Knox County Tennessee

Senior Fall Prevention


S.A.I.L. – Stay Active & Independent for Life
A strength and balance fitness class for adults 65+

SAIL is an evidence-based program designed to prevent falls and includes exercise classes, educational materials and self-assessments. The classes are designed specifically for older adults and focus on strength, balance, flexibility and aerobics. The Knox County Health Department is proud to offer instructor training and support to maintain the SAIL program locally. For more information on SAIL instructor training, please contact KCHD health educator Rachel Frazier at 865-215-5175 or


It works…you’ll be stronger, have better balance and will feel better. SAIL will help you stay independent, active and prevent falls.

It’s safe…the instructors are experienced and skilled, and exercises have been tested with seniors.

It’s fun…you’ll meet other seniors and make new friends.

When and where are classes?

Please call for specific dates and times of classes.  A small fee may be associated with the SAIL classes.

Knox County:

Carter Senior Center – 865-932-2939

Instructor:  Terri Geiser

West Knox County Senior Center – 865-288-7805

Instructor:  Rachel Piotrowski

John T. O’Connor Senior Center – 865-523-1135

Instructor:  Kay White

Karns Senior Center – 865-951-2653

Instructor:  Debbie Harris

Deane Hill Recreation Center – 865-690-0781 

Leader:  Kat Eldridge

For those in need of S.A.I.L classes outside of Knox County, please visit the TN Department of Health S.A.I.L Program page.

Why focus on fall prevention?

How big is the problem?

One out of three adults over 65 falls each year, but less than half talk to their health care providers about it. Among older adults, falls are the leading cause of both fatal and nonfatal injuries. In 2013, 2.5 million nonfatal falls among older adults were treated in emergency departments and more than 734,000 of these patients were hospitalized. That same year, the direct medical costs of falls, adjusted for inflation, were $34 billion. 

How can older adults prevent falls?

  • Exercise regularly. It is important that the exercises focus on increasing leg strength and improving balance, and that they get more challenging over time. Tai Chi programs are especially good.
  •  Ask their doctor or pharmacist to review their medicines (both prescription and over-the-counter) to identify medications that may cause side effects or interactions such as dizziness or drowsiness.
  • Have their eyes checked by an eye doctor at least once a year and update their eyeglasses to maximize their vision. Consider getting a pair with single vision distance lenses for some activities such as walking outside.
  • Make their homes safer by reducing tripping hazards, adding grab bars inside and outside the tub or shower and next to the toilet, adding railings on both sides of stairways, and improving the lighting in their homes.

What can older adults do to lower their hip fracture risk?

  • Get adequate calcium and vitamin D—from food and/or from supplements.
  • Do weight bearing exercise.
  • Get screened and, if needed, treated for osteoporosis.

SAIL testimonials from Halls Senior Center

  • Joan – “Class is great! I am looking forward to improving my coordination. I have already improved my mental attitude.”
  • Danny – “I was going to get out of the recliner and my shoe stuck to the carpet and I would have fallen except for the fact that the SAIL class has helped me with balance.”
  • Evelyn – “I have arthritis and osteoporosis and scoliosis, so I have been exercising to help strengthen my bones and muscles and also heart and lungs. It helps everything – brain too!”
  • Sue – “I have asthma and was unable to stand up and do exercised with the class. Now I can keep up with everyone else without breathing hard.”
  • Bernice – “My sister is 85. She called me and said would you like to go to the SAIL program? She now goes to the one closer at Carter senior center.”
  • Susan – “I have built strength and muscle tone and improved my balance very much over the past 6 months since SAIL program started. I enjoy and look forward to exercise now and hate it when I have to miss. Keep it going!”
  • Frances – “I was losing my balance and was afraid of falling. I learned about the SAIL class and started attending. My balance has improved; my strength and muscles have also been helped. I thoroughly enjoy the class with Johnnie and always look forward to it!”

Unintentional Injuries - Senior Safety Task Force

Senior Safety

The Senior Safety Task Force is a newly formed group that has convened to address the issue of seniors and fall prevention in the Knoxville community. The task force includes members from social service agencies, hospitals, government, pharmacists, physical therapists and other appropriate individuals. Call or email Rachel Frazier for more information.

Coalition Meetings

Senior Safety Task Force
3rd Thursday of every month @ 2pm
Call (865) 215-5175 or email
for meeting location.

National Website Links

Contact phone and email

Rachel Frazier
Phone:  (865) 215-5175
Address:  Knox County Health Department
140 Dameron Avenue
Knoxville, TN 37917
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Knox County Tennessee - Health Department

Main Clinic
140 Dameron Ave,
Knoxville, TN 37917

Monday - Friday
8:00 am - 4:30 pm

On the first Wednesday of every month (except August), all KCHD offices and clinics are closed in the morning for staff in-service. On these days, the main location, 140 Dameron Ave., opens at 11 a.m. and West, 1028 Old Cedar Bluff, Clinics open at 11:30 a.m.

405 Dante Road
Knoxville, TN 37918

Monday - Friday
8:00 am - 4:30 pm
*Teague Clinic is open for COVID-19 Vaccines, by appointment only. Click here to make an appointment.

All KCHD offices and clinics are closed in the morning on the first Wednesday of every month for staff in-service. The main location, 140 Dameron Ave., opens at 11 a.m. and West, 1028 Old Cedar Bluff, locations open at 11:30 a.m.

Infant and childhood immunizations as well as adult vaccines by appointment ONLY. Please call 865-215-5950.

1028 Old Cedar Bluff
Knoxville, TN 37923

Monday - Friday
8:00 am - 4:30 pm

All KCHD offices and clinics are closed in the morning on the first Wednesday of every month for staff in-service. The main location, 140 Dameron Ave., opens at 11 a.m. and West, 1028 Old Cedar Bluff, locations open at 11:30 a.m.

Map Of All Clinics
Department Email