Problem & Purpose: During FY2022, a surgical intermediate care unit (IMC) in a large, tertiary academic medical facility did not meet fall prevention goals and reported 14 falls, six with injury; 57% unwitnessed, 36% had contributing cognitive or behavioral factors, and 14% fell from the chair. The purpose of this quality improvement initiative was to implement, and achieve compliance with, a chair alarm setup protocol, and to reduce the incidence of unit falls. Methods: The intervention included a chair alarm setup for every patient room as part of a pre-admission room readiness standardized process. Prior to receiving a patient into a room, unit nursing and supporting staff installed ready-to-use chair alarms into patient chairs, complete with alarm sensor pad, chair alarm, and confirmed working batteries. The project lead (PL) completed one-on-one staff education for 90.9% of all unit staff members and provided education to all staff via email. Unit champions (UCs) were designated to help improve compliance. Visual reminders were placed on the unit assignment boards. The PL and UCs audited clean and ready rooms using a link and QR code generated by the REDCap® software. Fall data was obtained from hospital quality reports and verified with unit leadership. Results: During the project, the PL and UCs completed 79 audits on pre-admission rooms; 87.67% of audited rooms had ready-to-use chair alarms set up. In the 14 weeks pre-project, three patient falls occurred on the IMC; two occurred during the project period. These two falls did not occur from the chair. Conclusions: This pilot study demonstrated promising findings for IMC staff adherence to a pre-admission chair-alarm protocol. High support staff turnover, inadequate supplies, and staffing constraints were likely barriers to 100% protocol adherence. Education of all new staff and improved stocking of alarm supplies promotes project sustainability.