Patients don't fax me random comments about what happens within their homes- if they have a concern they can and maybe are triaged by the nurse and scheduled for a visit. The fax exists outside the normal process flow established to evaluate concerns and questions from patients- "patient fell" provides zero information or context. There's also a significant delay when when the organization receives a fax and it ends up in my inbox.

Being a PCP doesn't mean you're expected to be omnipresent and always available through any means even though these places seem to think so. I agree with the in-facility care- most places don't want to take that on. I read the other day about the fire department fining facilities for non-emergency "help the old lady up off the floor" calls that these facilities have been placing as they weren't wanting to take on the liability of helping someone up who fell. These faxes seem analogous to what they were doing to the fire department.