Home Safety Checklist for Aging Adults: Room-by-Room Guide

Most older adults want to remain in their own homes as long as possible — and with the right modifications, many can do so safely. The key is identifying and addressing hazards before an accident occurs.

Use this room-by-room checklist to assess your loved one's home. Check off each item that is already in place, and make a plan to address anything that isn't.

• All walkways and hallways are clear of clutter, cords, and obstacles
• Flooring is in good repair — no loose boards, torn carpet, or uneven surfaces
• Adequate lighting in all rooms, hallways, and staircases
• Night lights installed between bedroom and bathroom
• Emergency numbers (doctor, pharmacy, family contacts) posted near the phone
• Smoke detectors and carbon monoxide detectors installed and tested
• Fire extinguisher accessible and not expired
• Emergency exit plan established and practiced

• Steps are in good repair with no loose boards or uneven surfaces
• Handrails on both sides of all staircases, extending the full length
• Outdoor steps and walkways are well-lit
• Non-slip strips on outdoor steps
• Entry area is clear of clutter and easy to navigate
• Consider a ramp if steps are a significant barrier

• Furniture arranged to allow clear pathways
• Low coffee tables or ottomans that could be tripped over are repositioned or removed
• Rugs have non-slip backing or are removed
• Electrical cords are secured and out of walkways
• Frequently used items (remote, phone, glasses) are within easy reach
• Chairs and sofas are at a height that makes sitting and standing easy

• Frequently used items stored at waist height — not overhead or on low shelves
• Non-slip mat in front of the sink
• Stove knobs are easy to see and operate
• Automatic stove shut-off device installed if there is a history of forgetting
• Step stool with handrail available if overhead storage is needed
• Adequate lighting over work surfaces

• Grab bars installed beside the toilet and inside the shower/tub
• Non-slip mat inside the shower or tub
• Non-slip bath mat on the floor outside the tub/shower
• Shower chair or bench available if needed
• Handheld showerhead installed
• Water heater set to 120°F or below to prevent scalding
• Nightlight installed for nighttime use
• Medications stored safely and organized

• Bed is at a comfortable height for getting in and out
• Nightlight or lamp within easy reach of the bed
• Phone or medical alert device accessible from the bed
• Clear path from bed to bathroom
• Clothing and frequently used items stored at accessible heights
• Bed rails or transfer handles if needed for getting in and out of bed

• Walkways and driveways are in good repair and free of cracks or uneven surfaces
• Outdoor lighting is adequate
• Steps have handrails and non-slip surfaces
• Garden hoses and tools are stored away from walkways
• Mailbox is accessible without navigating hazardous terrain

• Medical alert system (wearable button) in place for seniors who live alone
• Emergency contacts list is current and accessible
• Medications are organized and accessible
• Healthcare provider contact information is posted prominently
• Neighbor or family member has a key and checks in regularly

If you identified several items that need attention, prioritize the bathroom and staircase first — these are where most falls occur. Many modifications are inexpensive and can be completed in a weekend.

For a professional home safety assessment, a home care coordinator or occupational therapist can walk through the home with you and recommend specific modifications based on your loved one's needs and abilities.

Embracing Love Home Care offers home safety assessments as part of our care planning process. Call 772-266-3099 to schedule a free consultation for families in the Treasure Coast and Palm Beaches.