In Pennsylvania, nursing home records are frequently the core evidence. For Darby families, that typically means the timeline contained in:
- the facility’s incident report and shift notes
- fall risk assessments and updates to those assessments
- the resident’s care plan (especially transfer, toileting, and mobility instructions)
- medication records and staff communications
- maintenance or safety checks for bathrooms, walkways, and equipment
When a facility says a fall was “unavoidable,” the question becomes whether it had enough information to reduce the risk and whether staff followed the care plan that was already in place.


