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Nursing Home Fall Underreporting: When the Facility Says It Wasn’t That Bad, the Federal Government Just Gave You Reason to Doubt Everything You got the phone call. Maybe it came from the charge nurse at 11 p.m., or maybe it came from the ER three hours later. Your mother fell. Or your father. Or your spouse. The facility’s version sounds managed — “she had a minor fall, we’re just being cautious” — and something about it doesn’t sit right. You are reading this at a hour when doubt keeps you awake, and we are going to tell you what the federal government just confirmed about that doubt. In September 2025, the Office of Inspector General inside the U.S. Department of Health and Human Services published a report that should put every family with a loved one in a nursing home on alert. The OIG analyzed CMS claims data, fall assessments, and hospital discharge records covering July 2022 through June 2023, and it found that 43 percent of nursing homes failed to report major resident falls to CMS — the government agency that funds and regulates them. Not minor stumbles. Major falls: the ones that sent residents to the hospital, the…