- By 2026, the population of Americans ages 65 and older will double to 71.5 million.
- Between 2007 and 2015, the number of Americans ages 85 and older is expected to
increase by 40 percent.
- Among people turning 65 today, 69 percent will need some form of long-term care,
whether in the community or in a residential care facility.
- In 2020, 12 million older Americans will need long-term care.
Availability
- There are 16,100 certified nursing homes in the United States.
- There are 39,500 assisted living facilities in the United States.
- There are 2,240 continuing care retirement communities in the United States.
- There are more than 300,000 units of Section 202 affordable senior housing available in
the United States.
- For each Section 202 affordable senior housing unit that is available, there are ten
eligible seniors on waiting lists for it. The average time an eligible senior is on the
waiting list is 13.4 months.
General Facts
AAHSA(American Association of Homes and Services for the Aging
What are the most common causes of nursing home falls?
- Muscle weakness and walking or gait problems are the most common causes of falls
among nursing home residents. These problems account for about 24% of the falls in
nursing homes (Rubenstein et al. 1994).
- Hazards in the nursing home cause 16% to 27% of falls among residents (Ejaz et al.
1994; Rubenstein et al. 1994). Such hazards include wet floors, poor lighting, incorrect
bed height, and improperly fitted or maintained wheelchairs (Rubenstein et al. 1994;
Ray et al. 1997).
- Other causes of falls include difficulty in moving from one place to another (for
example, from the bed to a chair), poor foot care (Ray et al. 1997), poorly fitting
shoes, and improper or incorrect use of walking aids (Tinetti 1987). Not much has
changed!
The growing population of adults 65 years or older, advances in
medical care and changes in the costs of care motivated our
study of the acute health care costs of fall-related injuries among
the older adults in the United States of America. DESIGN AND
SETTINGS: The Market Scan Medicare Supplemental database
1998 was used to estimate reimbursed costs for hospital,
emergency department (ED), and outpatient clinic treatments for
unintentional falls among older adults. RESULTS: A fall on the
same level due to slipping, tripping, or stumbling was the most
common mechanism of injury (28%). Mean hospitalisation cost
was 17,483 US dollars(S.D.: 22,426 US dollars) in 2004 US
dollars. Femur fracture was the most expensive type of injury
(18,638 US dollars, S.D.: 19,990 US dollars). The mean
reimbursement cost of an ED visit was 236 US dollars and 412
US dollars for an outpatient clinic visit. CONCLUSION: The
magnitude of the economic and social costs of falls in older
adults underscores the need for active research in the field
of falls prevention.
Department of Epidemiology, University of Washington, Seattle,
WA 98104-2499, November 2005

Fall Facts and Figures
Traumatic Brain Injuries
contribute to a substantial
number of deaths and cases of
permanent disability annually.
CDC estimates that at least 5.3
million Americans, about 2% of
the U.S. population, currently
have a long-term or lifelong need
for help to perform activities of
daily living as a result of a TBI.1
Adults age 75 years or older
have the highest rates of
TBI-related hospitalization and
death. CDC.gov
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