Takeaways
Most older adults prefer to remain in their own homes as they age. However, this comes with an increased risk of falls, which are the leading cause of injury and death in people 65 and older.
Fixing many of the hazards that increase the risk of falls — like loose rugs, poor lighting, and lack of railings or grab bars — is possible with simple, affordable changes rather than major renovations.
Key areas to focus on for safety improvements include entryways, living areas, bathrooms, and bedrooms.
Planning ahead and making modifications before a fall or a medical crisis is the best approach for ensuring long-term safety and independent living at home.
Given the choice between remaining in their home or moving to a nursing home or similar long-term care facility, most older adults would choose to age at home. Home is not only comfortable and familiar but also may allow you to remain close to family and friends while maintaining your connection to your community.
However, aging in place can also come with some risks. The older our bodies get, the frailer they tend to become. Older adults are more susceptible to falling, and falls can more easily lead to broken bones and sprains.
Making a home safer for an older adult is doable without embarking on a major renovation project and shelling out thousands of dollars. Below are common problem areas and examples of relatively simple fixes that can make a meaningful difference.
Why Falls Are Such a Serious Concern
Falls are the leading cause of injury and death among adults aged 65 and older. One in four seniors reported having at least one unintentional fall in 2020, according to the Centers for Disease Control and Prevention. A single fall can result in a hip fracture, head injury, or hospitalization that dramatically alters someone’s ability to live on their own.
Even a fear of falling can lead older adults to be less physically active, further weakening muscles and increasing their risk of a fall. The home environment plays a significant role. Small hazards, such as loose rugs, dim lighting, and uneven steps, can increase the likelihood of falls.
Entryways: Making Coming and Going Safer
Common Challenges
Steps without railings
Poor lighting
Slippery surfaces
Affordable Modifications
Install sturdy handrails on both sides of stairs
Add bright, motion-sensor lighting
Apply nonslip adhesive strips to outdoor steps
Use a threshold ramp to eliminate tripping hazards at doorways
For someone returning home from the hospital using a walker, even a single step can become a major barrier. A small ramp or rail can make all the difference.
Living Areas: Reducing Tripping Hazards
Everyday Obstacles
Loose throw rugs
Electrical cords across walkways
Cluttered pathways
Low, unstable furniture
Effective Solutions
Remove or secure rugs with nonslip backing
Reroute or tape down cords
Create wide, clear walking paths
Choose chairs with firm cushions and arms to make standing easier
Furniture height matters more than people realize. Chairs that are too low can make standing up difficult, especially after surgery or illness.
Lighting: One of the Most Overlooked Fixes
Poor lighting contributes to many falls.
Helpful Upgrades
Brighter LED bulbs in key areas
Nightlights in hallways and bathrooms
Motion-sensor lights near the bed
Illuminated light switches
Good lighting is one of the least expensive and most effective safety improvements.
Bathrooms: A High-Risk Area
Bathrooms are a leading location for falls because of slippery surfaces and tight spaces.
Low-Cost Improvements
Grab bars near the toilet and inside the shower
Nonslip mats or adhesive strips in the tub
A raised toilet seat
A shower chair
A handheld showerhead
Grab bars in bathrooms can be especially helpful for older adults. Properly installed bars (secured into studs) provide stability when standing or transferring. Contrary to popular belief, many newer models are stylish and discreet.
Bedrooms: Planning for Nighttime Safety
Many falls among older adults occur at night when they get up to use the bathroom.
Simple Adjustments
Bedside lamps within easy reach
Motion-activated floor lighting
A clear, uncluttered path to the bathroom
Bed rails or transfer poles (when appropriate)
After hospitalization, someone may temporarily need additional support getting in and out of bed. Simple equipment can help prevent strain or injury.
Kitchen: Improving Accessibility
In the kitchen, bending and reaching can be hazardous.
Potential Changes
Store frequently used items at waist height
Use pull-out shelves
Add nonslip flooring or mats
Install lever-style faucet handles
For someone with arthritis, lever handles are much easier to operate than traditional knobs.
Preparing for a Hospital Discharge
After returning home from a hospital stay, muscle weakness, medication side effects, and fatigue increase fall risk. Before discharge, it can help to:
Ask for a home safety assessment
Request physical or occupational therapy
Ensure pathways accommodate walkers or wheelchairs
Temporarily rearrange furniture for easier movement
Sometimes a short-term modification, such as renting a hospital bed to use temporarily on the main floor of your home, can help prevent readmission.
Technology That Supports Aging in Place
Though not always necessary, certain devices can add another level of security.
Medical alert systems
Smart doorbells and security cameras
Voice-activated assistants
Automatic stove shut-off devices
These kinds of technology can provide reassurance to both older adults and their family members.
Professional Resources
Many homeowners or their loved ones can handle making minor home improvements. In some cases, you may prefer a professional assessment of risks specific to your loved one and their home.
Consultants with expertise in this particular area include certified aging-in-place specialists (CAPS). These professional remodelers can provide guidance on structural modifications and renovations, ensuring that changes made to the home meet accessibility standards and code.
Geriatric care managers can also prove helpful by connecting families with local occupational therapists, contractors, and financial assistance programs for home modifications.
An assessment is beneficial at any time, but may be especially helpful:
If an older adult has had a recent fall or near-fall
When there has been a significant change in health (e.g., surgery, new diagnosis, decline in mobility)
Before making major, costly renovations to ensure the modifications are effective and necessary
After receiving new mobility equipment, such as a walker or wheelchair, to ensure the home environment can accommodate it safely
The Cost Factor
Making a home safer for aging in place can be affordable, and most homes won’t need all the changes noted above. A few minor changes, such as railings, grab bars, and better lighting, can be highly effective in reducing the risk of falling.
Thinking Ahead, Not Reacting
The best time to modify your home is before a crisis. Waiting until after a fall or hospitalization can limit options and increase stress for you and your loved ones. Aging in place is not just about staying in one’s home but also about remaining safe, comfortable, and independent. With thoughtful planning and modest investments, many older adults can significantly reduce risks and remain in the home they love for years to come.
Additional Reading
For additional reading on topics related to aging in place, check out the following articles:
Home Safety for Aging in Place: A Guide for Older Adults
Is an Independent Living Facility Right for Me?
When to Hire a Home Care Service for an Older Adult
HUD Housing Programs That Support Aging in Place
Getting Help When Providing Care at Home for Aging Parents
Should Aging Parents Live With Their Adult Children?
