In the hours after a fall, the goal is twofold: protect the resident medically and preserve the case record.
- Get prompt medical evaluation (especially after head impacts, unwitnessed falls, or a sudden change in behavior). Even if the injury seems minor at first, complications can develop.
- Ask for the incident details in writing. Request the facility’s fall report, the shift notes, and the resident’s care plan documentation.
- Document your own timeline while it’s fresh: time of the fall, who was present, what staff said, what symptoms appeared, and when treatment started.
- Request copies of relevant records through the facility’s process. Pennsylvania facilities typically must respond to records requests under applicable law, but the paperwork and timing can vary.
If you’ve already been told “it was unavoidable,” don’t assume that ends the conversation. In many serious cases, what matters legally is whether the facility handled the resident’s risk and responded correctly afterward.


