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Elder Abuse Charges Lawyer in Chicago, Illinois Serving All of Cook County
Elder abuse charges in Chicago can carry serious criminal penalties and cause lasting damage to your reputation, career, and personal relationships. These cases usually involve complicated medical records, financial documents, witness statements, and family disputes, making it essential to have a defense team that can examine every detail of the prosecution’s case.
At Combs Waterkotte, we understand that elder abuse allegations can arise from misunderstandings, conflicting accounts, or accusations that don’t tell the full story. We begin each case with a free, confidential consultation to hear your side and understand the circumstances around your case.
“This firm is exceptional! Professional, knowledgeable, great communication and easy to work with. Could not recommend them enough.”
-Adam R. | Combs Waterkotte Client
Leaning on eight combined decades of criminal defense experience, our team will carefully review all the evidence, challenge unreliable testimony, identify inconsistencies, and look for violations of your legal rights. We will pursue every opportunity to have your charges reduced or dismissed, all while staying prepared to take your case to trial if we have to.
If you’re facing elder abuse charges in Chicago or anywhere in Cook County, contact Combs Waterkotte online or call (314) 900-HELP today. The sooner your secure legal representation, the sooner we can begin to protect your rights, freedom, and future.

Elder Abuse Laws in Chicago, Illinois
Illinois law outlines two main pieces of legislation designed to protect elderly citizens from neglect and abuse:
Under 320 ILCS 20, the Adult Protect Services Act defines instances in which Adult Protect Services (APS) may become involved in criminal conduct involving an elderly individual. The act defines abuse against elderly individuals to include:
- Physical, mental, and sexual injury
- Financial exploitation
- Abandonment
- Placing an elderly person in an environment likely to harm their health or welfare.
The act applies to two specific victim groups:
- A person aged 60 or older who resides a domestic living situation and experiences:
- Abuse
- Abandonment
- Neglect
- Financial exploitation
- Self-neglect
- An adult between the ages of 18 and 59 whose disability impairs their ability to seek protection from harm
The Adult Protective Services Act primarily focuses on individuals outside of care facilities: family members, private caregivers, or another person who has a continuing relationship with the older adult.
The Nursing Home Care Act, on the other hand, covers instances of elder abuse that occur in officially licensed care facilities (e.g., nursing homes). The act is very detailed, but, generally speaking, it governs the following aspects around elder care facilities:
- Abuse and neglect are specifically prohibited
- Residents have a say in their personal rights and medical care
- Improper physical or chemical restraints may constitute abuse
- Facility staff has a duty to report abuse and are protected against retaliation for their reports
- The Illinois Department of Public Health has permission to investigate nursing home-related complaints, and the consequences of a complaint may include:
- Correction plans
- Fines and other civil penalties
- Restrictions on admissions
- License suspension or revocation
- Removal of an employee from contact with residents
- Referral to law enforcement or professional licensing authorities
- Federal certification or Medicare/Medicaid consequences
- Facilities can face civil liabilities for negligence against residents

What Constitutes Elder Abuse in Chicago, Illinois?
While the Adult Protective Services Act and Nursing Home Care Act outline the type of conduct prohibited against elderly individuals, 720 ILCS 5/12-4.4a defines the conduct itself and the criminal penalties for committing it. It outlines two separate offenses:
- Criminal abuse or neglect of an elderly person or person with a disability
- Abuse or criminal neglect of a long term care facility resident
The statute outlines some important definition to understand related to the offenses:
- Abandon — To desert or knowingly forsake a resident or elderly person under circumstances in which a reasonable person would continue to provide care
- Caregiver — A person with a duty to provide for an elderly person’s health and personal care (food, shelter, hygiene, medication, medical care), including:
- A parent, spouse, adult child, or relative
- A person employed by the elderly person to care for them
- A volunteer caregiver
- A person appointed by a private or public agency or by court order
- Elderly person — Someone 60 years old or older who is incapable of providing for their own health or personal care
- Licensee — A person or entity licensed to operate a facility under the Nursing Home Care Act
With those definitions in mind, criminal abuse or neglect of an elderly person occurs when a caregiver knowingly:
- Performs an act that causes an elderly person’s life to be endangered, health to be injured, or pre-existing physical or mental condition to deteriorate
- Fail to perform an act that they know is necessary to preserve the life or health of the elderly person
- Abandons the elderly person
- Exposes the elderly person to willful deprivation
Criminal abuse or neglect of an elderly person is charged as a Class 3 felony in standard cases. However, if the abuse or neglect results in the death of the elderly person, an individual charged with the offense faces a Class 2 felony charge.
The crime of abuse of a long-term care resident may occur as the result of a few kinds of actions. A person, owner, or licensee of a nursing home commits abuse against an elderly person when they:
- Knowingly cause physical or mental injury to or commit a sexual offense against a resident, or
- Recklessly perform an act that:
- Causes a resident’s life to be endangered
- Causes a resident’s health to be injured
- Causes a resident’s pre-existing physical or mental health to deteriorate, or
- Fails to perform an act that they know will preserve the life or health of a resident and that failure:
- Causes a resident’s life to be endangered
- Causes a resident’s health to be injured
- Causes a resident’s pre-existing physical or mental health to deteriorate
Abuse of a long-term care resident is charged as a Class 3 felony in Chicago and Cook County.
The crime of neglect of a long-term care facility resident occurs when a person, owner, or licensee fails to provide adequate medical care or personal care, resulting in physical or mental injury or the deterioration of the resident’s pre-existing physical or mental health.
Neglect of an elderly nursing home resident is charged as a Class 4 felony under Illinois law in typical cases. However, if the neglect results in the death of the elderly person, the charge becomes a Class 3 felony.

