[jmacusa]

I've worked in three nursing homes here in New Jersey and I have to say in this state, everybody, and I mean every body who works in a nursing home is required, by law, to be trained to prevent residents from falling, what to do if they see a person fall, how to report a falling incident and if they even think someone may have fallen and it either wasn't seen or reported you're required to do so. There are serve consequences for failing to do so.

[Robert DeLong]

Apparently they require that too, but that process was not followed.. From the article:

In a report on McMaster’s death, the state department found that Cathedral Village did not properly investigate the four earlier falls, did not complete all the required neurological checks, and failed to develop plans to prevent additional falls. In an earlier report, the health department said Cathedral Village provided lax oversight of temporary staff.