West Lafayette has a steady flow of activity—commuters, visitors, and staff changes that can affect how shifts begin and end. In nursing home fall cases, that matters because the strongest evidence often depends on timing:
- What time the resident was last observed safely?
- When did staff conduct rounds or checks?
- Did the facility document a change in mobility, medication effects, or alert response?
- Were safety steps adjusted after earlier near-falls or complaints?
Even if a fall is recorded as a “surprise,” we look for whether the facility had notice of risk factors and whether staffing and procedures were adequate for that resident’s needs.


