Fall Prevention in US Nursing Homes

Updated 30 October 2026 · Educational resource

Falls are a leading cause of injury among nursing home residents in the United States. Many residents have mobility limitations, medication side effects, or cognitive changes that increase fall risk. Effective prevention combines environmental safety, individualized care planning, and staff training.

Common prevention strategies

• Regular fall-risk assessments on admission and after any change in condition
• Review of medications that can cause dizziness or sedation
• Adequate lighting, non-slip flooring, and clear pathways
• Assistive devices that fit the resident and are within reach
• Toileting schedules and prompt response to call lights
• Staff education on safe transfer and mobility techniques

Facilities are expected to investigate falls, update care plans, and report serious injuries. Families can support prevention by sharing information about previous falls, preferred routines, and any changes they notice during visits. CMS quality measures include fall-related data for certified nursing homes.

Disclaimer: Fall prevention approaches should be individualized. This page is educational and does not replace a professional assessment.

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