She has Alz. Doesn't remember to use her walker. I visited her ALF today and found her on the floor in her room, more disoriented than usual. So ambulanced to ER for assessment. (No fractures today). Has had multiple fractures (face, ribs, wrist, etc) in the last year. With her dementia she doesn't remember to use her walker. Staff only checks on her 1x/2 hours. I asked them to increase to 1x/1 hour and may ask for 1x/30 minutes check frequency. How to decrease the fall frequency or alert staff to a fall (no pendant system in place).