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Pressure Ulcer Staging in Texas

Pressure Ulcer Staging in Texas

Texans can pay thousands of dollars a month to ensure their family member is taken care of in a nursing home for the last few months or years of their life. Unfortunately, many San Antonio nursing homes are understaffed, which leads to the neglect of their patients. This neglect can manifest in physical ways, like bedsores, or pressure ulcers. Bedsores occur when patients have decreased blood flow to certain areas of their body, and are normally caused by prolonged pressure from sitting or lying down for a prolonged period of time. There are four bedsore stages, with stages one and two being the most common and treatable, and stages three and four being the most painful and the most dangerous. When a pressure sore goes untreated, it can cause deep wounds and increase a person’s risk of infection.

If your loved one has developed a pressure ulcer in a nursing home as a result of neglect, the San Antonio nursing home neglect lawyers at Janicek Law are here to help. Call us today at 210-366-4949 and schedule a free consultation with one of our professionals.

WARNING: This blog contains images of stage-one bedsore injuries. Viewer discretion is advised.

What Are Bed Sores?

Bedsores – also known as pressure sores, pressure ulcers, or decubitus ulcers – are wounds caused by prolonged pressure to a certain area of the body. They usually occur on the skin that covers bony areas of the body, like the skin on the heels, hips, tailbone, shoulder blades, and head. When an area of the body is exposed to constant pressure, it can decrease blood flow to the tissue in that area. This lack of blood can cause the surrounding skin and the deeper tissues underneath it to begin to die.

The primary prevention for bedsores is movement, whether that be changing positions when sitting or laying down, or by doing light exercise to promote blood circulation. However, some people may not have the ability to move on their own or may not even recognize that they’ve been sitting in one place for too long. That’s why they often occur in patients living in nursing homes.

It’s important for nursing homes and assisted living facilities to ensure their patients change positions, exercise, and eat healthy so pressure sores can be prevented. While not all bedsore injuries are preventable, bedsore stages three and four are almost completely preventable. When nursing home staff fail to detect or properly treat these ulcers, they may be found liable for any damages caused.

If you’re loved one suffered bed sores at a nursing care or assisted living facility, contact a San Antonio assisted living facility abuse lawyer.

What Causes Bed Sores?

Certain risk factors can increase the likelihood of someone experiencing bed sores. Those who have a lack of sensory perception due to a spinal cord injury may not feel sore after staying in one position for an extended period of time. This could cause them to develop bedsores without even realizing it. Healthcare professionals should be checking them for bedsores regularly so they can have their bedsores diagnosed and treated early.

Those who are incontinent are also prone to developing pressure sores and subsequent infections, due to their skin’s prolonged exposure to human waste. They may require additional wound care to keep their skin clean and prevent infections.

Patients with mobility issues are at high risk for developing bedsores due to their inability to change positions. Elderly care professionals must help them change their sitting or laying positions regularly in order to remove pressure from parts of their body and prevent bedsores.

Some medical devices can cause a person to experience pressure ulcers wherever the device is resting. For example, those undergoing oxygen therapy have tubing that goes over both of their ears and connects to their nose. They may not have their tubing moved often, which can cause them to develop pressure injuries on the top part of their ear.

Certain medical conditions can affect blood flow and increase a person’s risk of developing pressure ulcers. Additionally, healthy eating habits can help increase circulation and promote healthy skin, so those without proper nutrition may also have an increased risk of developing pressure sores.

pressure injury stages

What Helps Prevent Bedsores?

Pressure ulcers can be prevented in multiple ways. The primary prevention for pressure sores is by removing pressure from bony areas of the body. Moving positions frequently and participating in light exercise can promote blood flow and prevent ulcers from forming.

This helps relieve pressure on areas of the body that are prone to pressure ulcers.

Doctors often recommend patients with mobility issues use foam pads on their mattress and/or wheelchair to protect bony areas of the body from developing pressure sores. These areas include the head, shoulder blades, hips, tailbone, and heels.

Those at risk for developing a pressure injury should check their skin regularly for any change in skin color or increase in soreness. This can help detect pressure sores before they progress and cause deep tissue damage. Those at risk should also keep their skin clean and dry, and change their bedsheets and undergarments frequently.

A healthy diet can also aid in preventing bedsores and promote wound healing. Those with poor nutrition may be at a higher risk for pressure injuries.

