By Jen Samuel
WEST CHESTER — The tragic end of one woman’s life still led to
minimal sentences imposed upon her daughter and husband in the Chester
County Court of Common Pleas in an elder abuse case prosecuted by the
Pennsylvania Office of Attorney General.
Richard Nightingale, 78, and daughter, Kaci Nightingale, 40, will each serve one-week in prison.
Bonnie Marie Nightingale was found dead on a mattress placed on the
floor inside her West Sadsbury home on July 20, 2021. Her cause of death
was ruled cerebral infarction due to atherosclerosis. Other conditions
of death included severe malnutrition, severe dehydration, decubitus
ulcers and coronary atherosclerosis.
A certification of death provided by the Chester County Coroner’s
Office on Jan. 15 still listed her manner of death as “undetermined.”
She’d suffered from dementia for nearly a decade.
Christina VandePol was the Chester County coroner in 2021 when she
reported the death of Bonnie Nightingale, 71, to the Chester County
District Attorney’s Office due to concern for abuse. The case was then
referred to the Pennsylvania Attorney General’s Office.
Charges were filed against Bonnie’s husband and daughter on July 7,
2023, after years of investigation. Richard and Kaci were charged with
neglect of care of a dependent person, recklessly endangering another
person, simple assault, and aggravated assault.
Further, Kaci was employed by a home health service provider as a
personal care assistant and received monetary compensation for this
employment, according to the criminal complaint. Bonnie was last seen by
a doctor in 2015.
A trial began on Oct. 30 and lasted three days until Richard
Nightingale and Kaci Nightingale reached an open plea agreement with the
state just prior to the jury rendering verdicts. Both pleaded guilty to
neglect of a care-dependent person. As such, several other charges were
dropped. The maximum sentence is seven years for neglect of a
care-dependent person.
Kaci also pleaded guilty to a fraud-related charge of
provider-prohibited acts for accepting money for care services she
didn’t provide her mother toward the end of her life.
Judge Bret Binder presided over the case and issued the sentencing on Jan. 14.
Due to a prior criminal history involving burglary in Philadelphia
two decades ago, Binder sentenced Richard to 9-18 months in prison with
electronic home confinement applying after one week and five years
probation.
Due to not having a criminal record, Kaci was sentenced twice, on the
fraud and neglect charges, to serve one week to nine months in prison,
followed by five years of probation, and she can serve her sentences
concurrently. It was clear as the courtroom neared adjournment that both
were expected to serve only one week in prison each, respectfully, with
Kaci reporting to begin her sentence on Feb.1 and returning home Feb.
7, and Richard reporting to serve his sentence in prison for one-week on Feb. 9, followed by home confinement with a cost to the family of $15 per day.
‘Letting her die’
VandePol was in attendance at the Chester County Justice Center for the sentencing proceedings.
“It was shocking that neither Bonnie’s husband or her daughter
expressed remorse about what had happened. I’m pleased both will serve
some prison time, though not enough, in my opinion. I hope this outcome
encourages other prosecutors to vigorously pursue elder neglect and
abuse cases,” VandePol said on Wednesday.
“I attended Bonnie Nightingale’s autopsy,” she said. “What I saw
sickened me: she weighed only 83 lbs. and had bed sores so deep you
could see the bone. Even the way she was found when we retrieved her
body — lying naked on a mattress on the floor — was horrifying. It was
unbelievable that in 10 years Bonnie had never received medical care,
and that her family had never bothered to get help, instead just letting
her die like that.
“Elder abuse is a complex, multi-system problem,” VandePol said. “It
won’t be solved with one prosecution or legislative action, but our
legislators could make a start by amending the Pennsylvania Coroner
Statute to require nursing homes, assisted living, and personal care
homes to report all deaths, regardless of cause, to their county
coroner.”
She said this abuse can and does happen in both private homes and care facilities.
“Abuse of older adults and adults with disabilities is not uncommon, just invisible,” VandePol said.
