In Tonawanda, nursing homes and skilled nursing facilities serve residents from surrounding communities who may arrive with complex medical histories—arthritis, Parkinson’s, neuropathy, dementia, post-hospital weakness, and medication side effects. Even when a facility tries to do everything right, falls can increase when care is stretched.
We often see breakdowns connected to:
- Limited staffing during shift changes (when assistance for transfers and toileting is most needed)
- Inconsistent use of mobility devices (walkers, wheelchairs, gait belts) or failure to adjust them to the resident
- Transfer and “toileting” routines that don’t fully match the resident’s current risk
- Environmental conditions that matter in real life—thin lighting, clutter near common paths, or surfaces that don’t provide reliable traction
Families don’t need to prove every detail to start a claim. But the strongest cases show that risk was known—or should have been—and safeguards weren’t implemented or weren’t followed.


