In the Chicago-area suburbs—including Montgomery—facilities frequently rely on written incident records, internal care notes, and shift-to-shift documentation to explain how a fall occurred. Families may be told the resident “just lost balance” or that the injury was unavoidable.
But what matters is often what the facility documented before the fall and what it recorded after—for example:
- whether fall-risk alerts were updated after changes in medication or mobility
- whether staff followed transfer and ambulation protocols
- whether alarms, call systems, or rounding schedules were used as intended
- whether the environment (bathrooms, walkways, lighting) was addressed after prior concerns


