Many serious nursing home falls don’t happen only in bathrooms. In day-to-day care settings, the highest risk moments often come during:
- Bed-to-wheelchair and chair-to-chair transfers (when assistance isn’t timely or the care plan isn’t followed)
- Toileting and bathing routines (when grab bars, footwear guidance, or supervision are inadequate)
- Therapy and activity movement (when residents are transported without the proper support)
- Medication timing changes (when dizziness, sedation, or balance issues weren’t addressed)
Illinois cases frequently require showing that the facility’s conduct fell below the reasonable standard of care. In practice, that can mean proving the staff knew—or should have known—about the resident’s mobility limits, balance problems, cognitive impairment, or history of near-falls.


