Aging in place: A guide to home modification

Nearly 90% of adults (opens in new tab) over 65 say they want to age in place rather than move into an assisted living or care facility.

Even though your loved one may be confident in their ability to live at home, simple modifications can help them avoid joining the 1 million U.S. adults (opens in new tab) hospitalized each year for fall-related injuries.

You can implement practical, effective ways to make your loved one’s home safer and reduce risk of injury.

Remove common household hazards

Evaluate the living space by walking through the home and identifying potential risks. Some of the most common causes of in-home falls include:

• Throw rugs — These can bunch up or slide, creating trip risks
• Loose cords — Extension cords across walkways are a major fall hazard
• Cluttered floors — Shoes, bags and other items should be stored off the floor
• High thresholds — Uneven flooring between rooms can cause trips
• Unstable furniture — Wobbly chairs or tables can collapse under weight

Safety modifications you can make now 

• Improve lighting — Dim hallways and staircases increase fall risk. Improve visibility and guide nighttime movement by: replacing light bulbs with bright, non-glare LED lighting; adding motion-sensor night lights; and adding light strips under cabinets and along baseboards
• Add grab bars and railings — Install railings and/or grab bars along staircases for safe movement
• Use nonslip flooring — Mitigate slipping hazards by replacing slippery mats with rubber-backed rugs or vinyl flooring. Also consider adding nonslip strips to stairs and the bottom of the bathtub or shower
• Rearrange furniture — Clear pathways by moving furniture away from walkways. Ensure chairs and tables are sturdy and easy to get in and out of
• Improve bathroom safety — Prevent bathroom falls by installing a walk-in shower, a tub transfer bench, a shower chair and/or handheld shower head. To avoid burns, use anti-scald devices on faucets. Consider raised toilet seats and grab bars for easier use
• Lower storage and appliances — Adjust shelf heights and store frequently used items within easy reach to avoid bending or climbing
• Install emergency alert systems — Medical alert devices and home security systems can provide you and your loved ones peace of mind. Choose systems with wearable help buttons and emergency contact features

When to seek professional help 

While many home modifications are simple, your loved one may eventually need professional support to safely age in place. If your loved one begins to experience mobility challenges, cognitive decline or develops a pattern of falling, consider partnering with:

• Occupational therapists — They can assess the home and recommend personalized safety improvements
• Licensed contractors — For larger projects like installing ramps, widening doorways or remodeling bathrooms
• Home care providers — For ongoing support with daily tasks, medication reminders or mobility assistance

Aging in place is a growing trend — and for good reasons. It allows older adults to stay in the comfort of their own homes, surrounded by familiar routines and loved ones. But safety must come first. With a few thoughtful updates and the right support, you can reduce risks and help your loved one maintain independence and dignity.

AccentCare offers a continuum of care (opens in new tab) to support families and aging adults at every stage of their care journey. Whether your loved one needs short-term help after a hospital stay or long-term support to age safely at home, AccentCare is here to provide you with high-quality, personalized care.