Nursing Home Abuse & Elder Abuse Statistics in San Antonio
75+
Nursing Facilities in Bexar County
9,500+
Nursing Home Beds (Bexar County)
2 VA-affiliated facilities
Veterans Facilities
Required within 120 days
TMLA Expert Report
Courts in San Antonio, Texas
Bexar County District Court — 45th District
300 Dolorosa, San Antonio, TX 78205
Bexar County District Court — 57th District
300 Dolorosa, San Antonio, TX 78205
Hospitals & Trauma Centers in San Antonio
University Health — University Hospital
4502 Medical Dr, San Antonio, TX 78229
Methodist Hospital San Antonio
7700 Floyd Curl Dr, San Antonio, TX 78229
Liability Considerations in San Antonio
Nursing Home Abuse in San Antonio and Bexar County
San Antonio's nursing home sector serves a predominantly Hispanic elderly population that, like other Texas communities, navigates TMLA's procedural requirements in elder abuse litigation. The presence of the South Texas Veterans Health Care System and Audie L. Murphy VA Hospital adds a federal dimension to some San Antonio nursing home abuse cases — claims against VA facilities follow Federal Tort Claims Act procedures rather than TMLA, with a 2-year administrative exhaustion requirement. Private facility claims in Bexar County follow standard TMLA procedures, with the 45-day pre-suit notice and 120-day expert report deadline. Bexar County juries have shown willingness to award punitive damages in cases involving deliberate abuse or egregious institutional neglect.
Your Legal Team
Denise Okafor
Partner, Elder Abuse Litigation Group
Austin, TX
Denise Okafor has spent 14 years fighting for nursing home residents and their families across Texas, where a large and growing elderly population creates significant demand for quality elder abuse litigation. Her public health background informs her systemic approach to nursing home cases — she investigates not just individual failures but facility-wide patterns of understaffing, inadequate training, and corporate cost-cutting that create conditions for resident harm. Denise is particularly adept at using CMS payroll-based journal staffing data, survey deficiency reports, and corporate financial records to demonstrate that understaffing was a deliberate business decision rather than an isolated oversight — a framework that supports punitive damage claims. She has obtained verdicts and settlements totaling over $60 million for Texas nursing home residents and their families, including multiple seven-figure wrongful death recoveries.
Education
- J.D., University of Texas School of Law (2012)
- B.S., Public Health, Texas A&M University (2009)