Steptoe & Johnson’s Long-Term Care Team is made up of attorneys, legal assistants, and legal nurse consultants from the firm’s litigation, business, and labor groups. Team members represent owners, operators, and developers of all types of long-term care facilities, such as nursing homes, assisted living facilities, home health agencies, and continuing care retirement communities.

Our services include patient care liability defense; labor and employment representation, including wrongful termination, counseling, and workers’ compensation; and regulatory compliance, including assistance with development of plans of correction and appeals of regulatory citations. Our team is fully prepared to represent long-term care providers of any size in the litigation-intensive health care field.

What sets us apart

  • Top ranked by The Best Lawyers in America®
  • Supported by one of the largest litigation teams in the East
  • Specialized mass-document review and e-discovery teams
  • More than 100 years of experience
  • Industry-specific training available to clients to help reduce risk
  • Defended multiple long-term care facilities in claims involving medical negligence (including wound development, infection, falls, understaffing, and malnutrition) and punitive conduct
  • Negotiated settlements on behalf of various long-term care facilities in West Virginia accused of abuse and neglect of elderly residents
  • Defended operator of long-term care facilities in claims of medically resistant staph infections
  • Defended long-term care institutions from allegations of negligent resident injury or wrongful death
  • Represented a nursing home facility in litigation to prevent re-zoning of nearby agricultural land for industrial use
  • Assisted in the sale of assets of a substantial independent and assisted living facility and related nursing home, which necessitated the defeasance of publicly held tax-exempt indebtedness
  • Defended long-term care facilities against claims for alleged violations of state nursing home acts and medical negligence
  • Represented a national nursing home chain at trial in a wrongful death action involving death of resident from urosepsis. Punitive damages sought for alleged understaffing, false documentation, and other issues

Corporate and Transactional Issues 

  • Solve governance, management, and contractual issues
  • Assist in the acquisition and sale of assets, private physician practices, and hospital networks

Medical Staff Credentialing and Bylaws

  • Physician credentialing and privileges
  • Physician professional disciplinary actions

Medical/Ethical Issues 

  • Counsel on ethical issues related to informed consent, drafting policies, actions and procedures, and confidentiality
  • Advance directives, do-not-resuscitate issues, and withdrawal of life-support systems


  • Public and private funding and tax-exempt bonds, and related tax issues

Regulatory Matters 

  • Affordable Care Act (ACA) and HIPAA
  • Certificate of Need and Rate Making
  • Medicare fraud/audits and correction of survey deficiencies


  • Patient care liability
  • Labor and employment