Since being admitted to the North Carolina State Bar in 1989, Thomas has handled many types of personal injury cases. He now concentrates solely on nursing home abuse litigation. Thomas has lectured at North Carolina State University on nursing home neglect issues, and has lectured for the North Carolina Academy of Trial Lawyers on nursing home litigation. He also actively lobbies for legislative action to improve long-term care for the elderly in North Carolina. As a board member of the nonprofit Friends of Residents in Long Term Care, Thomas works to find ways to prevent elder neglect and abuse.