Date of Paper/Work


Type of Paper/Work

Doctoral Project

Degree Name

Doctor of Occupational Therapy


Occupational Science/Occupational Therapy

First Advisor

Stephanie de Sam Lazaro


Doctor of Occupational Therapy


Introduction: There is a significant need to address fall prevention in memory care/assisted living homes due to the high prevalence of falls that occur in these settings. Managing dementia-related behaviors and completing safe transfers support fall prevention in dementia populations. Fall prevention was expressed as a major need by BeeHive Homes of Mount Horeb, a memory care specific assisted living home that served as the community partner for this quality improvement project.

Purpose: The quality improvement project provided education and training to team members working at BeeHive Homes of Mount Horeb on safe transfer completion, management of dementia-related behaviors, and fall prevention techniques.

Approach: New training, handout packets, and videos were created throughout this experience as well as hands-on training provided to team members. A survey was created to evaluate the effectiveness of the education and training provided to team members.

Results: All survey results were positive. As well as creating a survey, fall incident reports were obtained and results yielded a decrease in falls through the progression of the quality improvement project.

Recommendations: Increasing the organization of team member training, maintaining an adequate supply of gait belts, having strong team member to resident staffing ratios, and making required environmental changes will all continue to support fall prevention at BeeHive Homes of Mount Horeb.