Preventing Falls in Nursing Homes: A Responsibility We Can't Ignore

Nursing home falls among nursing home residents are, unfortunately, a recurring issue. As we entrust the care of our elderly loved ones to these institutions, we anticipate their safety will be the top priority. The Mezrano Law Firm believes that everyone has the right to live in safety and dignity, and with that, we are dedicated to raising awareness about falls in nursing homes, their devastating effects, and ways to prevent them.

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Call us at (205) 654-8146 24/7 to arrange to speak with a personal injury lawyer about your case, or contact us through the website today.


Understanding the Gravity of the Situation

Nursing home falls are particularly dangerous for seniors, often leading to severe injuries, and at times, even fatalities. The Centers for Disease Control and Prevention (CDC) reports that each year, an average nursing home with 100 beds reports 100 to 200 falls. These are alarming figures that necessitate prompt attention and intervention.

Falls in nursing homes are a serious concern for both residents and their families. Learn about prevention strategies and what to do if a fall occurs.

Further, these falls can severely impact the quality of life of the elderly, leading to:

  • fear of moving
  • self-isolation
  • depression
  • and decreased activity levels

all of which can lead to further health complications.

How a Nursing Home Abuse Lawyer Can Help

If your loved one has suffered a fall in a nursing home due to negligence or inadequate care, a nursing home abuse lawyer can provide significant assistance in several ways:

Understanding the Law

Elder law attorneys understand the legal requirements for nursing homes, including safety protocols and standards of care. They can help you understand if these standards were breached and whether you have a viable legal case.


A nursing home abuse lawyer near me can conduct a thorough investigation into the circumstances of the fall. They can review:

  • medical records
  • incident reports
  • staffing levels
  • and maintenance records

and interview witnesses to establish the facts of the case.

Establishing Negligence

To win a nursing home abuse lawsuit, it's necessary to prove negligence—that the nursing home failed in its duty of care, and this failure resulted in the fall of a nursing home resident. A nursing neglect lawyer can help demonstrate this by gathering and presenting relevant evidence.

Negotiating with Insurance Companies

Many nursing homes, like other businesses, have insurance policies that cover them in case of legal claims. Insurance companies often attempt to settle claims for as little as possible. A nursing home abuse lawyer can negotiate with these companies on your behalf to seek a fair settlement.


If a fair settlement cannot be reached, a lawyer can file a lawsuit on your behalf and represent you in court. They will present your case, argue on your behalf, and work toward obtaining a judgment in your favor.

Seeking Compensation

An experienced lawyer can help you seek compensation for medical expenses, pain and suffering, emotional distress, and other damages related to the fall.

Advocacy and Support

Dealing with a loved one's injury can be emotionally challenging. A lawyer not only provides legal assistance but also serves as an advocate and source of support during this difficult time.

Factors Contributing to Falls in Nursing Homes

Falls among the elderly in nursing homes can be attributed to a range of interconnected factors. Understanding these underlying causes is crucial to developing effective prevention strategies and maintaining the safety and well-being of elderly residents. Below are some of the most common causes of nursing home falls:

Physical and Medical Conditions

As individuals age, they experience a natural decrease in physical strength, balance, and coordination, which can make them more susceptible to nursing home falls. Additionally, health conditions common among the elderly, such as osteoporosis, arthritis, or Parkinson's disease, can also increase the risk of falling. Further, visual impairments, hearing problems, and cognitive disorders like dementia can affect a person's ability to navigate their environment safely.


Certain medications or combinations of drugs can cause side effects such as dizziness, drowsiness, or low blood pressure, which can significantly increase the risk of falls. This risk heightens when the elderly are on multiple medications, a situation known as polypharmacy.

Environmental Hazards

The physical environment in a nursing home can contribute significantly to the risk for falls. Common environmental hazards include:

  • poor lighting
  • slippery or wet floors
  • cluttered spaces
  • unstable furniture
  • improper bed height
  • and poorly fitted or maintained mobility aids.

Inadequate Nursing Home Staff and Training

Inadequate staffing levels or poorly trained staff can lead to nursing home negligence or insufficient supervision, increasing the risk for falls. Residents may attempt to move independently if help isn't readily available, leading to potential nursing home falls.

