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We tend to look at our LO's and think 'they're not that bad'. When the truth may likely be that they are far worse off than we realize.
It sounds as if dad needs more care during the day, more check-ins, more attention. The fact he cannot communicate via speech makes it a bit more challenging.
When my MIL was finally moved to an ALF, the kids were adamant that she was a level 2, maybe 3 with regards to care.
Imagine their shock when they found out she didn't even qualify for the ALF at all! She was a hard '6' which was 2nd level care in the locked in Memory Care facility. They were in the process of moving her to MC when she passed. She never knew she was there. She actually hadn't know she was HOME for the previous 8 months being cared for by the 'kids'.
Fresh eyes on the scene may be required now as you try to get the care for dad that he needs. And the fall pendant? That is almost STANDARD in these homes.
Someone should be checking on him every 2-3 hrs, minimally.
Lack of open communication in a facility is a huge red flag.
As to the bruising, I am 82. I did a trip and fall on our poorly maintained sidewalks two weeks ago last Saturday and my entire right arm is currently going lovely shades of red, purple, and predominant tanish-yellow. At our age, bruising-R-Us. I wouldn't over worry that, but the balance is now and issue and falling is often the beginning of the end. Once there are broken bones or a bleed in the brain you may be looking at the beginning of the end.
It is difficult to impossible to maintain all of this from where you are and you cannot even give them all an inservice in his hearing devices, and he surely can't at this point either. I am sorry this is such a problem but I think right now you are going to have to make a trip, have an honest discussion with the administration. Sorry all this is happening and wish I had some decent answers for you. Balance in age is a brain thing. Honestly there's little to be done about it, and it is a bad harbinger for the future.
Please visit when you can and see what might be safest care for your dad.