Missoula’s lifestyle includes lots of walking—downtown foot traffic, seasonal events, and frequent movement in and out of buildings. In long-term care settings, that same “constant motion” becomes a risk when residents need assistance but don’t consistently receive it.
Falls can be triggered or worsened by issues that are common in real facilities, including:
- Transfer breakdowns (bed-to-chair, toileting assistance, wheelchair repositioning)
- Unaddressed mobility changes (neuropathy, weakness, balance problems that evolve week to week)
- Equipment not suited or not maintained (wheelchairs, walkers, transfer devices, call buttons)
- Environmental factors (wet/unsafe bathroom floors, poor lighting, cluttered paths)
When residents are also dealing with cognitive impairment, staff decisions about supervision and risk management matter even more.


