What If My Loved One Keeps Falling in the Facility—Is That Negligence?
When a loved one in a nursing home or assisted living facility keeps falling, it can absolutely be a sign of negligence. While a single, isolated fall might be an unfortunate accident, a pattern of repeated falls often points to a serious failure by the facility to provide a safe environment and proper care.
Seeing someone you care about suffer from preventable injuries is deeply distressing, and it’s natural to question whether the facility is meeting its responsibilities.
Understanding the difference between an unavoidable accident and a situation caused by negligence can help you protect your family member and hold the responsible parties accountable.
Key Takeaways for Is Falling in a Nursing Home Negligence
- Recurrent falls in a nursing home can be a strong indicator of negligence, suggesting the facility failed in its duty to protect the resident.
- Nursing homes in Texas have a legal “duty of care” to assess residents for fall risks and implement personalized prevention plans.
- Negligence is often determined by a facility’s failure to address known hazards, provide adequate supervision, or follow established safety protocols.
- Documenting every fall, communication with staff, and the resident’s injuries is crucial when evaluating a potential negligence claim.
- Texas law provides a pathway for families to hold facilities accountable for injuries caused by a breach of their duty of care.
Understanding a Nursing Home’s Duty of Care

Every nursing home and long-term care facility in Texas has a fundamental responsibility known as a “duty of care.” In simple terms, this is a legal obligation to act with reasonable caution to prevent foreseeable harm to its residents. It’s not just about providing food and shelter; it’s about actively protecting vulnerable adults from injury. This duty is the bedrock of resident safety.
For residents who may have mobility issues, cognitive decline, or other health challenges, this duty of care is especially critical when it comes to fall prevention. The facility must take proactive steps to create a safe living space and provide personalized attention.
These responsibilities often include:
- Conducting thorough fall risk assessments for every resident upon admission and updating them regularly or when their condition changes.
- Developing and implementing a personalized care plan that includes specific strategies to prevent falls for at-risk individuals.
- Ensuring the physical environment is safe by addressing hazards like poor lighting, cluttered hallways, wet floors, and broken equipment.
Fulfilling this duty of care is a non-negotiable part of operating a residential facility, whether it’s a sprawling campus near Waco’s Cameron Park Zoo or a high-rise facility in Downtown Dallas.
When Do Nursing Home Falls Become Negligence in Texas?
A fall becomes a matter of legal negligence when it happens because the facility breached its duty of care. The key is connecting the injury to a specific failure on the part of the staff or administration. It’s not enough that a fall happened; you must show that the facility could and should have done something to prevent it.
Under the Texas Health and Safety Code, Chapter 242, residents have a right to be treated with dignity and respect, which includes the right to a safe environment free from neglect.
Negligence can take many forms, and a pattern of falls is a significant red flag that something is wrong. A nursing home injury attorney can help investigate the situation to determine if one or more of these failures occurred.
Here are some common scenarios where repeated falls could point to negligence:
- Failure to Use Bed Alarms: A resident identified as a high fall risk is not provided with a bed or chair alarm, or the alarm is present but not turned on.
- Ignoring a Resident’s Needs: Staff fails to respond to a resident’s call for help to use the restroom, leading the resident to attempt to get up on their own and fall.
- Inadequate Staffing: There are not enough staff members on duty to properly supervise residents, especially during busy times like meals or shift changes.
- Lack of Proper Equipment: The facility fails to provide or use necessary mobility aids like walkers, wheelchairs, or grab bars in bathrooms and hallways.
When these or other failures lead to an injury, the facility has not just had a bad day; it has potentially broken the law and violated the trust you placed in them.
Common Causes of Falls in Assisted Living Facilities
To understand if negligence occurred, it helps to know the common underlying causes of falls in these environments. According to the Centers for Disease Control and Prevention (CDC), about 1,800 older adults in nursing homes die each year from fall-related injuries. Many of these incidents are preventable and stem from systemic issues within the facility.
- Environmental Dangers: A facility must be kept free of obvious hazards. Things like freshly mopped floors without “wet floor” signs, poor lighting in hallways, electrical cords creating trip hazards, or broken bed rails can all lead directly to a fall. These are often the easiest issues to spot and the most inexcusable for a facility to ignore.
- Understaffing and Insufficient Training: When a facility is understaffed, residents don’t get the timely assistance they need. A resident may wait too long for help getting to the bathroom or may not be supervised properly in common areas. Furthermore, staff who are not properly trained on how to safely transfer residents from a bed to a wheelchair or how to use lift equipment can cause serious injuries.
- Failure to Manage Medical Conditions: Many residents take medications that can cause dizziness or confusion, increasing their fall risk. A facility is negligent if it fails to monitor these side effects. Similarly, if a resident has a known condition that affects their balance or strength, the staff must incorporate that knowledge into their daily care routine.
- Neglecting Care Plans: A care plan is a useless piece of paper if it isn’t followed. If a resident’s plan states they need assistance with walking, but staff allows them to walk alone, the facility is breaching its duty. Repeated falls are often a sign that the care plan is either inadequate or is being completely ignored by the staff on the floor.
Identifying which of these factors contributed to your loved one’s falls is a key part of building a case for accountability.
What Steps Should You Take If Your Loved One Keeps Falling?
Feeling helpless when a loved one is being hurt is one of the most difficult experiences a person can go through. However, there are concrete steps you can take to advocate for their safety and start gathering important information. Remember to approach this calmly and methodically.
- Document Everything: Start a dedicated notebook or digital file. For every fall, record the date, time, and location. Write down who you spoke to, what they said, and what injuries resulted. Take photos of any bruises, cuts, or other visible injuries, as well as any environmental hazards you see in their room or the hallways.
- Request a Care Plan Meeting: Formally request a meeting with the facility’s director of nursing or administrator. Ask to review your loved one’s fall risk assessment and the current care plan. Ask pointed questions: What specific interventions are you using to prevent falls? Why have they not been effective? What changes will you make now?
- Report Your Concerns Officially: You have the right to file a formal complaint if you believe the facility is providing substandard care. In Texas, you can report neglect to the Texas Department of Family and Protective Services. Filing a complaint creates an official record of the problem and may trigger a state investigation.
Taking these actions shows the facility that you are paying close attention and are a serious advocate for your loved one’s well-being.
The Role of a Fall Risk Assessment

