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Apex Nursing

Morse Fall Scale Calculator

Score all six items to assess fall risk and match precautions to the result.

Score

/ 125

Higher = higher risk

6 items remaining

History of Falling

History of Falling

Secondary Diagnosis

Secondary Diagnosis

Ambulatory Aid

Ambulatory Aid

IV / IV Access

IV / IV Access

Gait

Gait

Mental Status

Mental Status

Scoring notes

Risk-band cutoffs vary by facility — many use ≥ 45 as high risk, some use ≥ 51. Always apply your facility’s thresholds and intervention bundle.

Reassess on admission, each shift, after any fall, and with changes in condition or medications — especially sedatives, antihypertensives, and diuretics.