California closely monitors whether nursing home residents fall. Regulators track incidents, facilities report them and safety policies revolve around preventing them.
Yet a more fundamental question often goes unasked: Can residents walk?
When safety becomes the only measurable outcome, unintended consequences can follow.
For many older adults, especially those with low incomes, mobility is not a luxury. It is the foundation of independence, emotional well-being and dignity. Yet access to basic mobility support varies widely across the state. That gap has serious consequences.
As a physical therapist working in post-acute and long-term care, I see this divide every day.
As a rehabilitation clinician and director working directly with older adults, I see how effective early mobility support can be. Mild losses in leg strength or balance respond well to structured, simple routines when they are addressed early. The greatest need is access.
Several programs across California demonstrate how this access can be expanded.