Is the nursing home insurance company correct in saying that this is a professional judgment issue?

Liability Issues in Nursing: a4

It is hard to give a definitive response without more information. Some nursing home insurance providers may consider issues related to the quality of care given in nursing facilities to be professional judgment questions, while other companies might view them as policy issues or issues relating to compliance.

The professional judgment of healthcare professionals is based upon their education, experience, and expertise. Professional judgment can be used in the nursing home setting to determine the level of care a patient should receive, what type of therapy or treatment they need, and how to handle medical emergencies.

However, there may be situations where a nursing home insurance company’s assessment of a situation as a professional judgment issue is in conflict with the opinions of other stakeholders, such as family members, advocates, or regulatory agencies. It may be necessary to obtain additional information and opinions to better understand the situation.