Mecklenburg Resident Falls Root Cause Analysis

This Resident Falls Root Cause Analysis (RCA) template supports healthcare and aged-care teams in investigating a resident fall from end to end. Capture when and where the fall occurred, whether it was witnessed, and complete initial neuro checks per policy. Document injuries, ER transfers, and upload records. Use the Five Whys to uncover contributing factors, identify up to three root causes, and list targeted interventions. Update care plans and fall risk scores, then validate whether removing each root cause would have prevented the event. Includes references to CMS Five Whys guidance.