Residents in a nursing home can become bedridden following fracture caused by osteoporosis or falls. To prevent fall and fracture is important, and conceived to reflect quality of caregiving in individual facilities. The incidence of falling is around 35% in all nursing homes related to our facility. Incidents of falling occur mostly during walking among ambulatory residents, and during performing transfers among residents using wheelchairs. Dementia is suggested to be a factor influencing the incidence of falling. In order to prevent fracture resulting from falling and osteoporosis in nursing homes, it is important that all working members in each facility examine prevention measures comprehensively, while considering characteristics of an environment of their facility and residents therein. All working members should thereby activity interven in the QOL (quality of life) of residents, and assist them to lead a healthy and joyful life n their nursing home.