Improvements for independence

Improvements for independence
Forward-thinking improvements can prevent falls, which often cause the need for longterm care.

By Administration for Community Living

Being safe and comfortable at home is a large part of living well. Home modifications and repairs can help everyone, especially older adults and people with disabilities, prevent accidents and maintain an independent lifestyle.

Many older adults prefer to stay at home for as long as possible, but too often don’t think about whether a home can adapt to their needs as they age. Making improvements before they are needed is a good way to ensure that a home is ready for aging in place. Forward-thinking improvements can also prevent falls, which often cause the need for longterm care.

Changes can be made to improve both the accessibility and adaptability of a home. Accessibility improvements involve tasks like widening doorways and lowering countertop heights for someone who uses a wheelchair. Adaptability changes, such as adding grab bars in bathrooms, are improvements made to assist persons for whom strength and balance may have become a challenge. These changes usually can be done without a major redesign or full-blown renovation.

You can get started making your home ready for long-term living by conducting a top-to-bottom assessment.

Home assessment

Before making any changes, take a look at the entire home. Keep in mind items that may be needed in the future as well as now. This checklist can help identify areas that might need improvement. Everyone has different needs, but in general, a “no” answer may be cause for action.

• Are exterior walkways and entrances well-lit?

• Is there a step-free entrance to the home?

• Are entrance doors easy to lock, unlock, open and close?

• Does the main floor include a kitchen, bedroom and full bathroom?

• Are doorways wide enough for someone using a wheelchair, walker or service animal?

• Is wall-to-wall carpeting secure, in good condition, and not bunched up?

• Are area rugs secured to the floor with non-slip padding?

• Are walkways free from obstructions and hazards like cords and furniture?

• Do stairways have sturdy handrails on both sides?

• Can bathroom and kitchen cabinets be easily reached?

• Is there a step-free shower entrance?

• Are grab bars available near the shower and toilet?

• Do bathtubs and showers have non-slip mats, adhesive strips or slip-free floors?

• Will smoke detectors provide visual as well as audio alerts?

• Are telephones easily accessible on all floors?

More information about home modifications, including a detailed home assessment checklist as well as information about financial assistance, can be found at and