, Gertler, & Guadagni

Elder abuse litigation requires more than general personal injury experience. Families need a legal team that understands California elder abuse law, facility regulations, medical evidence, and the corporate practices that often allow abuse and neglect to occur.

  • 25+ Years of Elder Abuse Experience: Our attorneys have spent more than two decades representing seniors and families harmed by abuse, neglect, and institutional misconduct.
  • Focused Facility Investigations: As a firm that focuses solely on elder law litigation, we examine care records, staffing data, inspection histories, policies, and ownership practices to identify systemic failures.
  • Trial-Ready Advocacy: We prepare cases for litigation from the beginning, giving families stronger leverage when pursuing accountability and compensation.
  • No Upfront Fees: We handle elder abuse cases on a contingency fee basis, meaning families pay no attorney’s fees unless we recover compensation.

Warning Signs of Elder Abuse and Neglect

Families in San Francisco should pay close attention to changes in a loved one’s physical condition, emotional state, and living environment. Warning signs may include:

  • Unexplained Bruises or Fractures: These injuries may indicate falls, rough handling, improper restraints, or physical elder abuse.
  • Pressure Ulcers or Bedsores: Advanced bedsores may suggest that a resident was left in one position too long without proper repositioning, hygiene, or wound care.
  • Sudden Weight Loss: Malnutrition and dehydration can occur when staff fail to assist residents with meals or monitor food and fluid intake.
  • Medication Problems: Missed doses, incorrect medications, or overmedication can cause serious medical complications.
  • Frequent Falls: Repeated falls may point to poor supervision, unsafe conditions, ignored mobility risks, or inadequate staffing.
  • Fearfulness or Withdrawal: A resident who becomes anxious, depressed, unusually quiet, or fearful around certain caregivers may be experiencing abuse or intimidation.
  • Poor Hygiene or Unsanitary Conditions: Dirty clothing, soiled bedding, untreated wounds, strong odors, or unsafe rooms can indicate serious neglect.

San Francisco Resources

If your loved one is in immediate danger, call 911 or contact local law enforcement. Families may also report suspected elder abuse or neglect through the following resources:

Note: Reporting agencies may investigate complaints and issue citations, but they do not recover financial compensation for injured residents or families. A civil elder abuse claim may be necessary to pursue damages.

How We Investigate Elder Abuse Cases

At Stebner, Gertler, & Guadagni, we investigate elder abuse cases by looking beyond the facility’s explanation. Our goal is to determine whether the harm was preventable and whether a facility’s conduct caused or contributed to the injury.

  1. Review Medical and Facility Records: We examine care plans, medication logs, medical charts, incident reports, wound records, and documentation of prior concerns.
  2. Analyze Staffing and Supervision: We investigate whether the facility had enough qualified staff to meet residents’ needs and prevent foreseeable harm.
  3. Consult Qualified Experts: We work with medical professionals and elder care experts to identify failures in care and explain how those failures caused injury.
  4. Investigate Corporate Responsibility: We examine whether ownership, management, or corporate cost-cutting contributed to unsafe conditions or inadequate care.

Compensation Available in Elder Abuse Cases

When elder abuse, neglect, or reckless misconduct causes injury or death, victims and families may be entitled to pursue compensation. Depending on the facts of the case, damages may include:

  • Medical expenses and corrective treatment
  • Pain, suffering, and emotional distress
  • Costs associated with moving a resident to a safer facility
  • Punitive damages in cases involving reckless or intentional misconduct
  • Wrongful death damages when abuse or neglect contributes to a senior’s death

Notable Case Results

Stebner, Gertler, & Guadagni has recovered tens of millions of dollars for victims of assisted living neglect and memory care abuse throughout California. See More Case Results

