Healthcare Insights
Skilled nursing facilities with the highest slip and fall rates
A slip or a fall when you’re a kid might result in a bruise, maybe some soreness, but as you age, the incident can become very serious for your health and safety. According to the CDC, there were 3 million emergency department visits related to falls for older adults in 2020, and among adults over the age of 65, 36,000 falls resulted in death.
The healthcare costs for slips and falls are quite serious too, with the CDC reporting $50 billion in annual medical costs relating to these incidents. Even in healthcare facilities equipped to aid individuals who require help with mobility, such as skilled nursing facilities (SNFs), falls are not 100 percent preventable.
What is the rate of falls in skilled nursing facilities?
In this analysis, slip and fall rates are represented by the percentage of long-stay residents at skilled nursing facilities experiencing one or more falls with major injury. The overall average percentage of residents experiencing such falls at all U.S. skilled nursing facilities tracked by Definitive Healthcare is 3.6%.
Using the Definitive Healthcare LongTermCareView, we have listed the top 15 skilled nursing facilities with the highest percentages of long-stay residents experiencing one or more falls with major injury, per CMS quality measure data. The percentages in the chart below represent data collected by CMS between January 1, 2022 and December 31, 2022.
| Rank | Definitive ID | Skilled nursing facility name | State | % of long-stay residents experiencing one or more falls with major injury | Explore dataset |
|---|---|---|---|---|---|
| 1 | 565384 | The Evergreens - Skilled Care | NJ | 25.0% | Explore |
| 2 | 578975 | Grover C Dils Medical Center Skilled Nursing | NV | 22.9% | Explore |
| 3 | 567021 | Juniper Village at Spicewood Summit - Skilled Nursing (FKA Brookdale Spicewood Springs - Skilled Nursing) | TX | 21.3% | Explore |
| 4 | 780764 | Homestead Hills - Skilled Nursing | NC | 20.3% | Explore |
| 5 | 564096 | The Marshes of Skidaway Island - Skilled Nursing (AKA the Oaks) | GA | 20.0% | Explore |
| 6 | 579206 | Beaver County Nursing Home | OK | 19.3% | Explore |
| 7 | 567185 | Dimensions Living Prospect Heights - Skilled Nursing (FKA Brookdale Prospect Heights - Skilled Nursing) | IL | 19.0% | Explore |
| 8 | 563422 | Village Care Center | MO | 18.7% | Explore |
| 9 | 579228 | Cascade Manor | OR | 18.6% | Explore |
| 10 | 564130 | Brookdale Santa Catalina - Skilled Nursing (AKA La Rosa Healthcare Center) | AZ | 18.2% | Explore |
Fig. 1. Data is from the Definitive Healthcare LongTermCareView product. Percentages of long-stay residents experiencing one or more falls with major injury come from data collected by CMS for calendar year 2022. Data accessed December 2023.
Which skilled nursing facilities have residents experiencing the most falls?
The skilled nursing facility with the highest percentage of long-stay residents experiencing one or more falls with major injury is The Evergreens - Skilled Care in New Jersey, at 25%. This rate is nearly seven times the overall U.S. average of SNFs tracked by Definitive Healthcare and is almost ten times the 2.7% average of all SNFs tracked in New Jersey.
Grover C Dils Medical Center Skilled Nursing in Nevada ranks in second place, with 22.9% of long-stay residents experiencing one or more falls with major injury. This is a little over six times greater than the overall U.S. average and just over nine times greater than the Nevada average of 2.5%.
In third place is Juniper Village at Spicewood Summit - Skilled Nursing in Texas, with 21.3% of residents experiencing one or more falls with major injury. This slip and fall rate is almost six times the nationwide average and over six times greater than the 3.4% average of skilled nursing facilities in Texas.
What insights do slip and fall data provide?
Knowing which healthcare facilities deal with higher percentages of patients experiencing falls resulting in injury can be a critical insight in identifying which facilities are most in need of products, services, or staff that help to prevent such incidents.
Facilities with higher percentages of fall incidents may point to a lack of resources, such as side rails for beds, grab rails in bathrooms, gait belts for extra support while walking, or other aids that assist in fall prevention.
Additionally, the data may point to facilities that lack the staffing needed to assist all patients when necessary. Unfortunately, the healthcare staffing shortage is putting strain on many healthcare facilities, including skilled nursing facilities. Higher percentages of falls could be a key indicator of facilities most impacted by the staffing shortages as they may lack the number of staff to provide either supervision or assistance to patients who need mobility guidance.
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