Making a Home Safe for Aging in Place
A room-by-room checklist to reduce falls and help your loved one stay independent at home for longer.

Most people, given the choice, want to grow older in their own home. Familiar rooms, favorite chairs, and the memories held in the walls all support wellbeing in ways a new setting rarely can. The obstacle is usually not the desire to stay home but the safety of the home itself. Falls are the leading cause of injury for older adults, and the majority happen at home. A thoughtful, room-by-room review can dramatically reduce that risk.
Start with the floors and pathways
Begin where falls begin: underfoot. Walk through the main paths your loved one travels every day and clear them of hazards. The most common culprits are easy to fix once you notice them.
- Remove or secure loose throw rugs, which are a leading trip hazard
- Tuck away cords and clutter from walkways
- Add bright, easy-to-reach lighting, especially between the bed and bathroom
- Consider motion-activated night lights for hallways and stairs
The bathroom deserves special attention
Wet, hard surfaces make the bathroom one of the riskiest rooms in the house. Install grab bars beside the toilet and inside the shower or tub, anchored into studs rather than suction cups. A non-slip mat, a shower chair, and a handheld showerhead make bathing safer and more dignified. Setting the water heater to a safe temperature also prevents accidental burns.
Bedroom and living areas
In the bedroom, make sure a lamp and phone are within reach of the bed, and that the path to the door is clear and lit. A bed at the right height, neither too high nor too low, makes getting up safer. In living areas, arrange furniture so there is a clear, wide path to walk, and choose sturdy chairs with armrests that make standing up easier.
The kitchen and stairs
In the kitchen, move everyday items to waist-height shelves so there is no need to reach high or bend low. Keep a sturdy step stool with a handrail if higher shelves must be used. Staircases should have secure handrails on both sides, good lighting at the top and bottom, and clearly visible step edges. Even a strip of contrasting tape on each edge can prevent a misstep.
Beyond the checklist
Home safety is not a one-time project. Needs change, and a home that was safe last year may need another look this year. It also helps to pair physical changes with the right support. In Adult Foster Care, a nurse and care manager assess the home as part of the plan of care, spot risks a family might overlook, and adjust as mobility changes. A safer home and a supported caregiver together are what make aging in place work over the long run. If you are starting this process, take it one room at a time. Each change you make is a fall that never happens.
Important: this is not medical or legal advice
This article is general educational information about MassHealth programs and home caregiving. It is not medical advice, legal advice, or a determination of eligibility. It does not create a provider-patient relationship. Always talk with the member's physician or licensed clinician about their individual health needs, and confirm program eligibility with MassHealth or your health plan.
The NEHC Care Team
Registered nurses and care managers at New England Healthcare Solutions, writing to help Massachusetts families understand their options for Adult Foster Care, GAFC, and safe aging at home.
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