Client Testimonials and Reviews

Google
Todd Frankel
6 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Extremely professional and caring, patient at times of confusion, extraordinary knowledge in their field, never once felt like this was for them. They always made it feel like it was for me and my family. I highly recommend them for anybody that has elderly abuse issues or wrongful death. My hats off to their professional ethics and integrity. Thank you, Stebner TEAM!!!! Todd Frankel and Family
Google
B&S S
22 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My mother recently moved into the memory care unit of a very well-regarded senior living facility. In the first month in their memory care unit, she had two falls. The 2nd fall was catastrophic. The care facility was negligent due to many factors. The Stebner, Gertler & Guadagni team, and all the other associates who participated in our mother's case worked very hard to get justice for my mom’s fall. Kathryn Stebner was strong, tenacious, and brilliant in leading this case. Karman Guadagni was super kind and knew all the right questions to ask to dig into our case. Kelsey Craven was awesome as our main guide through this whole process. Everyone was so helpful and caring in providing legal guidance and made the whole daunting process bearable. We can only hope this case would spark a change in the procedures and training for quality and safety in memory care in the many senior living facilities managed by this company.
Google
Anthony L.
185 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Our 85-year-old mother, who still danced with remarkable rhythm and joy, lived at a well-known assisted living and memory care facility run by a national corporation. One early morning, we received a devastating call that she had fallen and been rushed to the hospital. Doctors diagnosed a fractured hip that required surgery, but the pain and complications that followed were heartbreaking. Over the next month, we watched helplessly as her health deteriorated rapidly until she passed away—robbing our family of her warmth and joy far too soon. Conflicting accounts from the facility staff left us heartbroken and suspicious of negligence and a possible cover-up. Desperate for answers and justice, we turned to online research and contacted the law firm of Stebner, Gertler & Guadagni based on their compelling reviews. From the very first call, their prompt response gave us hope. Attorney Karman Guadagni spoke with me the same day, offering genuine compassion and clear guidance during those overwhelming early days. Karman and her dedicated team took on our case with unwavering commitment. Through a year of meticulous investigation, they uncovered shocking instances of neglect and mismanagement that contributed to our mother’s suffering. Their skill and tenacity secured a substantial settlement that went beyond our expectations. While no amount of money can heal the pain of losing our dear mother or erase the anguish she endured in her final weeks, knowing this assisted living corporation was held accountable—and may now implement changes to protect other vulnerable elders—brought us a measure of justice and peace. We are forever grateful to Karman Guadagni and her entire team for fighting so fiercely on our behalf.
Google
Arlyn Brown
195 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Our mother died prematurely due to callous and negligent care at a live-in care facility in the north bay area. It was the only facility with an opening at the time we needed to place her and no openings came up during the course of her stay where she could be relocated. The facility was understaffed, overworked and without proper support from management or the owners of the facility thereby creating an unfavorable climate for proper patient care. Our mother suffered numerous injuries while under the care and custody of the facility with no effort by staff to ameliorate the unsafe conditions under which she was living...thereby reducing the danger to her wellbeing...which resulted as medically proven contributing factors to her untimely death. The manner of death listed on her death certificate was other than "natural" due to those injuries. We contacted the law firm of Stebner, Gertler & Guadagni to assist us due to the horrible conditions our mother endured. They readily took the case which brought us much relief. Our family would like to give special recognition to attorneys Kathryn Stebner, Karman Guadagni (lead counsel) and Kelsey Craven as well as many staff members for their expert attention to detail in the handling of our case. They were approachable, compassionate and very well versed in Elder Abuse law. They negotiated an amazing conclusion to our legal efforts so that we could have closure in the loss of our mother and a feeling of justice for the lack of proper care she suffered. We will be forever grateful for the wonderful service they provided to us in our time of need.
Google
Be. K
225 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Steiner Gertler & Guadagni was amazing to work with. During a dark time in my life they gave me hope and ended up winning the case for me and my family. I cannot thabk them enough. If you or anyone else is looking for someone to bring peace and justice to your family then I would 100% recommend them.
Google
Lisa DeLapo
306 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My mom lost her ability to walk (due to a serious head injury) after being neglected at a memory care facility. I contacted Kirsten Fish (at NFK Law), and she partnered with Karman Guadagni at Stebner Gertler & Guadagni. From the very first moment I met with them, I felt reassured, supported, and stronger. My mother did not deserve to be in this condition, and I felt so hurt and frustrated by the memory care's lack of accountability and callousness. Karman and Kirsten were so intentional and kind, and they fought very hard to get the facility to own their multiple mistakes. My mom still cannot walk, but the care she receives now is spectacular. I owe Kirsten and Karman so much for taking her case and fighting on her behalf. She will likely live a longer, more comfortable life. I never thought I would ever pursue litigation, but after dealing with both NFK and SGG law firms, I know I did the right thing with the most amazing team.
Google
angela wall
307 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I would highly recommend this law firm to anybody that needs help in elder abuse cases. They came through like heros for my father.. defended him, and fought for him when all other attorneys wouldn’t touch his case. They’re very professional and attentive and they keep in communication when dealing with your case . They’re very personable , caring and hard working to make sure you get the outcome that is fair and right ! They truly became like family ! Please don’t hesitate to call them for any assistance that you may need for your family ! 👍🏼👍🏼😊
Google
Shelanda Lemons
318 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I speak for a living, and I do not know enough words to properly convey to you how much I deeply respect this company. Karmen took the lead, always treating me with care and respect. The entire firm fought for my family and me, always listening to my input and answering any questions I had. I highly recommend the Stebner Gertler & Guadagni law firm.
Google
Curtis Thomas
336 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Stebner Gertler & Guadagni just won a case on behalf of our mother who passed away after receiving negligent care from a rehabilitation facility. They were able to get us an award which was a good deal more than what we expected. Throughout the process these attorneys and their staff were extremely responsive, professional, kind and quite likable! They aren’t just great attorneys, they’re also great people. God forbid I ever need such services again but, if I did, I would use them again without hesitation. They deserve the best ratings, 5 stars! I highly recommend them!
Google
Dina Quan
342 days ago
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
My brothers and I were so fortunate to be referred to Stebner Gertler & Guadagni, a law firm that specializes in Elder Abuse litigation. Our mom passed away due to negligence committed by a well regarded memory care facility in the Bay Area. We worked with Karman Guadagni, the managing partner at SG&G. Karman was very professional, capable, honest and compassionate. She managed our case with care and attention and she kept us informed as to the progress of our case and the firm's investigation. We also want to thank Kathryn Stebner, an experienced, strategic negotiator, and Deena Zacharin, a warm and compassionate fact finder who rounded out our excellent team at SG&G. There is no winner in a situation such as this, but the most important aspect to our settlement was that Karman took the initiative to request that the owner of the facility write a letter to my family detailing the changes that were made to policies and procedures based on my mom's care and ultimate death. Lastly, for those of you that might be intimidated to call a law firm, I would encourage you to make that call to SG&G. You will find their staff to be extremely helpful, friendly and easy to talk to. Thank you SG&G.
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more

