Falls: Morse Fall Scale - Primaris

Resident name: _____Room #:_____Medical record #: _____Date of assessment: _____Assessment #:_____The Morse fall Scale (MFS) is a rapid and simple method of assessing a resident s likelihood of falling. The MFS is used widely in acute care 1 of 2 See scoring details on page 2 Falls: Morse fall ScaleVariablesScoreHistory of fallingooNo (score as 0) ..Yes (score as 25) .._____Secondary diagnosisooNo (score as 0) ..Yes (score as 15) .._____Ambulatory aidoooBed rest/nurse assist (score as 0) ..Crutches/cane/walker (score as 15) ..Furniture (score as 30) .._____IV or IV accessooNo (score as 0) ..Yes (score as 20) .._____GaitoooNormal/bed rest/immobile (score as 0) ..Weak (score as 10) ..Impaired (score as 20) .._____Mental statusooKnows own limits (score as 0) ..Overestimates or forgets limits (score as 15).

Falls: Morse Fall Scale page 2 of 2 Document available at www.primaris.org MO-06-32-NH April 2006 This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under

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