Improper Footwear and Clothing

Wearing improper footwear or clothing can also lead to falls. For example, shoes that do not fit properly or have slippery soles can cause a person to trip or slip. Similarly, clothes that are too long can cause a resident to trip.

Poor Nutrition and Dehydration

Poor nutrition can lead to muscle weakness, lower energy levels, and even confusion, all of which can increase the risk of falls. Dehydration can also cause dizziness or fainting, making falls more likely.

Injuries Caused by Falling in a Nursing Home

Falls in nursing homes can lead to a wide variety of injuries, many of which can significantly affect the health, quality of life, and independence of older adults. Below are some common injuries that may result from falls in a nursing home setting:


Fractures are one of the most common injuries caused by falls. Elderly individuals, particularly those with osteoporosis, are at an increased risk of suffering fractures from falls. These fractures often involve the hip, wrist, or arm. Hip fractures can be particularly severe and may require surgery and extended rehabilitation, with some individuals never regaining their pre-fall level of mobility.

Head Injuries

Falls can lead to head injuries, such as concussions, or even more severe traumatic brain injuries. These can result in symptoms ranging from headaches and confusion to long-term cognitive impairment. Head injuries should be taken very seriously, as they can be life-threatening.

Sprains and Strains

During a fall, muscles and ligaments can be overstretched or twisted, leading to sprains and strains. While less severe than fractures, these injuries can still be painful and may restrict mobility.

Cuts and Bruises

Falls can cause various external injuries like cuts, abrasions, and bruises. While these may be less severe, they can still be painful and lead to complications, especially if they become infected.

Psychological Impacts

Apart from physical injuries, nursing home falls can also have psychological impacts. Many individuals become fearful of falling again, leading to decreased activity and self-imposed isolation. This fear can result in further physical decline, depression, feelings of helplessness, and reduced quality of life.

The Falls Management Program in Nursing Homes

The Falls Management Program (FMP) is a comprehensive, interdisciplinary program designed to reduce the number of falls and fall-related injuries in long-term care settings, such as nursing homes. This program was developed by the VA National Center for Patient Safety and has been used widely to reduce falls and promote patient safety.

The FMP uses an integrated, systematic approach that includes the following elements:

1. Risk Identification and Assessment

The program starts with the identification of residents at risk of falls. This assessment considers various factors, including the resident's physical health, medications, mental status, and previous history of falls.

2. Intervention Planning

Based on the risk assessment, an individualized care plan is developed for each resident. This might involve changes to medication, physical therapy for strength and balance, or modifying the resident's environment to reduce hazards.

3. Education and Training

Staff members are trained in fall prevention strategies and how to implement the FMP effectively. This includes understanding the reasons behind falls, knowing how to respond to falls, and how to assist in mobility safely.

4. Monitoring and Evaluation

The FMP emphasizes ongoing monitoring and evaluation of each resident's progress. This helps ensure that the interventions are working and allows for adjustments as necessary.

5. Post-Fall Review

In the event of a fall, a detailed post-fall assessment is conducted. This helps identify the cause of the fall and inform adjustments to the resident's care plan to prevent future falls.

The FMP represents a commitment to improving the quality of life for nursing home residents. It is a proactive approach that integrates best practices, staff education, and individualized care to significantly reduce the risk of falls in long-term care facilities.

Preventing Falls in Nursing Homes: A Shared Responsibility

Preventing falls in nursing homes is a multifaceted endeavor that requires concerted efforts from everyone involved in elder care, from the medical staff and caretakers to the residents and their families. Here are some proven strategies for preventing falls in nursing homes:

Comprehensive Fall Risk Assessment

The first step in preventing falls is identifying who is at risk. A thorough assessment should be conducted for each resident, considering factors such as physical health, medication use, cognitive status, and previous history of falls. This information should be regularly updated to accommodate any changes in the resident's condition.

Personalized Care Plans

Based on the risk assessment, a personalized care plan should be developed for each resident. This plan may include changes to medication, physical or occupational therapy, use of mobility aids, and a suitable exercise regimen to improve strength and balance.

