Right after the fall, the most important priority is medical care. But evidence also has a short “window” before it becomes harder to obtain.
Consider these immediate steps:
- Request the incident report and confirm the exact time the facility says the fall occurred.
- Ask for the resident’s fall risk assessment and any care plan updates around the days before the fall.
- Get copies of shift notes (including what staff observed before the fall).
- If the facility uses alarms, bed/chair monitoring, or call systems, ask whether they were activated and what staff did immediately after.
- If video may exist, ask the facility to preserve surveillance footage (retention can be limited).
- Write down everything you can: where the resident was, what they were doing, whether someone was nearby, lighting conditions, and how the resident behaved before the fall.
If you’re dealing with a resident who can’t communicate clearly, family members’ observations often become especially important for building a timeline.


