Abstract Background: Fall is a sudden, unintentional change in position causing an individual to land at a lower level. Aim: This study will find out the relationship between the nursing home structure and prevalence of falling down in nursing homes. Method: Face to face Questionnaire for collecting information has been conducted after survey some previous studies dealing with the same subject. Result: The highest percentage of falling down among the studied sample of old adults was related to polypharmacology by proportion of 79.4%. Conclusion: This study concludes that there is a high prevalence of injuries post falling down in the Palestinian nursing homes. The most frequent falling down was related to polypharmacology by proportion of 79.4%. Keywords: older adult, nursing home, physical disabilities, polypharmacology, head injury, bruises, soft tissue injury, Dementia, osteoporosis.