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Nursing Home Falls & Fractures

Helping families nationwide

Falls in Nursing Homes are a Serious and Preventable Risk

Falls are one of the most common and dangerous injuries affecting elderly nursing home residents. Many falls result in broken bones, head injuries, or even wrongful death. Proper supervision, mobility assistance, and fall prevention measures can significantly reduce the risk, but when nursing homes fail in their duty, residents suffer.

If your loved one experienced a fall or fracture due to neglect, they may be entitled to compensation for medical bills, pain, and suffering.

Why Do Nursing Home Falls Happen?

Most nursing home falls could have been prevented with proper care and safety measures. Some common causes of falls include:

  • Understaffing: Not enough caregivers to assist residents with mobility.
  • Lack of Supervision: Residents left alone in unsafe conditions.
  • Unsafe Walking Areas: Wet floors, poor lighting, or cluttered hallways.
  • Medication Side Effects: Some medications cause dizziness, drowsiness, or balance issues.
  • Improper Use of Equipment: Failure to provide walkers, canes, or wheelchairs when needed.
  • Bed & Chair Falls: Residents falling while trying to get in or out of bed or a wheelchair.

Nursing homes must take precautions to prevent these dangerous incidents.

Common Injuries from Nursing Home Falls

Falls in elderly individuals can cause severe and life-changing injuries. Some of the most common include:

  • Hip Fractures: One of the most serious fall-related injuries, often requiring surgery.
  • Head Trauma & Brain Injuries: Falls can cause concussions, brain bleeds, or permanent damage.
  • Broken Bones: Wrists, arms, ankles, and ribs are frequently fractured in falls.
  • Internal Bleeding: A fall can lead to dangerous internal injuries that may not be immediately visible.
  • Severe Bruising & Lacerations: Impact with hard surfaces can cause painful wounds.

For elderly residents, even minor falls can lead to long-term complications or a decline in overall health.

Broken Bones Are a Red Flag, Not Just a “Common” Injury

In nursing homes, a broken bone isn’t just a medical emergency. It’s often a warning sign. Fractures typically don’t happen in safe, well-supervised facilities. They happen when call buttons go unanswered, residents are left to move alone, or staff cut corners on basic assistance.

Other common scenarios that lead to broken bones include:

  • Being dropped by staff during lifting or repositioning
  • Falls during bathing or dressing without proper equipment or support
  • Altercations or being struck, especially in dementia care units

These incidents typically indicate breakdowns in staffing, supervision, equipment use, or training.

Most Common Fractures in Elderly Nursing Home Residents

Fracture Typical Cause Complications
Hip fractures Falls, especially sideways onto a hard surface Surgery, immobility, high risk of death within 12 months
Wrist fractures Fall onto outstretched hands Functional loss, poor healing with osteoporosis
Pelvic fractures Falls or mishandling during transfers Pain, bleeding, pressure sore risk
Vertebral (spinal) fractures Falls, rough handling, existing bone fragility Back pain, height loss, nerve damage
Shoulder fractures Falls or improper lifting Surgery, permanent mobility reduction
Facial/skull fractures Falls or trauma during seizures/confusion episodes Risk of brain injury or internal bleeding

Even a “clean” fracture can be life-altering in older adults, leading to loss of independence, hospitalization, or permanent decline.

Why the Elderly Are More Susceptible to Fractures

Broken bones are more common in seniors due to:

  • Osteoporosis and low bone density
  • Slower reflexes and balance problems
  • Muscle atrophy and joint stiffness
  • Cognitive issues, such as dementia or delirium
  • Vision problems or medication side effects
  • Reliance on others for mobility or transfers

That’s why nursing homes are expected to proactively assess fall risk and tailor care plans accordingly.

Red Flags That a Fracture May Be Due to Neglect

In our experience, broken bones are rarely just “accidents.” Be alert if:

  • Staff can’t explain how the injury happened
  • The facility claims the resident “was fine one minute, injured the next”
  • No fall risk assessment was done or updated
  • The resident had prior falls that were dismissed
  • The fracture was not reported immediately to the family or physician
  • Documentation is vague or inconsistent
  • There’s a delay between the incident and medical evaluation

Often, families don’t learn the full story until after hospitalization or an autopsy.

Bed Rail Entrapment Injuries

Bed rails are often used for residents who cannot move around much on their own or who are at higher risk of falling out of bed. Used improperly, or used as a restraint, they create a different danger. Bed rail entrapment happens when a resident becomes lodged between the bed rail and the mattress, or becomes trapped in the bed rail itself.

