A 92-year-old man died in an ambulance before it could leave the sheltered accommodation in Sudbury where he had suffered a fall, an inquest heard.
Albert Hardaker was found on the floor behind a bedroom door at Playford Court in Inkerman Road on October 23.
Friday’s inquest in Bury St Edmunds heard that Mr Hardaker had been conscious and complaining of back pain when staff called for help.
Suffolk coroner Dr Peter Dean said Mr Hardaker was moved to a waiting ambulance where he died.
A post-mortem examination concluded that death had been due to acute aspiration but the initiating factor had been a fall in which Mr Hardaker had suffered two broken vertebrae.
Recording a narrative verdict, Dr Dean said: “We have a death that tragically resulted from complications resulting from a fall.”