Making Your Home Safe for at Home Care: Room-by-Room Checklist

Home care allows patients to maintain their independence while living in the comfort of their own home. However, creating a safe environment requires thoughtful planning and strategic modifications. The good news? Many home safety improvements are simple, affordable changes (and oftentimes free) that can reduce fall risks and enhance daily living.

It’s also pertinent to mention that many of these home modifications are covered by case managers and waivers.

This comprehensive room-by-room checklist will help you transform your home into a secure haven for those healing or aging at home.

 

Entryways and Hallways

Lighting and Visibility

Ensure light switches are easily accessible at both ends of hallways. Consider replacing standard switches with rocker-style switches that are easier to operate for those with limited dexterity. Using nightlights or leaving on certain lights in heavy use spaces are worth the extra couple of dollars on an electric bill.

Flooring and Pathways

Remove or secure area rugs that can create tripping hazards. Install non-slip strips on smooth surfaces and ensure all carpeting is tightly secured. Keep pathways clear of furniture, electrical cords, and clutter. Consider contrasting tape on step edges to improve visibility.

Handrails and Support

Install sturdy handrails on both sides of staircases, extending them beyond the first and last steps. Ensure railings are 34-38 inches high and can support at least 250 pounds. Add grab bars near entryways where additional support might be needed.

 

Kitchen

Storage and Accessibility

Reorganize cabinets to keep frequently used items at waist level, eliminating the need for reaching overhead or bending low. Install pull-out shelves and lazy Susans to improve access to back corners. Use lever-style handles on cabinets and drawers instead of knobs.

Appliance Safety

Install automatic shut-off devices on stoves and ensure smoke detectors are working properly. Place fire extinguishers or fire blankets in easily accessible locations and ensure family members know how to use them.

Lighting and Workspace

Install under-cabinet lighting to illuminate work surfaces and reduce shadows. Ensure the kitchen has bright, even lighting throughout. Consider motion-activated lights for nighttime navigation.

 

Bathrooms

Slip and Fall Prevention

Install grab bars near the toilet, in the shower, and by the bathtub – professionally installed bars that can support 300+ pounds. Add non-slip mats inside and outside the shower or tub. Consider replacing traditional bathtubs with walk-in showers or installing shower seats. Shower seats that are not installed but placed in the shower are more affordable and are very common (and often covered by insurance or waivers.)

Accessibility Improvements

Raise toilet seats or install elevated toilet seats to reduce strain when sitting and standing. Replace traditional faucets with lever-style handles. Install shower benches or chairs for safe bathing. Consider handheld showerheads for easier use.

Lighting and Ventilation

Ensure bright, even lighting throughout the bathroom. Install night lights for safe nighttime navigation. Improve ventilation to prevent moisture buildup that can create slippery surfaces.

Bedrooms

Sleep Safety

Ensure beds are at appropriate height – feet should touch the floor when sitting on the edge. Install bed rails if needed for support getting in and out of bed. Keep a phone and flashlight within easy reach of the bed.

Clothing and Storage

Organize closets so frequently used items are easily accessible. Install pull-down closet rods or lower hanging bars. Use well-lit, easily accessible dressers instead of high shelving.

Emergency Preparedness

Install bedside lighting with easy-to-reach switches. Consider motion-sensor night lights for safe navigation to the bathroom. Keep emergency supplies and medications easily accessible.

 

Living Areas

Furniture Arrangement

Create clear, wide pathways through living spaces. Ensure furniture is sturdy and at appropriate heights for easy sitting and standing. Remove low coffee tables and ottomans that pose tripping hazards.

Technology and Communication

Install phones in multiple locations throughout the home. Consider medical alert systems for emergency situations. Ensure television and lighting controls are easily accessible from seating areas.

Comfort and Support

Provide adequate seating with firm cushions and armrests for support when standing. Ensure reading areas have bright, adjustable lighting. Keep frequently used items within easy reach. There are also chairs that tilt to assist with sitting down and standing up.

 

Creating Your Safety Plan

Start with the most critical areas – typically the bathroom and main pathways – then work through other rooms systematically. Remember, don’t try to do this all at once. Many modifications can be completed as DIY projects, while others may require professional installation for safety and effectiveness.

Consult with your case manager to see what’s covered by Medicaid and consider consulting with occupational therapists who specialize in home safety assessments. They can provide personalized recommendations based on specific mobility needs and health conditions.

With the right safety modifications and professional home care support when needed, home care becomes a viable, rewarding option that keeps families together while ensuring safety and comfort for years to come.

About the Author

Where are you located?