The Fall That Wasn't a Fall: How Sage Detect Helped a Memory Care Team Uncover the Real Story

👉 Download the full case study.

When a resident experiences multiple falls in a short period of time, concern escalates quickly.

Care teams begin asking important questions. Is the resident's condition changing? Is there an increased risk of injury? Are additional interventions needed?

Those were the questions facing the team at Primrose Memory Care Cottages when a resident began repeatedly reporting falls shortly after moving into the community.

At first glance, the situation appeared straightforward. But after reviewing the incidents with Sage Detect, the team uncovered something they never expected.

What initially looked like a recurring safety issue turned out to have a very different root cause—one that had less to do with fall risk and more to do with the emotional realities of transitioning into memory care.

“My mind was blown at the creativity. Just watching her intentionally place her blankets down on the floor so that she would not be hurt… the time and intention that she put into it was a real surprise.”
—Sara Siefken, BSN, CDP, Executive Director at Primrose Memory Care Cottages.

The discovery changed the team's approach entirely and ultimately led to a better outcome for both the resident and caregivers.

More importantly, it highlighted a powerful lesson for senior living operators: sometimes understanding why an incident happened is just as important as responding to the incident itself. And Sage Detect can be a key asset in digging deeper than ever before.

Download the full case study to learn:

• What the team uncovered during incident review
• How they used Sage Detect to identify the true root cause
• The changes they made to their care approach
• The impact those changes had on the resident
• How objective insight can help teams deliver more personalized care

👉 Download the full case study.

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