Frequently Asked Questions about Elder Abuse in San Francisco

Yes. Facilities can be held civilly liable when understaffing, poor training, inadequate supervision, or corporate cost-cutting contributes to a resident’s injury, illness, or death. Liability can extend beyond the facility itself to management companies and ownership groups when their practices created the unsafe conditions.

Reporting to Adult Protective Services or the Long-Term Care Ombudsman is important and can trigger an investigation, but these agencies don’t recover financial compensation for injured residents or grieving families. A civil claim, typically handled by an attorney, is the path to obtaining damages, and Stebner, Gertler, & Guadagni represents San Francisco families on a contingency basis, so there’s no upfront cost to get that process started.

No. Suspicion alone is enough to contact Adult Protective Services or speak with an elder abuse attorney. Waiting for certainty often allows harm to continue, and an experienced firm can help determine whether what you’re seeing points to abuse or neglect before you commit to any legal action.

If a loved one is in immediate danger, call 911. For non-emergency reports, San Francisco Adult Protective Services operates a 24-hour hotline at (415) 355-6700, or (800) 814-0009, and reports can be made confidentially or anonymously. If the concern involves a skilled nursing facility, assisted living community, or memory care unit, the San Francisco Long-Term Care Ombudsman Program at (415) 751-9788 also investigates complaints on behalf of residents.

Claims involving physical or emotional abuse generally must be filed within two years, while financial elder abuse claims generally allow up to four years. These deadlines can be affected by when the abuse was discovered, the victim’s mental capacity, and other case-specific factors, so it’s worth speaking with an attorney as soon as abuse is suspected rather than waiting.

Common warning signs include unexplained bruises or fractures, bedsores, sudden weight loss, medication errors, frequent falls, poor hygiene, and noticeable fearfulness or withdrawal around certain staff members. Families who notice these signs in a San Francisco nursing home or assisted living facility should document what they observe and consult an attorney promptly, since evidence like staffing records and incident reports can be harder to obtain the longer a concern goes unaddressed.

Families may pursue compensation for medical expenses, pain and suffering, the cost of relocating a loved one to a safer facility, and in cases of wrongful death, damages related to the loss. Punitive damages may also be available when a facility’s conduct was reckless or intentional rather than merely careless.

Abuse typically involves intentional harm, such as physical mistreatment or financial exploitation, while neglect involves a failure to provide necessary care, like food, hygiene, medication, or supervision. Both are legally actionable in California, and many nursing home cases involve a combination of the two — for example, understaffing that leads to both missed care and preventable injury.

Contact a San Francisco Elder Abuse Attorney Today

When a loved one is harmed by elder abuse or neglect, families deserve answers, protection, and accountability. Stebner, Gertler, & Guadagni helps San Francisco families investigate what happened, pursue justice, and hold negligent facilities and care providers responsible.

If you suspect elder abuse in San Francisco, contact us today at (415) 362-9800 for a confidential consultation.