Pressure Ulcer Stages

There are four bedsore stages, with stage one being the most mild, and stage four being the most severe. It’s important for those at risk of developing pressure sores to know the warning signs so they can prevent sores and promote healing. Below are the symptoms for the different pressure sore stages, as well as the treatments often used during the healing process.

Stage 1 Pressure Ulcer

A stage 1 pressure injury is often mild and easily treatable. In this stage, the patient won’t have an open wound.

stages of pressure injury

Stage 1 Bed Sore Symptoms

Symptoms of a stage 1 pressure sore include light burning or itching on and around the affected skin. The area may also feel warmer than other areas of the body and may be sore to the touch. The area can also appear discolored: patients with fairer skin will likely see redness, whereas patients with darker skin may see a bluish or purple tint in the area.

Stage 1 Pressure Ulcer Treatment

When treating stage one pressure ulcers, the first thing to do is to remove pressure from the area. This can include adding padding to the patient’s mattress or wheelchair, or ensuring the patient changes position frequently.

Keeping the ulcer clean and dry can also help prevent it from progressing to a later stage. Stage one ulcers can heal in about three days from onset of symptoms.

Stage 2 Pressure Ulcer

Stage two pressure ulcers are often more visible and painful than stage one pressure ulcers. In stage two bedsores, the skin breaks open, creating an open wound. These are the most common types of bedsores found in nursing homes and can be easy to diagnose.

Stage 2 Bed Sore Symptoms

Stage two decubitus ulcers often create a crater in the skin. Some patients may develop a blister in the area. The ulcer may have drainage and leak clear fluid, and it may be more painful and sore than it was before.

Stage 2 Pressure Ulcer Treatment

Stage two pressure sores can also be treated by removing pressure from the affected area. Since stage two pressure sores are open wounds, proper skin care can help promote healing. Healthcare professionals may clean the area with mild soap and water, and apply dressings to protect it from germs and debris. They may also apply moisture barrier creams to the skin surface to help the body dissolve any dead tissue, which can prevent the skin from flaking and sloughing off.

Stage 3 Pressure Ulcer

At stage three, the pressure sore will have broken through the first two layers of skin and may begin affecting the deeper tissues. Stage three pressure ulcers should be inspected for any signs of infection so that it can be treated as soon as possible.

Stage 3 Bedsore Symptoms

Stage three pressure sores will look like a hole or crater in the skin. The skin breakdown may reveal the fatty tissue beneath the skin. The decubitus ulcer may be infected if it is leaking pus or discolored drainage, or if it is emitting a foul odor.

Stage 3 Pressure Ulcer Treatment

Stage three pressure sores require immediate medical treatment. A doctor may remove dead tissue from the wound or surrounding area to promote healing, and may prescribe antibiotics to treat an infected bedsore.

Stage 4 Pressure Ulcer

Stage four pressure ulcers are the most serious. Pressure injuries that have progressed this far may have reached into the underlying tissue, like muscle, ligament, or even bone. Stage four pressure ulcers have a higher risk of infection than ulcers at other stages.

Stage 4 Besore Life Expectancy and Symptoms

At stage four, decubitus ulcers will appear as a deep, open wound, and, depending on the depth of the ulcer, the patient’s muscle or bone may be visible at the bottom of the crater. The wound may also be exhibiting signs of infection, like drainage or foul odor.

Stage 4 Pressure Ulcer Treatment

A stage four pressure ulcer requires immediate medical treatment. In addition to keeping the area clean, dry, and properly dressed, doctors may have to perform surgery to remove any dead tissue from the site of the ulcer.

stages of bed sores

What Causes Bedsores in Nursing Homes in Texas?

Pressure ulcers can be a sign of nursing home abuse and neglect. If nursing home staff aren’t properly preventing and treating pressure sores, they may be found negligent in an elder abuse case.

Nursing homes with a small staff are often unable to give every patient in their care the amount of time and attention they need to stay healthy. Understaffed nursing homes can cause elderly patients to experience prolonged pressure on parts of their body where pressure ulcers are common, since there are fewer people there to move and reposition the patients. Pressure injuries may also go completely unnoticed, which can cause them to progress to a later, more painful stage.

