Aging in place: how to make a home safe

Most older adults want to stay in their own home, and with the right changes many can — safely and for years. Falls are the enemy: they’re the leading cause of injury for seniors and the event that most often forces a move. Prevention is mostly cheap and simple.

The whole house

Remove throw rugs and clutter, secure loose cords, and improve lighting — especially on stairs and along the path to the bathroom at night. Add nightlights. Make sure there’s a working smoke and carbon-monoxide alarm, and a way to call for help (a medical alert device is worth it for anyone living alone).

The bathroom — where most falls happen

Install grab bars by the toilet and in the shower (screwed into studs, not suction cups), a non-slip mat, and consider a shower chair and a raised toilet seat. A curbless or walk-in shower removes a common tripping hazard.

Stairs, kitchen, bedroom

Add sturdy handrails on both sides of stairs; consider a stair lift if stairs become a daily struggle. In the kitchen, move everyday items to reachable height to avoid step stools. In the bedroom, keep a lamp and phone within reach and ensure a clear path to the bathroom.

Know when home isn’t safe anymore

Modifications buy time, not immunity. If falls keep happening despite changes, if a parent can’t manage medications or hygiene, or if wandering becomes a risk, home may no longer be the safe choice — those are the signs it’s time for more care. Weigh in-home help against a community with the home care vs. assisted living guide.

This guide is general information, not medical, legal, or financial advice. Rules vary by state and change over time. For personalized, unbiased help, your Area Agency on Aging and your state’s Long-Term Care Ombudsman are free.