Previous studies have shown that interventions that improve safety practices can reduce falls; however, in long-term care, successful programs have relied heavily on external funding and staff. Ray and colleagues hypothesized that this reliance on external resources could be reduced by appropriate training of nursing home staff. The authors conducted a randomized controlled trial to determine whether an intense 2-day safety-practice training program, with long-term follow-up, could reduce fall-related injuries. The program focused on improving the safety of the residents’ living space, wheelchairs, canes and walkers, psychotropic drugs, and transferring and ambulation. The cluster-randomized trial included 112 qualifying nursing homes and 10 558 residents aged 65 years or older. However, despite the intensive training program and regular follow-up, there was no difference in injury occurrence between the intervention and control facilities: adjusted rate ratio of 0.98 (95% confidence interval, 0.83-1.16). The authors thus conclude that staff training programs alone may not be sufficient to prevent fall-related injuries in long-term care.