An untreated decubitus ulcer can cause serious health problems and can even lead to death. If you or your loved one has developed a pressure sore in a nursing home, you may be able to recover financial compensation for damages. Call the San Antonio nursing home death attorneys at Janicek Law today at 210-366-4949 and schedule your free consultation to discuss a potential elder abuse claim.

Risk of Having Bedsores

Developing bedsores can put a person’s life at risk. When bedsores begin to make their way into the later stages, they put the person suffering from the pressure sore at a higher risk of developing an infection. If the infection spreads outside of the affected area, it can lead to additional health complications, like bone infections, joint infections (also known as septic arthritis), and blood infections.

Can You Sue a Nursing Home For Bed Sores in Texas?

Yes, if you develop a pressure sore in a nursing home, you may be able to sue the nursing home or assisted living facility for damages caused. Nursing home staff should be taking steps to help relieve pressure in ulcer-prone areas and should be inspecting their patients regularly for the warning signs of pressure ulcers. When staff fail to take these steps, they can cause patients to develop painful and even life-threatening medical conditions as a result.

Nursing home staff should not wait until their patient begins showing signs of infection before treating decubitus ulcers. If you or your loved one has suffered from a pressure sore as a result of nursing home neglect, call Janicek Law at 210-366-4949 to speak with an experienced San Antonio nursing home bedsore lawyer.

Nursing Home Abuse and Neglect Damages

Damages from nursing home injuries, like a suspected deep tissue injury, vary from case to case. When the elderly develop severe pressure ulcers as a result of neglect, they can recover compensation for things like medical bills, physical pain and suffering, and emotional distress. If a patient dies as a result of a pressure ulcer, their family can recover compensation for funeral expenses and burial costs.

bed sore stages

San Antonio Bedsore Lawyers

Decubitus sores are treatable and, in many cases, avoidable. Despite this, many nursing homes across the country fail to check for the warning signs and properly treat pressure sores before they progress. This can leave their patients in pain and at risk for life-threatening health conditions as a result. If you or your loved one has developed a pressure sore due to negligence, call Janicek Law today. With over 20 years of experience, you can rest assured that your elderly abuse case is in good hands. Call us today at 210-366-4949 to discuss your case with a San Antonio nursing home abuse and neglect lawyer.

