Winter Falls Aren’t Inevitable: Ozarks Cold Weather Safety for Seniors

Cold weather increases fall risk for older adults. Discover winter safety tips and fall prevention guidance from CoxHealth experts.

January 22, 2026 Wellness, Blog

The Hidden Dangers of Winter for Older Adults

Winter weather in the Ozarks brings more than snow and ice — it brings conditions that can quickly turn everyday routines into safety risks for older adults. Ice-covered sidewalks, wet entryways and heavier winter footwear can all increase the likelihood of a fall, especially for seniors managing balance changes, chronic conditions or reduced mobility. 

According to the Centers for Disease Control and Prevention, falls are the leading cause of injury-related death among adults 65 and older. Winter weather adds another layer of risk, making fall prevention especially important during the colder months. 

Local data from the CoxHealth Trauma Center underscores this concern. In 2024, 43 patients were treated for ice- and snow-related falls, with an average age of 65. As of December 2025, 30 patients have already been treated, with an average age of 57. 

The good news: falls are not an inevitable part of aging. With awareness and practical prevention strategies, many winter-related injuries can be avoided. 

Expert Advice

Why Winter Weather Raises Fall Risk for Older Adults

❝ Though falls are a risk year-round for all ages, older adults face many additional fall risks when experiencing winter weather.❞

 — Luke Spain, Injury Prevention Coordinator

During winter, familiar environments change. Ice and black ice can form overnight, moisture is tracked indoors, and bulky coats or boots can subtly affect balance. Cold temperatures may also stiffen joints and slow reaction time. Together, these factors increase the chance that a minor slip can become a serious fall. “Being aware of additional risk factors is the first step in preventing these falls”, says Spain. 

Falls Remain a Leading Cause of Traumatic Injury 

Falls are the leading cause of traumatic injury among older adults worldwide, and winter conditions increase both the likelihood of falling and the severity of injuries when falls occur. 

CoxHealth Trauma Center data highlights the local impact of winter weather: 

  • 2022: 47 ice- and snow-related falls treated; average patient age was 68
  • 2023: 27 ice- and snow-related falls treated; average patient age was 65
  • 2024: 43 ice- and snow-related falls treated; average patient age was 65
  • 2025: 30 ice- and snow-related falls treated; average patient age was 57 

These winter-related falls often result in fractures, head injuries or trauma serious enough to require hospitalization. For older adults, such injuries can lead to longer recovery times, reduced mobility and a loss of independence,  making prevention especially critical during winter months. 

Avoid Unnecessary Trips During Icy Conditions

Some of the most effective fall prevention advice is also the simplest: avoid unnecessary risks during icy conditions. "The mail isn’t worth the fall. Don’t take the risk during winter weather", says Aimee Harnstrom, BSN, RN, CEN, Trauma Nurse Educator. 

Short trips, such as walking to the mailbox or taking out the trash, can become dangerous when sidewalks and driveways are icy or untreated. Waiting until conditions improve or asking for help can prevent a serious injury. 

Expert Advice

Traction, Footwear and Home Safety Matter More Than You Think

❝ Traction equals satisfaction and prevention is key. ❞ 

— Norrie Bradley, RN, BSN, Trauma Program Manager

Many winter falls occur just inside the home. Melted snow and wet shoes can make entryways slick, increasing fall risk. Bradley emphasizes that small, practical changes — especially inside the home and at entryways — can significantly reduce fall risk during winter weather. Her quick tips include: 

  • Ensure rugs are securely fastened to prevent slipping or bunching.
  • Use non-slip mats in entryways where floors may become wet from melted snow or tracked-in water.
  • Wear well-fitting shoes with non-slip soles.
  • Choose footwear with a firm heel back and laces or straps to keep shoes securely in place and reduce the risk of slipping on ice. 

Focusing on traction — both underfoot and inside the home — can help older adults move more confidently and safely throughout the winter season. 

Why Winter Falls Are Often More Serious 

Winter falls are more likely to cause serious injury. Cold weather can stiffen muscles and joints, making it harder to react during a slip. Ice increases the force of impact, raising the risk of fractures and head injuries. 

The CDC also notes that a fall can lead to fear of falling again. That fear may cause older adults to limit activity, which can reduce strength and balance over time, increasing the risk of future falls. 

When to Seek Medical Care After a Fall 

Any fall that results in a head injury, hip pain, severe swelling, numbness or difficulty standing should be evaluated by a medical professional. 

CoxHealth offers orthopedic urgent care for many fall-related injuries, while more serious trauma may require evaluation in the emergency department. Prompt care can help prevent complications and support safer recovery.

FAQ: Winter Fall Prevention for Older Adults 

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