Nursing homes need to be really careful when their residents have any sort of accident, no matter how small, due to the possibility of their being accused of abuse. So they tend to be over cautious when a resident falls.
I have left standing instructions that I want to be telephoned at the slightest injury for Jan. If they do that - which they do - then I can discuss what is the appropriate action.
Sometimes they have taken her to Casualty - which is in the hospital on the same site, so it is not far. On such occasions I always drive there and join them as the enormous waiting times are so difficult for someone in Jan's condition, and if I can't help her in the waiting, at least I feel I am sharing her trials..
More often than not, she is treated at the home, which works out very well.