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Natasha Garza
31 August 2026
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We had an amazing experience with Janicek Law from beginning to end. Karen Rangel recommended us to Cassidy Muniz, and we are so thankful she did. Cassidy assisted myself, my husband, and our two daughters, and all four of us are extremely happy with the experience and outcome. Cassidy truly went above and beyond for our entire family. She was always responsive, patient, professional, and helpful, and she kept us informed throughout the entire process. Everything went smoothly, we had no issues, and she made what could have been a stressful situation so much easier for us. The entire team at Janicek Law is amazing, and we felt like we were in great hands from start to finish. We are incredibly grateful to Karen for recommending Cassidy and especially grateful to Cassidy for everything she did for our family. We would 100% recommend Cassidy and Janicek Law to anyone looking for a team that truly cares about their clients. Thank you all so much for everything! ❤️
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Alex McWhirter
18 August 2026
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We were referred to Janicek Law firm from a lawyer in Brownsville, who pointed out that they are experts in the field of medical malpractice and I am so grateful. We worked with Andrew and Gaby and they were dedicated and worked hard to get us the best possible outcome. They kept us informed and updated through every step of the process, always with a friendly and very professional disposition. Despite language and distance challenges, they accommodated all of our needs, and I would highly recommend Janicek Law Firm. They made a bad situation better by listening to our concerns, helping us through a sorrowful time for my family, and advising on how to defeat our opponent. For any families that have a beloved and elderly relative who suffered in the hands of callous and neglectful medical institutions, Janicek Law Firm were amazing in advocating for our relative and making these corporate entities accountable. Thank you, Andrew and Gaby, we really appreciated your help!
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Heidi Soto
8 August 2026
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Mr Bernal and Karen were great. They always kept me up to date on all that was going on at all times. When it came down to mediation Mr Bernal knew exactly what to do and say to make things clear with the insurance company who wanted to take advantage of me. I highly recommend Mr Bernal if you ever are in an accident. He will definitely take care of you.
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Lucy
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I am beyond thankful for everyone at Janicek law for the professionalism, dedication, and support you all have showed throughout my lawsuit. From the very beginning, you all made a difficult and stressful situation much easier to navigate! Thank you for taking the time to answer my questions, keeping me informed every step of the way and making this process as stress free as possible! I can without a doubt definitely recommend this law firm!
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I have started this review so many times, but every time I do, I realize there simply aren't enough words to thank the people at Janicek Law. Almost 3 years ago, my world ended. I lost my son, Zayden—the greatest love of my life. My other son, Zy, witnessed the unimaginable that day. He carries those memories with him every single day, and we are forever grateful that he is still here because we very easily could have lost him too. Our family didn't just experience a tragedy—we experienced trauma that changed us forever. When I first met the team at Janicek Law, I wasn't just grieving. I was broken. I was a mother trying to survive the unthinkable while helping my surviving son heal from something no child should ever witness. I didn't know if I had the strength to keep fighting. There were so many moments when I wanted to give up. Every deposition, every conversation, every piece of evidence forced me to relive the worst day of my life. I told them I couldn't do it anymore. But they never let me forget why we were fighting. They reminded me that Zayden deserved justice. They reminded me that Zy deserved justice. They believed in my family even when I couldn't believe in myself. What makes Janicek Law different is that this was never just a job to them. They never made me feel like another client or another case number. They knew my children by name. They celebrated Zayden's life. They cried with us, prayed with us, hugged us, encouraged us, and walked beside us through every heartbreaking step. They carried a piece of this burden with us, and I will never forget that. Even after the case was over, they didn't disappear. They still answer my calls. They still help me with paperwork. They still check on me. They still make me feel like my family matters. That's something you cannot fake. That's love. Somewhere along the way, I stopped seeing them as "my attorneys" and started seeing them as family. And I truly believe I have a family for life. No amount of money will ever bring my little boy back. I would trade every penny to hear his laugh one more time. But because of Janicek Law, I have peace knowing that his life mattered, his story was heard, and that they fought for my boys with everything they had. From the deepest part of a mother's heart... thank you. Thank you for loving my children. Thank you for never giving up on us when I wanted to give up myself. Thank you for standing beside us through the darkest chapter of our lives. You gave my family more than legal representation—you gave us hope, dignity, and people we will love for the rest of our lives. You helped a grieving mother find the strength to be the voice her son no longer had. In a world that can feel so unfair, you reminded me that there are still genuinely good people. We love each and every one of you, and we will never forget what you did for Zayden, for Zy, and for us.❤️
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Destiny Sanchez
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My friend Karen referred us to Janicek law firm and I am so grateful. We worked with cassidy moving forward and she went above and beyond while helping me with my accident case. From the very beginning, she was professional, knowledgeable, and always available to answer my questions. She kept me informed throughout the entire process and made a stressful situation much easier to handle. Her dedication, hard work, and attention to detail truly made a difference in my case. I am incredibly grateful for everything she did for me and my family. I would highly recommend Cassidy and Janicek Law Firm, who genuinely cares about clients and fights for the best possible outcome. Thank you cassidy for everything!
