Not every fall is preventable. But in Virginia, nursing homes are expected to meet a standard of reasonable care for resident safety. A case may be considered when a facility’s actions (or omissions) contribute to the injury—such as failing to follow a resident’s care plan, not responding appropriately after a head strike, or allowing unsafe conditions to persist.
In practice, Falls Church area families often see patterns that go beyond a single “slip”:
- A resident’s high fall-risk status wasn’t reflected in the level of assistance provided.
- Staff were short-handed during peak hours, transfers, toileting, or shift changes.
- Monitoring after an incident was delayed, incomplete, or inconsistent.
- Documentation conflicts make it harder to determine what truly occurred.


