In many Parlier cases, the facility’s first message is that the fall was unavoidable. But families often later discover inconsistencies—such as:
- A resident’s care plan not matching what staff actually did during the shift
- Fall-risk scores or supervision levels not updated after medication changes
- Alarms, call buttons, or transfer assistance not used the way policy requires
- Incident reports that omit key details (who found the resident, what the resident was doing, what was observed before the fall)
- Environmental problems that were present before the incident (lighting, bathroom safety, flooring condition)
California nursing homes are expected to meet professional standards of care. When they don’t, families may have a path to recovery.