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After my accident, I felt overwhelmed and had no idea what to do next. Choosing Janicek Law Firm was one of the best decisions I could have made. From the very beginning, Philip Bernal, Cassidy Muniz, and Karen Rangel took the time to explain the process, answer my questions, and make sure I always knew what to expect. Cassidy and Karen were absolutely incredible throughout my entire case. They coordinated my medical care, helped with scheduling appointments, communicated with my insurance, and was always available whenever I needed guidance or reassurance. Their compassion and dedication truly made a difficult time so much easier. The entire team worked hard to build my case, keeping me informed every step of the way, and ultimately secured a settlement I was very happy with. More importantly, they gave me the peace of mind to focus on healing instead of worrying about the legal process. I can’t thank Philip, Cassidy, Karen and everyone at Janicek Law Firm enough for their professionalism, kindness, and commitment. If you’re looking for a law firm that genuinely cares about its clients, I highly recommend them. THANK YOU SOO MUCH!!
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Corey Sil
29 June 2026
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Mr. Skemp and Gaby took care of everything and made my suit for Wrongful Death as easy as possible. I couldn’t have done any of this with out them! They honored and represented my Mother to the fullest and for that I am greatful! G. Silvas
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22 June 2026
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Good lawyers .
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Aldo Salinas
10 June 2026
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I highly recommend the team at Janicek Law. From the very beginning, they provided outstanding legal service that was both professional and deeply compassionate. The entire staff is incredibly knowledgeable, and they made a complex process feel manageable and stress-free. It’s rare to find a firm that combines such high-level legal expertise with a genuinely friendly, client-focused approach. I am very grateful for their support and would choose them again without hesitation.
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Lee Escobar
27 May 2026
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I had a great experience with Janicek Law. Attorney Phil Bernal and his assistant Karen were professional, caring, and attentive while handling my car accident injury case. They took good care of me and I’m very happy with the outcome. Highly recommend!
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Appreciate all the help super friendly and always on top of things highly recommended Edit: 2026 another case won! And still very professional always there and supportive I can’t thank them enough! Give your business here
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Zina Tedford
19 April 2026
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Janicek Law Firm did a fantastic job in closing my case. I would like to thank Nyssa Salas, Paralegal, for answering all of my questions and explaining everything as the case progressed. I will definitely recommend Janicek Law firm.
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9 April 2026
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The Attorney that represented me and his assistant that kept me informed of what was going on through the process were top notch. They were friendly, informative, professional and patient with my questions. I was very pleased with the entire process and enjoyed working with these people.
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Michelle Garcia
7 April 2026
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I want give a great thank you to Gabby the paralegal for Andrew Skemp. I don’t know what I would have done without her and Andrew during the most difficult time in my life. They have guided me through this whole ordeal, have almost been upfront with me and always keeping me updated with any changes. I highly recommend them if your a looking for a legal team they are the ones to hire.
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Mont Smith
7 April 2026
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I am pleased to say that I received very commendable services from the Janicek Law firm. In particular, Gaby was very responsive and assistive. Many thanks to the firm.
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6 April 2026
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I would highly recommend Janicek Law firm. Gaby was very helpful and answered all of my questions promptly. Mr. Skemp worked very hard to get the job done and I’m very grateful for his time and dedication.
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Jonathon Hudson
2 April 2026
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Cassidy and Mr. Bernal were extremely helpful with my case. Responded timely, did everything they said they would, and made me feel well taken care of. Recommending to all my friends.
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Melina Acosta
25 March 2026
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Working with Nyssa and Cassidy has been the silver lining of a very stressful accident experience. From our first interaction, I felt reassured and confident that I had made the right choice in choosing a firm to represent me. Nyssa & Cassidy were highly compassionate, communicative, and knowledgeable throughout the entire process. Their advocacy ensured I could access the care I needed and receive the compensation I deserved. I am so grateful to these two and the entire team at Janicek Law for making my experience as stress-free and seamless as possible. I highly recommend this firm to anyone needing representation!
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Fatima-Breanna Diallo
24 February 2026
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I had an excellent experience working with Janicek Law Firm and especially with attorney Joy Barrientes. After experiencing a serious medical malpractice case related to Stevens-Johnson Syndrome, I was overwhelmed and unsure of what to expect, but Joy guided me through every step with clarity, patience, and care. She took the time to explain the entire process in a way that made me feel informed and empowered. Most importantly, she fought for me and secured a settlement that exceeded my expectations. I am incredibly grateful for her dedication, professionalism, and compassion throughout this journey. I highly recommend Janicek Law Firm and Joy Barrientes to anyone in need of strong, thoughtful legal representation!
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Stormy Ellis
23 February 2026
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I cannot say enough great things about Janicek Law. During one of the most difficult and stressful times for our family, Andrew and Gaby were incredibly supportive and professional. They were extremely communicative every step of the way, always keeping us informed and making sure we understood our options. What stood out the most was their honesty and transparency. They were upfront about everything, set clear expectations, and truly made us feel like we were in good hands. Their guidance and dedication gave us so much peace of mind. We couldn’t be happier with our experience with this law firm and are so grateful for all of their help. I highly recommend Janicek Law to anyone needing knowledgeable, compassionate, and trustworthy representation.
