Percent of Residents Experiencing One or More Falls With Major Injury

Identifying Attributes

Care Settings
Dementia Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument Based Quality Measures
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Person-Centred Care

Defining Attributes

Definition

Percent of long-stay residents who have experienced one or more falls with major injury reported in the target period or look-back period

Numerator

Long-stay residents with one or more look-back scan assessments that indicate one or more falls that resulted in major injury

Denominator

All long-stay nursing home residents with one or more look-back scan assessments except those with exclusions.

Exclusions

Resident is excluded if the following is true for all look-back scan assessments: The number of falls with major injury was not coded

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Nursing Home Minimum Data Set (MDS) Resident Assessment Instrument

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Public report, available from www.medicare.gov/care-compare/

Reporting Frequency
Quarterly. Internet Quality Improvement and Evaluation System (iQIES) Quality Measure Reports. National, state, facility and resident level (providers only). Nursing Home Care Compare. Publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Five Star Quality Rating System (includes 9 QIs). Publicly available online.
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits/nhqiqualitymeasures Rivera-Hernandez, M., Kumar, A., Roy, I., Fashaw-Walters, S., & Baldwin, J. A. (2022). Quality of Care and Outcomes Among a Diverse Group of Long-Term Care Residents With Alzheimer's Disease and Related Dementias. Journal of aging and health, 34(2), 283-296.

Technical Specifications
Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025