Define "major":

A. Each center shall report to the regional licensing office within 24 hours of the occurrence of any major  incident that incident that has negatively affected or that threatens the life, health, safety, or welfare of any participant.

Accidents due to falls, cuts, arguments resulting in injury, or a pt wandering out are incident report worthy.  Does an incident report need to be done if it was health related, like a stroke or heart attach?  For non "accident" related incidents, a progress note would suffice- unless these are considered major.