With more and more Oregonians living longer and with more serious health issues, nursing home neglect and abuse is an increasingly important issue. We recently helped the family of a 59-year old man who died following a short admission to a Memory Care Center. The man had developed early onset Alzheimer’s disease and needed supervision for medication management and for his wandering behaviors. His wife had toured the facility before placing her husband there and was assured that the facility was a good fit for him and that a care plan would be developed to meet his needs. She was informed that there would be a period of adjustment and that the family would need to let him establish himself there before they could visit him in person. In less than a month, her husband lost more than 20 pounds of body weight, sustained several injuries requiring hospital care, was incorrectly medicated and over-medicated, became severely dehydrated, and developed pneumonia and sepsis. He was transferred to the intensive care unit of the hospital only after the family had an outside nurse do an evaluation. He never recovered from the sepsis. The wrongful death case settled for a confidential amount at a mediation during the litigation.