What Is A Nursing Home’s Responsibility In Preventing Nighttime Falls?

Nursing Home Abuse

The darkness of night in a nursing home should bring rest, not risk. For many residents, however, the hours after sunset present the greatest danger for a serious fall. When a facility neglects proper safety protocols, a preventable fall can change a family’s life forever.

If your loved one suffered an injury, seeking guidance is a powerful first step. Contact a dedicated nursing home injury lawyer at Hughey Law Firm today at (843) 881-8644.

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Key Takeaways About Nursing Home Responsibility In Preventing Nighttime Falls

  • Nursing homes have a legal duty to assess each resident’s fall risk and create individualized care plans to prevent accidents, especially during nighttime hours.
  • Nighttime falls are often caused by specific and preventable factors like inadequate lighting, improper supervision, medication side effects, and delayed staff response times.
  • Thorough documentation of the incident, including photos of the scene and the injury, is a significant part of substantiating a claim of negligence against a care facility.
  • An experienced South Carolina nursing home abuse attorney investigates staffing records, care plans, and incident reports to build a case for accountability.
  • Families may be able to pursue financial recovery for medical bills, pain and suffering, and other damages resulting from a facility’s failure to prevent a fall.

Why Nighttime Is Especially Dangerous for Nursing Home Residents

An elderly man in a wheelchair looking toward a window inside a room.

The transition from day to night introduces a unique set of challenges within a nursing home environment. Reduced staffing, dim lighting, and the fact that most residents are asleep can create serious hazards.

Residents who are disoriented, need to use the restroom, or are experiencing side effects from evening medication are at a heightened risk. A simple walk to the bathroom can become a perilous journey without proper support.

Common Causes of Nursing Home Falls at Night

Most nighttime falls are the result of clear, preventable failures. An experienced nursing home injury lawyer understands how to trace an injury back to these common causes of falls.

Facilities have a responsibility to recognize and correct the hazards that often lead to falls after dark. Some of the most frequent contributors to these incidents include:

  • Understaffing and Delayed Response Times: Chronic understaffing in nursing homes leaves too few aides available to monitor residents or respond promptly to call lights, increasing the risk of nighttime falls.
  • Poor Lighting: Dimly lit hallways, bedrooms, and bathrooms that can obscure potential obstacles.
  • Delayed Response to Alarms: Bed alarms and chair alarms that are ignored or disabled by staff.
  • Medication Issues: New or improperly administered medications causing dizziness, confusion, or drowsiness.

These factors combine to create a dangerous environment where a preventable slip or trip can lead to devastating consequences like hip fractures or traumatic brain injuries.

Legal Duty of Nursing Homes to Prevent Resident Falls

Federal and state law requires nursing homes to protect their residents; they are healthcare providers, not just places for the elderly to live. 

The Code of Federal Regulations § 483.25 mandates that each facility must provide care and services to help residents attain or maintain their highest practicable physical, mental, and psychosocial well-being. This includes taking all necessary measures to prevent accidents.

This duty is not a vague suggestion. It requires proactive, individualized planning. When a resident is admitted, the facility must assess their specific fall risk. 

Based on that assessment, they must develop and implement a comprehensive care plan. This plan is a living document that must be updated as the resident’s condition changes. 

A fall is often a clear sign that the care plan was either inadequate or not being followed by the staff.

Elements of an Effective Fall Prevention Plan

A proper fall prevention strategy is multifaceted and tailored to each individual. A South Carolina nursing home injury attorney will scrutinize the facility’s records to see if these components were in place and actively used.

A reasonable and effective fall prevention protocol is a cornerstone of a facility’s duty of care. An adequate plan includes several key elements.

  • Comprehensive Risk Assessment: Evaluating a resident’s mobility, medication regimen, history of falls, and cognitive status upon admission and regularly thereafter.
  • Personalized Interventions: Implementing specific measures like bed rails, lowered bed height, non-slip footwear, and grab bars in bathrooms.
  • Consistent Staff Assistance: Ensuring residents receive help with transferring, walking, and using the restroom, especially those identified as high-risk.
  • Environmental Safety Checks: Regularly inspecting rooms and common areas for hazards like spills, clutter, or faulty equipment.

When these measures are neglected, the facility creates an environment where falls are not just possible, but probable, opening the door for legal accountability.

How a Nursing Home Abuse Lawyer Proves Negligence After a Fall

Building a successful legal claim requires more than just showing that a fall occurred. A nursing home injury lawyer must prove that the fall was a direct result of the facility’s negligence. 

This means demonstrating that the nursing home breached its duty of care and that this breach caused your loved one’s injuries. Strong evidence forms the foundation of a case, especially when families are seeking to sue a nursing home for a fall, and experienced attorneys know how to collect and present it effectively.

The investigation focuses on uncovering a pattern of carelessness or a specific, critical failure. This involves collecting internal documents, which facilities are often reluctant to provide without legal pressure. 

Records like staffing assignments, maintenance logs, and previous incident reports can paint a clear picture of a facility’s operational priorities and whether resident safety was one of them.

What Evidence a Nursing Home Injury Lawyer Looks For

To establish a nursing home’s liability, a thorough investigation must uncover concrete proof of negligence. This often involves a deep dive into the facility’s internal operations and records.

An attorney works to gather specific evidence that illustrates how the facility failed in its duties. This investigation might focus on securing:

  • Staffing Records and Assignments: To determine if the facility was understaffed on the night of the fall.
  • Resident Care Plan: To check if the plan accurately reflected the resident’s fall risk and if staff followed it.
  • Incident Reports: Analyzing the facility’s own report of the fall for inconsistencies or admissions of fault.
  • Video Surveillance Footage: If available, footage can provide undeniable proof of what happened leading up to the fall.

