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Fall and Fracture Prevention in Long-Term Care Homes

A guide for families on understanding fall and fracture risks in long-term care and the steps that can help prevent injuries before they happen.

Falls and Fractures Are Not a Normal Part of Aging

Falls are one of the leading causes of fractures among older adults in long-term care homes. While aging can affect strength, balance, and mobility, fractures themselves can be prevented. Understanding the risks and knowing what supports are available can help keep your loved one safe.

Healthcare teams in long-term care use tools such as the Fracture Risk Scale (FRS) to identify residents who are at higher risk of breaking a bone. If your loved one’s FRS score shows they are at increased risk, the care team will discuss available treatment and prevention options with you and your family.

Risk Factors for Falls in Long-Term Care

Several factors can increase the likelihood of falling, especially for older adults. Common fall risks include:

  • Use of certain medications

  • Wearing socks or unsafe footwear while walking

  • Difficulty seeing clearly

  • Health conditions that affect balance

  • Improper use of mobility devices or supports

Risk Factors for Fractures

If a fall does occur, some conditions make fractures more likely. These include:

  • Dementia, Alzheimer’s disease, or other cognitive disorders

  • Decreased mobility or difficulty walking independently

  • A diagnosis of osteoporosis

  • A previous fracture

  • Low weight or low body fat

If you’re unsure whether your loved one is at risk, talk to the care team—they can explain the results of the Fracture Risk Scale and what it means for your family member.

How to Help Prevent Falls and Fractures

There are many simple, effective ways to reduce risk and support bone health:

  • Proper use of mobility devices

  • Regular strength and balance exercises

  • Vitamin D supplements (as recommended by the care team)

  • Eating calcium-rich foods

  • Maintaining a healthy body weight

Not all falls can be prevented—but with the right information and supports, many fractures can be stopped before they happen.

Learn More

Visit these resources for more information on fall and fracture prevention:

Family Councils Ontario — www.fco.ngo

GERAS Centre for Aging Research — www.gerascentre.ca/bone-health

Osteoporosis Canada — www.osteoperosis.ca