Full Definition

Hip fracture — most commonly a fracture of the femoral neck or intertrochanteric region caused by a fall — is one of the most serious injuries affecting older adults. In Texas seniors, hip fracture is a leading cause of transition to skilled nursing facility for post-acute rehabilitation, and a significant risk factor for long-term functional decline.

Most hip fractures require surgical repair within 24–48 hours (either internal fixation or hip replacement). Following surgery, the typical care pathway is: acute hospitalization for 3–5 days → skilled nursing facility for rehabilitation (typically 2–6 weeks) → home with home health or outpatient physical therapy. Some patients — particularly those with greater pre-fracture function — may qualify for inpatient rehabilitation facility (IRF) level care, which provides more intensive therapy.

Post-hip-fracture recovery is highly variable. Outcomes are strongly associated with pre-fracture functional status, surgical quality, the intensity and quality of post-acute rehabilitation, early mobilization, adequate nutrition, pain management, and prevention of post-operative complications (DVT, delirium, pneumonia).

For Texas families selecting a skilled nursing facility after hip fracture, key questions include: What is the facility’s average time from admission to first physical therapy? Do they have on-site occupational therapy? What are their outcomes data for hip fracture patients? Can they manage post-surgical wound care? Families who choose facilities based primarily on proximity or wait time (rather than quality) often see worse outcomes.