This evidence helps piece together the sequence of events and demonstrates a clear link between the facility’s actions or inactions and the resulting harm.

Navigating a Claim with a South Carolina Nursing Home Injury Lawyer

Families in Charleston and Mount Pleasant have specific rights under South Carolina law. The Bill of Rights for Residents of Long-Term Care Facilities states that residents have the right to be free from abuse and neglect

A nighttime fall caused by a facility’s carelessness is a form of neglect. An attorney familiar with these local and state regulations can effectively navigate the legal system on your behalf.

The process often involves negotiating with the nursing home’s insurance company, a large corporation with a team of lawyers dedicated to minimizing payouts. Having your own legal advocate from Hughey Law Firm levels the playing field. 

We handle all communications, file all necessary legal documents, and build a compelling argument for why the facility is responsible for the damages your family has suffered.

What to Do After a Loved One Falls in a Nursing Home

After getting your loved one the medical attention they need, taking certain steps can protect their rights and strengthen a potential legal claim. These actions help preserve important evidence.

While your priority is your family member’s health, a few proactive steps can make a significant difference. If possible, consider the following actions:

  • Document Everything: Take photos of the location where the fall occurred, any visible injuries, and any hazardous conditions like a wet floor or poor lighting.
  • Speak with Witnesses: Talk to any roommates, other residents, or visiting family members who might have seen something.
  • Request Medical Records: Obtain a complete copy of your loved one’s medical chart from both the facility and any hospital they were taken to.
  • Report the Incident: File a formal complaint with the facility administrator in writing and consider reporting it to the South Carolina Department of Health and Environmental Control (DHEC).

These measures provide your attorney with a valuable foundation of evidence to begin building a case for accountability.

Hughey Law Firm Fights for Victims of Nursing Home Neglect

A caregiver walking outdoors with an elderly person who is using a walker.

When a fall happens, the nursing home administration may describe it as an unavoidable accident. We see it differently. 

At Hughey Law Firm, we focus our practice on holding negligent care facilities accountable, particularly when their failures lead to falls and other serious injuries. Our team understands the unique vulnerabilities residents face at night and knows precisely where to look for evidence of systemic problems.

We begin by conducting a comprehensive investigation into the circumstances of the fall. This involves reviewing your loved one’s care plan, analyzing staffing schedules for the night of the incident, and interviewing witnesses. 

Our attorneys are familiar with the tactics that large nursing home corporations use to downplay their responsibility. We meticulously build a case designed to demonstrate how a Charleston or Mount Pleasant facility breached its duty of care. You need an advocate who will fight for your family, and our firm is prepared to take that stand.

FAQs for Nursing Home Injury Lawers

What is the first thing I should do if my parent falls in a nursing home at night?

First, ensure they receive a thorough medical evaluation immediately, even if the injury seems minor. Then, document everything you can about the incident, including the time, location, and any visible hazards. Contacting a nursing home injury lawyer soon after is a sound step to understand your legal options.

How can I prove the nursing home was at fault for the fall?

Proving fault requires evidence that the facility breached its duty of care. An attorney helps gather evidence like resident care plans, staffing records, witness statements, and expert testimony to show that the facility’s negligence, such as inadequate supervision or a hazardous environment, directly caused the fall.

Can a nursing home be held responsible if my loved one has a history of falling?

Yes. A history of falls actually increases the facility’s responsibility. They are on notice that the resident is a high fall risk and must implement enhanced safety measures. Failure to create and follow a specific, robust fall prevention plan for such a resident can be strong evidence of negligence.

What kind of financial recovery is possible in a nursing home fall case?

Families may be able to recover compensation for a range of damages. This can include medical expenses for treating the injury, costs for future care, and compensation for the resident’s pain, suffering, and diminished quality of life.

How long do I have to file a lawsuit in South Carolina?

In South Carolina, the statute of limitations for personal injury and medical malpractice claims is generally three years from the date of the injury. Because these cases are complex, speak with an attorney as soon as possible to preserve evidence and protect your rights.

What legally constitutes neglect in a nursing home fall?

Legally, nursing home neglect occurs when a facility fails to provide the care and services necessary to prevent harm to a resident, and this failure directly causes an injury.

For nighttime falls, neglect often involves inadequate staffing, poor supervision, failure to implement or follow a fall prevention plan, or a hazardous environment.

Federal and state regulations, such as the Code of Federal Regulations § 483.25, establish the facility’s duty of care and mandate measures to prevent accidents.

How can I report a nursing home for neglect in South Carolina?

You can file a formal complaint with the facility administrator in writing. Additionally, consider reporting the incident to the South Carolina Department of Health and Environmental Control (DHEC). The DHEC investigates complaints regarding the quality of care in healthcare facilities.

Protect Your Loved One After a Nursing Home Fall

Nathan Hughey, Nursing Home Neglect Lawyer in South Carolina
Nathan Hughey, Nursing Home Neglect Lawyer in South Carolina

The trust you place in a nursing home is sacred, and when that trust is broken by negligence, the consequences are severe. A nighttime fall can rob an elderly resident of their independence and health.

You do not have to accept the facility’s excuses or face their insurance company alone. By taking action, you can pursue justice for your loved one and send a message that substandard care is unacceptable.

The legal team at Hughey Law Firm is here to listen to your story and provide the guidance you deserve. We’re dedicated to holding negligent facilities in Charleston, Mount Pleasant, and throughout South Carolina accountable for the harm they cause. Call us today at (843) 881-8644 for a confidential consultation.

Schedule a Free Consultation