Illinois Criminal Laws with Elder Abuse Enhancements
In addition to the statute covering elder abuse and neglect, there are other laws in the state of Illinois that specifically cover offenses committed against elderly people. One of the foremost is financial exploitation of an elderly person, covered under 720 ILCS 5/17-56. This statute covers instances in which someone with a position of trust over an elderly person knowingly:
- Obtains control over their property by deception or intimidation, or
- Illegally uses assets or resources of an elderly person
The penalties for financial exploitation of an elderly person depend on the age of the individual and the value of the property in question. The table below outlines the specific penalty thresholds:
| Crime | Amount of Money | Penalty | Age of Victim |
|---|---|---|---|
| Financial exploitation of the elderly | $300 or less | Class 4 felony | 60 years or older |
| Financial exploitation of the elderly | $300 to $5,000 | Class 3 felony | 60 years or older |
| Financial exploitation of the elderly | $5,000 to $50,000 | Class 2 felony | 60 years or older |
| Financial exploitation of the elderly | $50,000 or more | Class 1 felony | 60 years or older |
| Financial exploitation of the elderly | $15,000 or more | Class 1 felony | 70 years or older |
| Financial exploitation of the elderly | $5,000 or more | Class 1 felony | 80 years or older |
There are also quite a few crimes under Illinois law that come with penalty enhancements specifically for having been committed against a person 60 years old or older. While they are numerous, some of the most common include:
- Aggravated criminal sexual assault
- Aggravated criminal sexual abuse
- Aggravated assault
- Aggravated battery
- Aggravated identity theft
- Theft (of $5,000 or more)

Criminal Defense Strategies Against Chicago, Illinois Elder Abuse Charges
While facing elder abuse charges is very serious, a good attorney can help. At Combs Waterkotte, we utilize several criminal defense strategies to help reduce or dismiss charges for our Chicago and Cook County-based clients.
Challenging the Credibility and Reliability of the Accusation
An effective defense may start with testing the reliability of the accusation, especially when the case depends on conflicting accounts from relatives, caregivers, facility staff, or the elderly individual themselves. Your lawyer can compare interviews, medical records, incident reports, surveillance footage, and witness accounts for inconsistencies. Demonstrating exaggerated claims, mistaken assumptions, or credibility issues can help create reasonable doubt. This approach is especially important when family disputes, inheritance disagreements, or workplace conflicts may have influenced how the allegations were reported to authorities.
Arguing That the Required Criminal Intent Is Missing
Several Illinois elder abuse offenses require proof that someone acted knowingly, intentionally, or recklessly. A defense lawyer may attempt to argue that an injury simply resulted from an accident or that a caregiving decision was made in good faith. By separating poor judgement, miscommunication, or unsuccessful care from criminal intent, the defense can attack a central element that the prosecution has to prove beyond a reasonable doubt.
Establishing Consent in Financial Transactions
In financial exploitation allegations, the case often depends on whether the older adult knowingly authorized a transfer, withdrawal, or change of ownership. A defense lawyer can use bank records, messages, receipts, estate documents, powers of attorney, or testimony from witnesses to show consent. Evidence of a longstanding pattern of shared finances can also prove important to a defense. Establishing legitimate authorization may undermine claims that a defendant used deception, intimidation, undue influence, or unlawful control over the alleged victim’s money or property.
Disputing Knowledge of the Alleged Victim’s Incapacity
Even when an older adult has cognitive or medical limitations, the prosecution may still need to prove what the accused knew about those limitations at the time. Medical records may be incomplete, diagnoses may have changed, and a person may retain capacity for some decisions. The defense can emphasize evidence showing lucid conversations, independent choices, or professional advice. This may weaken allegations that a defendant exploited someone who lacked the ability to understand what was happening.
Presenting an Alternative Medical Explanation for Injuries
Older adults tend to have fragile bones, balance problems, medication side effects, or underlying conditions that can cause bruising, falls, or sudden deterioration. A defense lawyer can consult medical experts and review prior health records to determine whether the alleged injuries can have another explanation. When the prosecution can’t reliably connect the defendant’s conduct to an injury, the defense can challenge causation and argue that medical vulnerability, not criminal abuse, produced the injuries.
Documenting Good-Faith Caregiving Decisions
Caregiving often requires making difficult choices about medication, supervision, mobility, nutrition, and emergency treatment. A criminal defense may show that the accused individual followed professional instructions, relied on available information, or made a reasonable decision under stressful circumstances. Care plans, staffing records, texts, and expert testimony can document these good-faith efforts. This strategy helps to distinguish intentional abuse or criminal neglect from an unfortunate outcome, ordinary mistake, or disagreement over the best way to provide appropriate care.
Seeking Suppression of Unlawfully Obtained Evidence
Police and investigators must follow constitutional rules when searching homes, seizing financial records, interviewing suspects, or obtaining statements. A defense attorney can examine whether officers had a valid search warrant, exceeded the scope of their warrant, ignored Miranda rights, or pressured the accused into making a statement. If police obtained evidence unlawfully, the court may suppress it. By excluding a confession, phone search, or key financial details, a defense lawyer can significantly weaken the prosecution’s ability to prove an elder abuse charge.
Showing That Another Person May Be Responsible
In homes and care facilities, several people may have access to the same resident, room, medication, bank account, or personal property. The defense can investigate whether another relative, employee, visitor, or resident caused the injury or completed a disputed financial transaction. Access logs, surveillance video, electronic records, and witness timelines can help to identify that another person was responsible. Showing that investigators focused on the defendant too quickly can create reasonable doubt about the prosecution’s overall theory.





