Three phases. Five clinical assessments. The same script in every room, every week. Directors get a fall-risk report they can read off the page, not a coach’s impression of how it went.
Weeks 1–4
Foundation
Assess and pattern
Weeks 5–8
Build
Load and challenge
Weeks 9–12
Perform
Transfer and report
Fall-risk category shift
14-resident cohort. Categories derived from CDC STEADI and the Rikli & Jones Senior Fitness Test battery, scored at baseline and re-scored at the follow-up window. Movement between categories is what the report documents — not a guarantee.
The same protocol runs in every room, every week. The outcomes report measures the program, not the coach.
Program structure
Weeks 1–4
Baseline assessments, movement literacy, confidence. Residents learn the patterns that will carry the rest of the program: sit-to-stand, hinge, step, push, pull, and basic balance. Volume is intentionally light. The work is technique and trust.
Weeks 5–8
Load, reps, and balance challenge all increase. We add power-based movements (controlled step-ups, explosive stands) and tighten the dual-task work. Week-6 reassessment drives individual adjustments for the back half.
Weeks 9–12
Translate gains into daily life: uneven ground, dual-task, loaded carries, stairs, getting up from the floor. Week-12 reassessment closes the loop and gives the facility a documented outcomes report.
Assessment battery
Every resident is assessed at Weeks 1, 6, and 12 using the same five tests. Change is tracked per-person and rolled up into a cohort report for the facility.
Test 1
Counts reps from a seated position in 30 seconds. Proxy for lower-body strength and power. Normative data exists by age and sex, making it a clean way to track change.
Test 2
Time to rise, walk 3 meters, turn, and return. Proxy for functional mobility and fall risk. >12s flags elevated risk in the CDC STEADI framework.
Test 3
Handheld dynamometer, dominant hand. Grip correlates with whole-body strength, frailty, and mortality risk. One of the most informative single measures in geriatric assessment.
Test 4
Timed single-leg stance with eyes open. Direct measure of postural control and a strong predictor of fall risk.
Test 5
Self-reported movement confidence on a short scale. Psychological component matters. Fear of falling independently predicts future falls.
Safety by design
Falls are the scenario every director is underwriting when they approve a new wellness program. Here’s how the protocol is built to absorb that risk before it reaches a resident.
Every session runs with a trained coach in the room. No app-only workouts. The coach is the safety system.
Every exercise has a seated, supported, or reduced-range version. Nobody gets pushed past their current window.
Balance and lower-body work is built around a stable chair or wall. If something goes wrong, the catch is one step away.
PAR-Q and resident-specific flags are reviewed before Week 1. High-risk participants get modified tracks, not exclusion.
Every session script includes stop-criteria. Chest pain, unsteadiness, refusal. And a written handoff back to facility staff. Nothing is improvised under stress.
Participant release templates, intake screening forms, and incident-documentation templates ship with the program. Reviewed at onboarding, revised as program evolves.
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Also useful · View sample outcomes report · Preview the library