In nursing homes, many serious falls don’t occur at random. They often happen during moments when residents are more likely to move—like:
- Morning assistance and dressing (when mobility may be limited and staff are managing multiple residents)
- After medication changes (dizziness, sedation, or balance changes)
- Bathroom help and transfers (toileting, walker use, wheelchair transfers, and gait belt practices)
- Evening wind-down (fatigue and confusion can increase fall risk)
When injuries occur around these predictable times, the case usually turns on documentation: what the facility knew, what precautions were planned, and what actually happened in the hours leading up to the fall.


