Casa Colina Fall Risk Assessment Scale—Revised: Predicting Falls in Inpatient Rehabilitation Facilities

Falls in hospitals are a common and costly problem. Managing a patient's fall risk is key to prevention, but current assessment tools are designed for acute hospital settings, not inpatient rehabilitation facilities (IRFs). Patients in acute rehabilitation are at high risk for falls due to cognitive and functional impairments. Existing fall risk scales are often too sensitive, identifying nearly all patients as high risk, which hinders targeted interventions. This study revised the Casa Colina Fall Risk Assessment Scale (CCFRAS) to better predict falls in IRFs, using quality measures that assess patients' functional abilities. The goal is to identify high-risk patients and provide focused interventions.

• 1
  Impaired toileting hygiene, impaired toilet transfer, impaired chair/bed transfer, and difficulty walking 3 meters were identified as significant predictors of falls in IRFs.
• 2
  The revised CCFRAS demonstrated a sensitivity of 0.6 and a specificity of 0.62 in predicting fall risk, indicating its effectiveness in identifying patients at high risk for falls.
• 3
  The revised scale showed substantial agreement with the original scale.