Environment Modification

The nursing home environment should be designed to minimize fall hazards. This can involve ensuring adequate lighting, reducing clutter, installing handrails and grab bars in bathrooms and corridors, using non-slip mats, and keeping commonly used items within easy reach of residents.

Staff Training

Staff should be adequately trained on fall prevention strategies, safe patient handling, and how to assist residents in moving safely. Adequate staffing levels are also important to ensure residents receive the attention they require.

Regular Exercise

Regular physical activity can improve strength, balance, and coordination, all of which can significantly reduce the risk of falls. Physical or occupational therapists can design suitable exercise programs for residents based on their individual abilities and needs.

Medication Review

Regular reviews of a resident's medication can help identify any drugs that might increase the risk of falls due to side effects like dizziness or drowsiness. If necessary, the prescribing doctor may be able to adjust dosages or switch medications.

Proper Footwear and Clothing

Residents should wear properly fitting shoes with non-skid soles. Loose or long clothing that may cause tripping should be avoided.

Hydration and Nutrition

Proper hydration and nutrition can prevent dizziness or weakness that could lead to falls. Dehydration, in particular, is a common issue among older adults and should be closely monitored.

Post-Fall Reviews

If a fall does occur, a post-fall review should be conducted to understand the circumstances that led to the fall. This can provide valuable insights to prevent similar incidents in the future.

Preventing falls in nursing homes is an ongoing process that requires diligence, commitment, and a proactive approach. By implementing these strategies, we can significantly reduce the risk of falls and ensure a safer environment for our elderly loved ones.

Final Thoughts

Preventing falls in nursing homes is a pressing issue, but it is one we can solve. By working together, we can ensure that our elderly loved ones receive the care they deserve in a safe and respectful environment.

Remember, if your loved one has suffered a fall in a nursing home due to negligence or inadequate care, you have legal options. The Mezrano Law Firm is here to guide you through the legal process and seek justice for your loved one. We believe in the dignity and worth of every individual and are committed to upholding these principles in our legal practice. Reach out to us; we're here to help.

FREE Consultations 

Call us at (205) 654-8146 24/7 to arrange to speak with a personal injury lawyer about your case, or contact us through the website today.


What constitutes negligence in a nursing home setting?

Negligence in a nursing home refers to a failure to provide the standard of care that a reasonable person or institution would provide in a similar situation. This can include things like inadequate staffing, insufficient training, failure to address safety hazards, improper use of restraints, or not meeting a resident's basic needs, such as food, medication, or assistance with mobility.

What is a nursing home's duty of care?

A nursing home's duty of care involves providing a safe environment and meeting the residents' basic needs. This includes appropriate medical care, assistance with daily activities, protection from safety hazards, adequate nutrition and hydration, and respect for their dignity and rights.

Can I sue a nursing home for a fall?

Yes, if the fall was due to the nursing home's negligence or failure to meet the standard of care. It's essential to consult with a lawyer who specializes in nursing home abuse or neglect cases to understand your legal rights and options.

How can a lawyer prove that the nursing home was negligent?

A lawyer can gather and present evidence such as medical records, incident reports, testimonies from witnesses, and records of the nursing home's practices and procedures. They can also engage expert witnesses to testify about the standard of care and how it was breached.

What kind of compensation can I expect from a nursing home fall lawsuit?

Compensation in a nursing home fall lawsuit can cover medical expenses, rehabilitation costs, pain and suffering, emotional distress, and, in some cases, punitive damages. The exact amount will depend on the specifics of the case.

How long do I have to file a lawsuit after a fall in a nursing home?

The time limit to file a lawsuit, known as the statute of limitations, varies by state. In Alabama, for example, you typically have two years from the date of the injury. It's crucial to consult with a lawyer as soon as possible to ensure you don't miss the deadline.

What should I do if I suspect my loved one's fall was due to negligence?

If you suspect negligence, it's important to document everything related to the incident. Consult with a lawyer specializing in nursing home abuse and neglect. They can guide you on the next steps, which may include reporting the incident to the appropriate authorities, gathering additional evidence, and filing a lawsuit if warranted.

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