After a fall, the first goal is medical care. The second goal—just as important—is protecting the evidence that determines whether the claim is viable.
Do these steps early (and keep copies):
- Request the incident report the same day you’re able, and ask for any “addendum” updates made later.
- Ask for the resident’s fall risk assessment and the care plan in effect at the time of the fall (not just the most recent one).
- Get a copy of the medication administration record around the shift of the fall, since changes in meds can affect balance and alertness.
- If the facility uses alarms, ask whether the resident had an active alarm and whether it was triggered.
- If you suspect a specific hazard (unsafe bathroom, poor lighting, slick flooring), ask whether maintenance work orders exist for that area.
Why this matters in Mission: many families rely on quick communication from staff, but nursing home documentation is often created in layers—initial incident notes, shift reports, risk reassessments, and later care-plan edits. If you wait too long, you may get partial information first and full records later.


