Nursing homes in Vermont and Wyoming had the highest percentage of residents experiencing one or more falls with major injury between April 1, 2024, and March 31, 2025, according to CMS data published Sept. 24.
The District of Columbia and California had the lowest percentage for the same time period.
A recent HHS report found that nursing homes fail to report 43% of falls that resulted in major injury and hospitalization among Medicare-enrolled residents.
The national percentage of nursing home residents experiencing one or more falls with major injury was 3.28%.
Here are the percentage of nursing home residents experiencing one or more falls with major injury between April 1, 2024, and March 31, by state (Note: This list includes ties):
| State | Percentage of long stay residents experiencing one or more falls with major injury |
| Vermont | 5.53 |
| Wyoming | 5.36 |
| South Dakota | 5.01 |
| North Dakota | 4.93 |
| New Hampshire | 4.64 |
| Oklahoma | 4.43 |
| Nebraska | 4.43 |
| West Virginia | 4.41 |
| Kansas | 4.40 |
| Maine | 4.38 |
| Montana | 4.30 |
| Missouri | 4.03 |
| Arkansas | 3.90 |
| Indiana | 3.82 |
| Kentucky | 3.78 |
| Minnesota | 3.68 |
| North Carolina | 3.67 |
| Massachusetts | 3.66 |
| Tennessee | 3.64 |
| Virginia | 3.61 |
| Rhode Island | 3.58 |
| Iowa | 3.57 |
| Alaska | 3.53 |
| Louisiana | 3.53 |
| Ohio | 3.49 |
| Connecticut | 3.49 |
| Illinois | 3.38 |
| Alabama | 3.37 |
| Colorado | 3.25 |
| Mississippi | 3.24 |
| Texas | 3.24 |
| Wisconsin | 3.22 |
| Georgia | 3.22 |
| Pennsylvania | 3.20 |
| New Mexico | 3.20 |
| Michigan | 3.12 |
| South Carolina | 3.04 |
| New York | 2.97 |
| Idaho | 2.88 |
| Utah | 2.71 |
| Florida | 2.67 |
| Delaware | 2.62 |
| Washington | 2.56 |
| Hawaii | 2.54 |
| New Jersey | 2.52 |
| Nevada | 2.50 |
| Oregon | 2.42 |
| Maryland | 2.32 |
| Arizona | 2.07 |
| California | 1.67 |
| District of Columbia | 1.22 |
