Patient Neglect or Abuse Allegations: The Fast Track to Disciplinary Action

Nursing Best Practices

by | Nov 21, 2025

An allegation of patient neglect or abuse is one of the most serious challenges a nurse can face, triggering an immediate Texas Board of Nursing investigation, regardless of whether it’s true or not. Knowing what qualifies as neglect or abuse, how the TBON investigates, and how to protect yourself is essential to safeguarding your license and career.

What Do These Terms Really Mean? Defining Patient Neglect and Abuse

Patient Neglect is defined as the failure to provide care, which leads to potential or actual harm. It is often caused by an accidental omission or a distraction. This includes failure to reposition a patient resulting in pressure injuries, a call for assistance was ignored, improper documentation, and others.

Patient Abuse is defined as an intentional action meant to cause harm, intimidation, or humiliation. It is a willful act of commission. This includes hitting, pinching, or improper restraint of a patient, using disrespectful language toward a patient, isolating a patient from others, and others.

The Texas Board of Nursing immediately responds to these allegations because its primary job is to protect public safety. Nurses accused of harming a patient are considered a direct threat. 

In reality, nurses are often overworked, understaffed, and burned out due to increasing demands. Under these conditions, a simple mistake or an unintentional oversight can sometimes be interpreted as neglect.

How Does an Allegation Unfold?

After a complaint is filed, everything can start to fall apart quickly. It starts with a single report made by a patient, colleague, or administrator. Since the employer is legally required to investigate immediately,  you may be suspended on the spot. The employer must report the allegation to the Texas Board of Nursing, turning the situation from an internal matter to a legal process that could threaten your license. Then, the TBON takes over the investigation. They may request patient records, interview witnesses, and review all the evidence. If they conclude that a violation occurred, the consequences are severe. This includes a public reprimand that becomes a permanent part of your professional record, suspension for an indefinite period of time, probation with conditions like supervised practice, continued education, or therapy, and revocation of your nursing license.

An allegation of patient abuse is often a career-ender, as the trust between the nurse and patient is considered too broken to repair. However, if the allegation involves patient neglect, it is not always a dead end. In some cases, it may be mitigated with a strong defense, potentially opening the door to license reinstatement.

Why Choose Texas Nurse Lawyers in Protecting Your License

Prevention is always your best defense. However, if an allegation of patient neglect or abuse is made against you, it doesn’t just challenge your clinical judgment; it attacks your character and your dedication to care. It’s important to take the situation seriously, but don’t panic. Schedule an appointment with a nursing license defense attorney immediately. Nurse attorneys help you in drafting your response and defense strategies. 

At Texas Nurse Lawyers, we bring over 17 years of experience in defending Texas nurses against allegations brought by the Texas Board of Nursing. We are committed to building strong, strategic defenses, whether you’re facing disciplinary action or seeking license renewal, and reinstatement. We can help you navigate the TBON’s process, we will communicate with the TBON on your behalf, and we will deliver the best possible outcome. 

Don’t face the TBON alone. Book an appointment with us today for a completely confidential consultation to discuss your case and your options.

Recent Posts

WHAT OUR CLIENTS SAY

I consider Yong as the biggest blessing in my life for this year. While I was practicing as a professional nurse in Texas, I received an order from the BON limiting my practice. This was problematic for me since I wanted to continue working for my employer. Yong was the one who wrote a reply letter to the Board and explained my innocence. He made all the necessary arrangements, which led to the issuance of an order in my favor…

Amelia

I searched for a Texas lawyer who is good at handling nursing defense cases. During my research, I came across the website of Mr. Yong. I read positive comments from his previous clients, which made me become more interested in what he does. Because of this, I tried to send a message via the website. What made me really happy was the fact that a member of his team responded right away! He was so nice to me. I wish there won’t come a time that I would require the services of a lawyer. But right now, I have to say that I will recommend his firm to those who are in need!

Ainsley

The nice thing about Mr. Yong is that he is an expert in the legal aspect of the nursing industry. He has this ability in helping clients to feel calm and more relaxed while the case is going on. With his efforts, he was able to dismiss the case filed against me. I was able to keep my nursing license because of him. My case was quite difficult but he won! This only shows that he is an amazing and skilled lawyer in Texas.

Alexandria