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Carol J Covarrubias
19 February 2026
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Gabby, Joy Barrientes and Andrew Skemp worked above and beyond in getting the best settlement regarding my families case. We were kept updated on every step of our case during the months that it took to come to a fair settlement, their expertise in medical malpractice and nursing home cases was unapproachable with their knowledge, kindness and compassionate words following the death of our loved one.We would highly recommend Janicek Law Firm to any family that might need to be represented during a most difficult time. The Covarrubias Family
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Dolores Flores
12 February 2026
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I had never been in a mva, which was the other parties fault,which totaled my car. Their insurance was less than favorable to handle my medical bills. This is where Janicek law came in to handle this difficult case being the other parties insurance was less than favorable in paying for all my needs . My case was mainly handled by Cassidy who was excellent and professional, worked hard to get me as much as possible to settle my case. I totally would recommend this law firm, I appreciate all the work Cassidy did for me. Thank you
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Gary Beltz
3 February 2026
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Janicek Law handled my mother's case in an exemplary manner. I am very satisfied with the results they achieved.
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Samantha Rodriguez
16 January 2026
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Everyone I worked with at this law firm was very knowledgeable, professional, and polite. They guided me through the whole process and made sure that I felt comfortable with everything that went on in the case. I would recommend this law firm to anybody who is seeking a lawyer for injuries or an auto accident. I worked with several people here and they were all amazing. Cassidy, Nyssa and Jacy really took care of me throughout.
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Linda Torres
13 January 2026
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Let the pros at Janicek Law fight for you! Cassidy Muniz is a professional, organized and compassionate paralegal. Cassidy handled all of the paperwork and kept us updated throughout the process. Janicek Law can be trusted to work hard for you.
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ROCIO HURTADO
23 December 2025
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Janice’s Law Firm was outstanding in both customer service and professionalism. They addressed my situation the very same day I called, listened carefully, provided clear advice, and immediately put me at ease. Mrs. Muñiz was amazing 🤩.
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Kamille Thames
22 December 2025
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I’ve had the pleasure of interacting with Ethan Frazier from Janicek Law Firm, and he is incredibly professional, knowledgeable, and personable. It’s clear he takes pride in his work and truly cares about the people he helps. Janicek Law Firm is lucky to have someone like him on their team. Highly recommend!
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hallie mcclure
22 December 2025
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Spoke with Ethan. Very professional and helpful.
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Nancy Duncan
21 December 2025
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Our family had an excellent experience with Janicek Law. Knowledgeable, professional, caring. We highly recommend this firm!
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Jason Edwards!
20 December 2025
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Cassidy at Janicek Law was extremely helpful and always on point. She was able to explain everything clearly and move things along in a timely manner after my back injury due to a car accident. The office is in the neighborhood and their easy way of doing business was very calming. I appreciate the professionalism of the service they performed. All legal obstacles were conquered. I would definitely recommend Janicek Law and will be calling on them again if needed . JASON W. EDWARDS
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Karen Chavez
18 December 2025
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Nyssa and Joy are the most amazing part of this law firm!! So helpful, kind and knowledgeable. You will not regret working with either of them!
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John Lee
16 December 2025
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The expertise at Janicek Law really stands out. Ethan Frazier’s knowledge and compassion set the tone, and the firm’s professionalism speaks for itself. He really takes the time to explain things clearly. I would recommend Janicek Law to anyone who is having a Personal Injury or Medical Malpractice issue.
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Shelly1002
14 December 2025
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Thank you for your hard work!
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Isela Gonzalez
12 December 2025
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Took the best care on my case. Love working with them!
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Julia Flores
11 December 2025
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I spoke with Bethany at Janicek Law Firm and she was incredibly kind, attentive, and professional. Even though I wasn’t a client, she took the time to answer my questions and point me in the right direction. I’d definitely recommend reaching out to her if you need guidance on personal injury or medical malpractice issues.
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Viral Ventures
11 December 2025
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I recently contacted The Janicek Law Firm regarding some questions I had and guidance for moving forward. When I spoke with Bethany, I was treated as though I had been a long-time client. I also appreciated how knowledgeable she was in regards to my specific situation. Due to her professionalism over the telephone, I will call back should I need to move forward with my issue.
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Flumach Velmajean
11 December 2025
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Janicek Law firm had a very knowledgeable staff. When I spoke to Bethany she assisted me with answering all my questions . She took the time to go the extra mile and let me vent. I highly recommend this law firm.
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Tanya Sisk
11 December 2025
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I spoke with Bethany at Janicek law firm and she was very attentive and knowledgeable!! I'd personally recommend to anyone in need of a personal or medical malpractice attorney!
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