The days after a fall often determine what can be proven later. If you can do so safely and with help, focus on evidence preservation and clear records.
- Ask for the incident report and request any addenda or corrections.
- Request the resident’s fall risk assessment and care plan in place around the time of the fall.
- Document the injury and treatment timeline (ER visits, imaging, transfer notes, rehab start dates).
- Ask whether surveillance exists and whether it will be preserved.
- Get copies of medication administration records for the relevant shift(s), especially if dizziness, sedation, or changes in meds are mentioned.
- Write down specifics while they’re fresh: where the fall happened (hallway, bathroom, common area), lighting conditions, whether assistive devices were present, and what staff said.
If the facility tells you the fall “couldn’t be prevented,” that’s not the end of the story—Wisconsin cases often turn on whether precautions were reasonable for that resident’s known risks and needs.


