Nurses in California work under high expectations. Even a single patient complaint can lead to a formal investigation by the California Board of Registered Nursing (BRN).
Although not every complaint results in discipline, nurses should take all allegations seriously. The BRN has a duty to protect public health and safety, and it takes patient concerns into account when reviewing a nurse’s license.
When can a single complaint result in license revocation?
A nurse can lose their license over a single complaint if the issue involves serious misconduct or clear violations of the Nursing Practice Act. For example, complaints about drug diversion, patient abuse, gross negligence or criminal behavior may lead to disciplinary action. If the board finds strong evidence of serious wrongdoing, it can suspend or revoke the license, even if no prior issues exist on the nurse’s record.
What usually happens after a first complaint?
Not all complaints lead to harsh consequences. In many cases, the BRN closes the investigation after finding no violation or only a minor issue. For example, if a patient misunderstood a nurse’s actions or felt unhappy with their care, the board may take no further action. The BRN reviews the nurse’s conduct and work history before deciding what steps to take.
If the board finds the complaint has some merit but does not justify license revocation, it may choose less severe options. These may include issuing a citation, placing the nurse on probation or requiring remedial education. The goal is often to correct the issue while allowing the nurse to continue practicing.
Nurses can protect their licenses by responding appropriately to board communications and following professional standards. A respectful and cooperative attitude during an investigation can help show commitment to safe and ethical nursing. While a single complaint rarely results in license revocation, nurses should treat every complaint with care and take steps to protect their ability to continue working in their field.