A fall risk assessment is a formal process that nursing homes should use to identify which residents are most likely to fall. It’s not a simple guess; it’s a clinical evaluation that should be performed by a qualified healthcare professional. This assessment is one of the most important tools a facility has for preventing injuries, and failing to conduct one properly is a major sign of negligence.
An effective assessment considers many different factors that contribute to a person’s stability and safety.
A comprehensive assessment should evaluate:
- History of Previous Falls: A resident who has fallen before is at a much higher risk of falling again.
- Mobility and Balance: The assessment should include observing the resident’s gait (the way they walk), their balance, and their ability to get up from a chair or bed.
- Medication Side Effects: The nursing staff must review all of a resident’s medications for side effects like drowsiness, dizziness, or drops in blood pressure that could lead to a fall.
- Vision and Hearing: Impaired sight or hearing can make it difficult for a resident to navigate their surroundings safely.
- Cognitive Status: Conditions like dementia or confusion can affect a resident’s judgment and awareness of their surroundings, increasing their risk.
After this assessment is complete, the findings must be used to create a tangible, actionable care plan. A facility that identifies a resident as a high fall risk but then does nothing differently is failing in its duty.
How Can a Dallas Personal Injury Attorney Help with Nursing Home Falls Negligence?
A personal injury attorney who handles nursing home neglect cases can serve as a powerful advocate for your family. Their role is to investigate the situation and pursue accountability on your behalf.
An attorney can help your family by:
- Launching a Thorough Investigation: They can gather crucial evidence that may be difficult for you to obtain, such as internal incident reports, staffing schedules, training records, and video surveillance footage.
- Consulting with Medical Professionals: Lawyers often work with medical reviewers to analyze records and determine how the falls have impacted your loved one’s health and quality of life, both now and in the future.
- Navigating the Legal Process: They understand the specific laws and regulations that govern nursing homes in Texas and can build a strong case demonstrating how the facility failed in its duties.
- Handling All Communications: An attorney will take over all communication with the nursing home’s administration and their insurance company, protecting you from pressure and ensuring your family’s rights are protected throughout the process.
Hiring legal representation sends a clear message to the facility that you are serious about seeking justice and holding them accountable for the harm they caused.
FAQ for Nursing Home Falls Negligence
Here are answers to some common questions families have when dealing with nursing home falls.
What kind of compensation can be recovered in a nursing home fall case?
Compensation in a successful negligence case can cover a range of damages. This often includes money for medical expenses related to the fall, such as hospital bills, surgery, and rehabilitation costs. It can also include compensation for the resident’s physical pain, emotional suffering, and any long-term disability or disfigurement caused by the injury.
How long do I have to file a lawsuit for a nursing home fall in Texas?
In Texas, the statute of limitations for personal injury cases, including nursing home negligence, is generally two years from the date of the injury. It is very important to act within this timeframe, as waiting too long can prevent you from ever being able to file a claim.
What if my loved one has dementia or Alzheimer’s and can’t remember the fall?
This is a very common situation, and a case can still be successful. An investigation does not have to rely solely on the resident’s memory. Evidence can be built from other sources, including medical records, witness statements from other residents or visitors, reports from facility staff, and expert analysis of the circumstances.
Is the nursing home automatically responsible if a resident falls?
No, a fall alone does not automatically mean the facility is liable. To hold them responsible, you must prove that the fall was caused by their negligence. This means showing that they breached their duty of care and that this breach directly led to your loved one’s injuries.
Can I move my loved one to a different facility in Dallas or Waco during an investigation?
Your loved one’s health and safety should always be the top priority. You absolutely have the right to move them to a safer facility at any time. Doing so will not harm a potential legal case, and in fact, it demonstrates that you are taking responsible steps to protect them from further harm.
Contact Tyson Law Firm Today
Seeing a loved one suffer from repeated falls in a place that promised to keep them safe is a profound betrayal of trust. You are right to be concerned, and you deserve answers. At Tyson Law Firm, we are dedicated to fighting for families in Dallas and Waco whose loved ones have been harmed by negligence. We believe that everyone deserves justice and that facilities must be held accountable when they fail to protect our community’s most vulnerable members.

If you suspect your loved one’s falls are due to neglect, you don’t have to face this alone. Contact us today at (214) 942-9000 or through our online form for a free, confidential consultation to discuss your case. We work on a contingency fee basis, which means you pay no legal fees unless we recover compensation for you. Let us help you find the path forward.







































