The Ontario Osteoporosis Strategy for Long-Term Care focuses on improving the quality of life for residents with osteoporosis and at risk of sustaining a bone fracture. Osteoporosis is serious problem for long-term care residents and a serious challenge for long-term care caregivers. Contrary to what is believed, osteoporosis, not falls, is the number one cause of bone fractures in long-term care homes. Although hip fractures are the most devastating type of osteoporotic fracture, the most common fracture is a spinal fracture. Because of their silent nature, spinal fractures often go unnoticed and as such, are under-diagnosed in long-term care. Hip fractures can cause significant pain and suffering and greatly reduce a resident’s quality of life; 40% of residents never return to their previous health. Fractures of the femur (hip) are the major reason for hospitalizations among long-term care residents, and they account for 25% of all older adult femur fracture admissions. Residents who have osteoporosis and have had a bone fracture are at high risk for fracturing again. The Ontario Osteoporosis Strategy for Long-Term Care is working with the Long-Term Care Sector to promote and implement evidence-based osteoporosis and fracture prevention care strategies. Key efforts are focused on: • Educating long-term care staff and service providers regarding the appropriate management of osteoporosis and prevention of fractures. Promoting greater awareness and evidence-based care decisions regarding osteoporosis, falls and fracture prevention • Developing user-friendly and appropriate resources for long-term care staff and service providers • Advancing the long-term care-focused osteoporosis, fracture prevention and falls knowledge base through research, literature reviews, surveys, publishing, presentations and collaborative partnerships.