Senior Living Facility Fall Incident Report

Falls are among the most serious incidents in senior living communities, requiring thorough documentation to ensure resident safety, inform care decisions, and maintain regulatory compliance. This Senior Living Facility Fall Incident Report template from Paperform gives care teams a structured, efficient way to capture every critical detail the moment an incident occurs.

Designed specifically for assisted living facilities, nursing homes, memory care units, and senior care providers, this template walks staff through resident identification, fall circumstances, injury assessment, environmental factors, witness statements, and immediate actions taken. The form includes conditional logic to surface the right follow-up questions based on injury severity and helps ensure nothing is missed during a high-pressure moment.

Beyond documentation, this form can trigger automated workflows using Stepper to notify family members, alert clinical leadership, schedule follow-up assessments, and flag residents for care plan review—keeping your interdisciplinary team coordinated and compliant. Integration with tools like Google Sheets, Airtable, Slack, or your facility management software ensures incident data flows seamlessly into your quality assurance and risk management systems.

Whether you're a nursing supervisor, facility administrator, or quality director, Paperform's fall incident report template helps you respond faster, document better, and protect the residents you serve.