Falls are documented in pieces—incident reports, shift notes, care plan updates, medication records, and sometimes video. The challenge is that some facilities move quickly to “close the loop,” while families are still trying to understand what to do medically.
**Right after the fall, ask for and preserve: **
- The incident report and any addenda (including who was present and what staff observed)
- The resident’s fall-risk assessment and care plan before and after the fall
- Documentation of alarms, rounding/checks, and transfer assistance procedures
- Medical records from the facility and any hospital/ER visits
- Any photos taken of the scene (if available)
- Information about surveillance coverage and the steps taken to preserve video
Virginia has time limits for filing injury-related claims. Missing deadlines can limit your options—so early preservation matters.


