In many care settings around Woodburn—including facilities serving residents who may be active in the day and more unsteady later—serious falls commonly occur during predictable moments:
- Transfers (bed-to-chair, wheelchair-to-toilet)
- Ambulation when residents use walkers/canes inconsistently
- Bathroom assistance when lighting, flooring, or staff response time is an issue
- Medication and alertness changes that affect balance
- Shift changes, when communication gaps can delay assistance
These are also moments when documentation becomes critical. The records should reflect the resident’s assessed risk, the care plan in place at the time, and the actions staff took immediately before and after the fall.


