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There's been a fall

What a fall usually signals, and what to do in the two weeks after one.

Quick answer

What a fall usually signals, and what to do in the two weeks after one.

Home›By Situation›There's been a fall

A fall is a data point, not just an accident. The fall itself matters less than what it reveals about balance, medication, vision and whether anyone was there.

Short answer

What a fall usually signals, and what to do in the two weeks after one.

What to do, in order

  1. Treat it as a signal, not an accident. A first fall is one of the strongest predictors of the next one.
  2. Get the cause investigated properly. Blood pressure medication, sedatives, vision changes, inner-ear problems and unmanaged pain all drive falls.
  3. Ask whether anyone was there. A fall with no one present is a different situation from one with someone in the next room.
  4. Fix the environment while you decide. Grab bars, better lighting, removing loose rugs, a shower bench. Ask your Area Agency on Aging about equipment lending.
  5. Watch the weeks after. Fear of falling causes people to move less, which weakens them, which causes more falls.

Questions families ask

Is there a five-star rating system for assisted living communities in North Carolina like there is for nursing homes?

No. The federal CMS Five-Star Quality Rating System (via Medicare Care Compare) only applies to nursing homes, not to adult care homes or family care homes. Instead, DHSR's Adult Care Licensure Section maintains its own 'Facility Inspections, Ratings and Penalties' search tool (info.ncdhhs.gov/dhsr/acls/star/search.asp), which provides a state-specific, compliance-history-based star rating along with raw inspection reports and penalty records, but it is not standardized against other states.

How do I look up whether an assisted living community in Chapel Hill has had recent violations or fines?

DHSR's Adult Care Home Facility Inspections, Ratings and Penalties search (info.ncdhhs.gov/dhsr/acls/star/search.asp) lets you search by facility name or county (Orange County, for Chapel Hill) to view a compliance-based star rating, inspection reports and corrective action plans, and any penalties assessed within the last 36 months. This is a different, NC-specific tool from the DHSR Regulated Facilities search, which only confirms basic licensing and contact information.

What NC statute actually governs assisted living facilities, and where can I read it?

North Carolina's adult care homes are governed by N.C. General Statutes Chapter 131D (Article 1), with G.S. 131D-2.11 establishing DHSR's licensing authority and G.S. 131D-8 covering the Special Care Unit disclosure requirement for memory care units. The implementing regulations are in 10A NCAC 13F (Licensing of Homes for the Aged and Infirm/Adult Care Homes), adopted by the N.C. Medical Care Commission; the full statute text is published at ncleg.gov.

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