In many Salisbury-area facilities, risk increases around routine transitions—morning transfers, bathroom assistance, therapy sessions, and getting to/from common areas. Even when a resident is “usually steady,” small factors can matter: lighting in hallways, bathroom layout, improper assistive device use, or delayed response when an alarm is triggered.
When we review a Salisbury nursing home fall case, we look closely at what was happening in the hours leading up to the fall, not just the fall itself.


