Percent of Residents Experiencing One or More Falls With Major Injury

Identifying Attributes

Care Settings
Residential Aged Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Minimum Data Set (MDS) 3.0 Resident Assessment Instrument Quality Measures
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Falls / Fracture / Injury

Defining Attributes

Definition

Percent of long-stay residents who have experienced one or more falls with major injury reported in the target 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 falls with major injury was not recoded.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI).

Frequency of Data Collection
90 days
Frequency of Data Collection in Days
90
Reporting Methods

Nursing Home Care Comparison publicly reported on CMS website of all Medicare and Medicaid US nursing homes. Reports the average adjusted QM values for most recent three quarters. Quality measure reports available at national, state, facility and resident level (providers only). Five-star quality rating system (n=9 QIs) available publicly online.

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

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
Yes
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
12 March 2025