Doe, 81, lived in a nursing home’s secure memory unit. She tended to wander and had exit-seeking behaviors, necessitating her use of the WandergGuard, a wearable safety device.
Even after a door alarm was activated, a nursing home staff member did not see that she had fallen down multiple flights of stairs. She was discovered at the bottom of the stairs, bleeding and crying for help.
Doe suffered serious injuries, including a subarachnoid hemorrhage. She unfortunately died eight days later.