Don’t wait for the facility to “handle it.” Take steps early while details are still fresh and records are easier to preserve.
1) Get medical care—and ask for a clear injury summary
- Make sure the resident is evaluated and treated.
- Request written discharge instructions or ER documentation if the resident is transferred.
2) Ask for the incident report immediately
- Request a copy of the fall incident report and any documents reflecting the resident’s condition and supervision around the time of the fall.
3) Preserve evidence that can disappear
- If you believe video exists (hallways, entry points, common areas), ask whether it’s being preserved.
- Save any photos you took lawfully (for example, of the scene if accessible) and keep all written communications.
4) Write down a timeline while you remember it Include:
- approximate time of fall
- what the resident was doing beforehand (walking, transferring, using the restroom)
- whether alarms were sounding
- who was present and what was said afterward
If you’re feeling overwhelmed, that’s normal. A quick case review can help you identify which documents matter most and what to request next.