According to a 1995 Food and Drug Administration safety alert, the four most common ways residents become entrapped are:

  • In the bars of a single bed rail
  • In between spaces in certain bed rails
  • Between the resident’s mattress and the bed rail
  • Between the top or bottom of the bed and the mattress and bed rail

The FDA has stressed routine inspection of bed rails and mattresses, the use of protective devices to reduce the risk of entrapment, and that bed rails should not be used as a form of restraint. Many nursing homes still use this equipment improperly, which increases the risk. The FDA has reported that between 1985 and 2009, 480 bed rail entrapment incidents reported to it resulted in death.

The major injuries caused by bed rail entrapment include:

  • Strangulation or suffocation when the neck becomes trapped in the bed rail
  • Bruising, fractures, and other injuries from being trapped by the rail
  • Injuries a confused or frustrated resident suffers while trying to get free
  • Death

How Nursing Homes Can Prevent Falls

Falls should not be happening regularly in a properly managed nursing home. Facilities can prevent falls by:

  • Providing adequate staffing to assist residents with mobility.
  • Conducting fall risk assessments for all residents.
  • Using bed alarms and grab bars to prevent falls from beds and chairs.
  • Ensuring hallways and common areas are clear of hazards.
  • Monitoring medications that cause dizziness or sedation.
  • Encouraging regular physical activity to maintain strength and balance.

When a nursing home fails to take these precautions, they may be legally responsible for injuries that occur.

Nursing Homes’ Legal Responsibilities

Federal law and CMS regulations require that nursing homes:

  • Conduct and document fall risk assessments
  • Update care plans after any incident or health change
  • Provide adequate assistance with mobility, toileting, and transfers
  • Keep the environment free of trip and slip hazards
  • Maintain sufficient staffing to respond to call lights and prevent wandering
  • Notify physicians and families promptly after an injury

When these duties are ignored and a resident suffers a broken bone, the facility may be liable for negligence or abuse.

What to Do If Your Loved One Fell in a Nursing Home

If your loved one suffered a fall or fracture in a nursing home, take these steps:

  • Request Medical Records: Document the injury and treatment.
  • Ask for an Incident Report: The nursing home must record falls.
  • Check for Signs of Neglect: Were safety measures in place?
  • Report the Incident: File a complaint with the facility and health authorities.
  • Consult a Lawyer: A legal expert can help determine if negligence was involved.

Falls should not be ignored. If neglect played a role, you have the right to pursue justice for your loved one.

How The Higgins Firm Investigates Fracture and Fall Injuries

We take a forensic approach to uncover what really happened. Our team will:

  • Review incident reports, nurse notes, and fall logs
  • Analyze staffing levels and call bell response times
  • Consult with orthopedic and geriatric care experts
  • Reconstruct the timeline between fall and treatment
  • Evaluate whether care plans were followed or ignored
  • Identify patterns of prior injuries, falls, or citations at the facility

We don’t just look at the fracture. We build the case around how and why it was allowed to happen.

How a Nursing Home Neglect Lawyer Can Help

If your loved one suffered a preventable fall or fracture, you may be able to take legal action. A lawyer can help by:

  • Investigating staff negligence and facility conditions.
  • Holding the nursing home accountable for unsafe practices.
  • Pursuing compensation for medical expenses and pain and suffering.
  • Ensuring the facility implements better fall prevention measures.

Taking action not only helps your family but also protects other vulnerable residents.

Your Family May Be Entitled to Compensation

If your loved one suffered a preventable fracture due to nursing home neglect, you may be entitled to:

  • Medical expenses (surgery, rehab, hospitalization)
  • Pain and suffering
  • Permanent loss of function or independence
  • Loss of mobility or mental decline after immobility
  • Wrongful death damages (if the injury proved fatal)
  • Punitive damages in cases of egregious misconduct

We fight for the outcome your family deserves, and the accountability the facility tried to avoid.

Contact Our Nursing Home Abuse Attorneys Today

Nursing home falls and fractures are often preventable. If your loved one was injured due to neglect, don’t wait. Take action today to protect their rights.

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Nationwide Nursing Home & Abuse Lawyers

Dedicated legal advocates protecting your loved ones nationwide. When nursing homes break their promise of care, our experienced attorneys fight for the justice your family deserves.