Age-in-place home modification

Aging in place means making modifications to your home so you can safely and comfortably live there as you age, rather than moving to a care facility. Research shows that 90% of adults over 65 want to remain in their homes.

51 steps across 8 sections

1. Conduct a Home Safety Assessment

  • Walk through every room evaluating hazards and accessibility
  • Use AARP's HomeFit Guide or hire a Certified Aging-in-Place Specialist (CAPS)
  • Pay special attention to: entryways, bathrooms, kitchen, bedroom, stairways, and outdoor areas
  • Identify tripping hazards, poor lighting, difficult-to-reach storage, and mobility barriers
  • Consider both current needs and anticipated future needs (5-10 years ahead)

2. Address Fall Prevention (Highest Priority)

  • Remove or secure all throw rugs with non-slip backing
  • Eliminate cords and clutter from walkways
  • Create clear, wide pathways (minimum 36 inches, ideally 42+ inches)
  • Install non-slip flooring or non-slip treatments on smooth surfaces
  • Ensure all areas are well-lit, especially stairs and hallways
  • Add contrast strips on stair edges for visibility

3. Modify Bathrooms

  • Install grab bars near toilet, shower, and bathtub (wall-mounted, weight-rated)
  • Replace bathtub with a walk-in shower (zero-threshold/curbless is ideal)
  • Add a shower bench or built-in seat
  • Install a hand-held shower head on an adjustable slide bar
  • Raise the toilet height (comfort-height toilet: 17-19 inches)
  • Replace knob faucets with lever handles
  • Install non-slip mats or textured tile in wet areas
  • Add anti-scald valves to prevent burns

4. Improve Accessibility Throughout

  • Widen doorways to at least 32 inches (36 inches ideal for wheelchair access)
  • Replace round doorknobs with lever handles throughout the home
  • Add ramps or zero-step entries at exterior doors
  • Install stair lifts or consider a home elevator if multi-story
  • Ensure at least one full bathroom is on the main floor
  • Lower light switches and raise outlets for easier access
  • Create 5-foot turning radius in key rooms for wheelchair maneuverability

5. Modify the Kitchen

  • Install pull-out shelves and lazy susans in lower cabinets
  • Lower countertop sections or add a rolling cart at accessible height
  • Replace knob faucets with lever or touchless models
  • Add under-cabinet lighting for better visibility
  • Consider a wall oven at accessible height (vs. bending to floor-level oven)
  • Install D-pull handles on cabinets for easier grip
  • Add anti-tip brackets on the stove

6. Upgrade Lighting and Electrical

  • Install motion-sensor lights in hallways, bathrooms, and entryways
  • Add nightlights along pathways to bathroom
  • Place light switches at room entrances (illuminated or smart switches)
  • Ensure outdoor areas are well-lit (walkways, porches, driveways)
  • Consider smart home systems for voice-controlled lighting
  • Add outlets at accessible heights near beds and chairs

7. Address the Bedroom

  • Ensure the bed is at an appropriate height for easy entry/exit (20-23 inches)
  • Install a bed rail or grab bar for support
  • Place light switches within reach of the bed
  • Ensure clear, wide path from bed to bathroom
  • Consider a hospital-style adjustable bed for medical needs
  • Install adequate closet organization at reachable heights

8. Modify Outdoor Areas

  • Ensure walkways are smooth, level, and well-lit
  • Install handrails along all outdoor steps and ramps
  • Add a covered entry to protect from weather
  • Create a no-step entry to the home (ramp or graded walkway)
  • Install a peephole at seated height and video doorbell
  • Maintain landscaping to keep paths clear

Common Mistakes

  • Waiting until after a fall
  • Only modifying the bathroom
  • Installing grab bars incorrectly
  • Ignoring lighting
  • Not planning for future needs

Pro Tips

  • Start with a professional home assessment — CAPS-certified remodelers provide...
  • "Visitability" modifications (one zero-step entry, one main-floor bathroom, 3...
  • Smart home technology (voice assistants, automated lighting, video doorbells,...
  • Install blocking (reinforcing) behind bathroom walls during any renovation — ...
  • Consider a main-floor master suite renovation if bedrooms are only on upper f...

Sources

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