Fractures & Falls

Recent statistics show that:

  • A typical 100-bed nursing home will report 100 to 200 resident falls per year – and many falls do not get reported.
  • As many as 3 out of every 4 nursing home residents fall each year.
  • Many residents fall more than once.
  • About 35% of these falls occur with residents who cannot walk.
  • 10 to 20% of nursing home falls cause serious injury or death.
  • Many nursing home residents fall while attempting to use the restroom alone or while moving between wheelchair or chair and bed without assistance.
  • Diabetic nursing home residents are four times as likely to fall than non-diabetic residents due to a condition known as peripheral neuropathy, which affects the sensations felt in a diabetic individual’s feet.

1,431,730

Number of falls in nursing homes in 2011

1,800

Estimated number of residents who will die from a fall this year

(Centers for Disease Control and Prevention)

Falls & Fractures

How can falls and fractures be prevented?

  • First, it is the responsibility of the nursing home to properly assess the needs of each nursing home resident in order to provide the appropriate assistance to prevent injury.
  • All residents in need of assistance with toileting should have a regular toileting schedule which will prevent residents, particularly those with diminished mental capacities, from attempting to perform those duties on their own.
  • Body alarms or pressure alarms can be used to alert nursing home staff for a resident who has been identified as being at risk for falls.  However, it is then incumbent upon staff to attend to that resident before an injury can occur.
  • Adequate training in proper and safe transfer techniques must be provided to nursing home staff by the facility.

The reality in most nursing homes is that the direct caregivers are many times unfamiliar with the individual needs of the residents they are caring for.  High turnover rates of nursing home employees, “agency” staff who are called upon to “fill in” in the event of absenteeism, and low worker morale contribute to these problems.

The information provided on this site concerning falls and fractures is meant as a brief overview. Specific Federal and State laws and regulations apply and each case is unique and fact-intensive. Please contact our office today for additional information and assistance.