Your next steps can affect what can be proven later.
- Get medical care immediately (and make sure the diagnosis and treatment are documented).
- Ask for the incident report and fall risk documentation for the shift when the fall occurred.
- Request the resident’s care plan and any updates made around the time of transfer, medication changes, or therapy adjustments.
- Document what you’re told: who spoke to you, what they said about the cause, and what precautions were supposedly used.
- Ask about video preservation if the fall occurred in a monitored area (hallways, common spaces, entrances).
Massachusetts facilities commonly have internal retention practices—meaning the sooner you request preservation and the sooner you start the record-collection process, the better.


