Falls in Newly Admitted Nursing Home Residents: A National Study
Article first published online: 15 MAY 2012
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 60, Issue 5, pages 939–945, May 2012
How to Cite
Leland, N. E., Gozalo, P., Teno, J. and Mor, V. (2012), Falls in Newly Admitted Nursing Home Residents: A National Study. Journal of the American Geriatrics Society, 60: 939–945. doi: 10.1111/j.1532-5415.2012.03931.x
- Issue published online: 15 MAY 2012
- Article first published online: 15 MAY 2012
- National Institute on Aging . Grant Number: 1P01AG027296
- National Research Services Awards. Grant Number: 5T32HS000011–24
- nursing home;
To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents.
Observational cross-sectional study from January 1, 2006, to December 31, 2006.
NHs in the United States in 2006.
Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission.
The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics.
Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95–0.99).
For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population.