This study conducted a survey on 950 rural older adults aged 60 years and above in rural areas of Hefei City by using multi - stage stratified cluster random sampling，to describe the fall status of the rural older adults and analyze the influencing factors of falls，therefore provides a reference for the prevention of falls among older adults. The questionnaire included general demographic information，behavior，living environment， frailty，etc.，and the occurrence of falls，including the types，time，place and reasons for falls. The incidence of falls in the past year was 26.84% among the rural older adults in Hefei City. Most of them fell outdoors （70.20%），mostly in the morning（53.72%）. Multivariate logistic regression analysis showed that women，nonliving alone，had depressive symptoms，weak body condition，suffered from stroke had a high risk of falling. Older people aged 80 years and older had a lower risk of falling. On the whole，the fall rate of older adults in the rural areas of Hefei City is high and is affected by many factors. Multiple measures should be taken targeting key populations to reduce the fall risk specifically，therefore improving the quality of life and happiness of rural older adults in their later years.