Many falls don’t happen at random. They often occur during predictable situations—transfers, toileting, getting to the dining area, or moving with a walker or wheelchair. In North Dakota nursing facilities, the resident’s care plan and risk assessments are supposed to guide staffing, supervision, and assistance.
A strong claim usually shows that:
- the resident had known fall risk factors (mobility limits, balance problems, cognitive impairment), and
- the facility’s plan either didn’t address those risks or wasn’t followed in real time.
If the record suggests the facility expected the resident to manage more independently than they safely could, that’s often where liability questions begin.


