1. What is the metric?

Percentage of residents who have fallen during an episode of care (Long Stay)

  1. What does the metric mean?

This measure reports the percentage of long-stay residents who have had a fall during their episode of care. 

  1. How do we calculate the metric?

    1. The Numerator is the number of long-stay residents with one or more look-back assessments that indicate the occurrence of a fall.

    2. The Denominator is all long-stay residents with one or more look-back scan assessments except those with exclusions. 

    3. Exclusions are any resident whose occurrence of falls was not assessed.

References 

MDS 3.0 Quality Measures User's Manual V16 

Page 54, Table 2-32

For assessments with an ARD prior to 10/01/2023:

MDS 3.0 Quality Measures User’s Manual V15

Page 55, Table 2-30