Paterson’s dense, urban environment means many residents and facilities operate under the realities of older buildings, frequent transfers between rooms, and schedules that can get crowded quickly—particularly around shift changes and meal times. Even when facilities are well-intentioned, these conditions can increase the likelihood of breakdowns like:
- Missed or delayed assistance during toileting and transfers
- Inconsistent supervision during mobility and “walk-with-me” routines
- Poorly maintained floors, inadequate lighting, or slippery bathroom surfaces
- Care plans that don’t match a resident’s documented balance issues or cognitive changes
A key question in every case is whether the facility took reasonable steps to reduce risk for the specific person—not just whether a fall happened.