Elder abuse on the rise
According to an annual report by the Pennsylvania Department of
Aging, between July 2023 and June 2024, there were 58,614 reports of
elder abuse statewide, increased by 9%. The investigations conducted led
to 14,302 substantiated cases.
There were 41,221 investigations launched; only 70% of all reports
were investigated. The report said 32% of these abuse allegations stem
from financial exploitation.
Notably, 46% of abusers were family members, the most common
perpetrators, followed by caregivers, according to the Pennsylvania
Department of Aging’s report.
In the Nightingale case, Kaci was both a daughter and a caregiver.
Before sentencing, attorney Benjamin McKenna for the Pennsylvania
Office of Attorney General said this case wasn’t about providing
“perfect care” but that no one ever called for help to treat Bonnie’s
suffering.
He asked Binder to impose a sentence that recognizes that her
suffering was not necessary and “honors the dignity that all
care-dependent people deserve across this Commonwealth.”
“Toward the end of her life, she suffered immensely,” McKenna said.
Today, Richard lives with his daughter Kaci, his daughter Erin, and his grandchildren.
“Thank you, your honor, for giving me a chance to move on and be with
my family,” Richard said before sentencing. He did not mention his
wife.
“This case is particularly difficult from a sentencing perspective,
given the level of harm she endured and the lack of intent to harm,”
Binder said. Still, the disregard for her care could not be overlooked.
‘They need and deserve excellent care’
Barbara Croyle is a senior living advisor of Aging Confident in Landenberg.
Home care is helping with bathing, dressing, food prep,
transportation, and companionship, she said. In contrast, home health
care is nursing care and medication giving.
There are now 63 million family caregivers providing home health care in 2025, Croyle said.
She said 95% of boomers want to “age-in-place” when asked. “That
assumes a lot of things that they will need to have: good health,
caregiver support, which can cost a lot depending on how often it is
needed, a home environment that supports aging, technology that supports
aging,” Croyle said.
“Elder abuse is not uncommon,” Croyle said. It can be physical,
mental, emotional, and financial. “It can be something that is committed
or something that is omitted.”
Nursing home facilities are licensed agencies. Suspected neglect can
be reported to the Area Agency on Aging in every county, Croyle said.
“The best protection for loved ones in a nursing home comes from regular
visits from family or friends. Also, there is a way to compare nursing
homes online via Medicare Compare, which rates nursing homes,” she
noted.
Home care can typically cost $30 to $40 per hour. It used to be $20
to $35 an hour. Nursing homes typically cost $12,000 each month, she
added.
“Everything has gone up due to increased costs of staff, supplies, and insurance,” Croyle said on Thursday.
“I work with older adults because they need and deserve excellent
care and support,” she said. “I want to help provide for them, what I
hope will be provided for me as I continue to age.”
Court, state resources
Pennsylvania has the fifth largest number of older adults, with 3.4
million people 60 or older. One-in-four Pennsylvanians is 60 or older.
By 2030, that number will increase to one-in-three people, according to a
state official.
In the Commonwealth, 400,000 people depend on homecare assistance
where they live, according to the Pennsylvania Homecare Association.
There are 2.4 million unpaid family caregivers across the state.
To report signs of abuse, call the Chester County Department of Aging at 800-564-7000 or the District Attorney’s office.
The statewide Elder Abuse Helpline is 1-800-490-8505. This confidential line is open 24-7, 365 days a year.
The Pennsylvania Department of Aging front desk phone number is 717-783-1550. For information, visit www.pa.gov/aging.
The Pennsylvania Office of the Long-Term Care Ombudsman phone number
is 717-783-8975. The statewide team of Ombudsmen looks out for our
nursing home residents and their quality of life.
The PA Link phone number is 1-800-753-8827, which provides
person-centered counselors to help individuals with disabilities and
seniors find information that will connect them to supports and services
in their community.
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Elder abuse leads to guilty pleas for husband, daughter in death of Bonnie Nightingale, 71