Nursing facilities commonly argue that a fall was the result of age, mobility limitations, or an underlying medical condition. Those arguments can be persuasive on the surface—especially when the resident has a complex health history.
But in cases we see across Essex County and the North Shore, the dispute usually isn’t whether a fall happened. It’s whether the facility took reasonable steps that a properly staffed and properly managed facility would have taken—particularly when residents show recurring risk factors such as:
- new or worsening dizziness after medication changes
- difficulty with transfers (bed-to-chair, toilet assistance)
- cognitive impairment affecting safe mobility
- unsafe bathroom routines or inadequate assistance
- inconsistent use of assistive devices (walkers, gait belts)
When a facility says “no one could have prevented it,” your job is to check whether the records show warning signs and whether the care plan matched day-to-day reality.


