After a fall, the first few days can shape what’s provable later. Washington facilities often handle incident reporting internally first, and evidence can be scattered across systems.
Ask for (and preserve) the basics related to the event:
- The fall incident report (including the narrative and any “witness” statements)
- Fall risk screening/assessments completed before the fall
- Care plan sections dealing with mobility, transfers, and supervision
- Medication records around the time of the fall (especially changes)
- Post-fall documentation: vitals, neuro checks, pain assessments, and notes on how staff responded
- Any available video footage and the facility’s retention period (ask immediately)
Even if you’re not sure what matters, request everything. In Puyallup—like throughout Pierce County—facilities may use similar documentation workflows, and missing records can become a bigger issue than families expect.


