Aging in Place: Home Modifications That Help
Most older adults want to stay in their own homes as they age. Learn which home modifications can make that easier, from simple fixes to larger renovations, and how to pay for them.
The short version
- Simple changes like grab bars, lever handles and better lighting can make a big difference.
- Larger projects, like zero-step entries and first-floor bathrooms, take planning.
- An occupational therapist can assess your home and recommend changes.
In this guide
Many older adults want to remain in their own homes and communities for as long as possible, a goal often called aging in place. Thoughtful home modifications can make daily activities safer and easier, whether you are planning ahead or responding to changing needs.
Start with an assessment
An occupational therapist (OT) can visit your home, watch how you move through daily routines and recommend specific changes. Ask your doctor for a referral; Medicare may cover OT services in some circumstances. Some Area Agencies on Aging also offer home safety assessments.
Think about which activities are becoming harder, such as climbing stairs, getting in and out of the shower, reaching high shelves or opening doors.
Simple, low-cost changes
- Grab bars in the bathroom near the toilet and in the tub or shower
- Lever-style door handles and faucets, which are easier to use than knobs
- Brighter lighting, motion-sensor lights and night lights
- Non-slip mats and removal of throw rugs
- Handrails on both sides of stairs
- Raised toilet seat or toilet safety frame
- Shower chair and handheld showerhead
- Rocker light switches, which are easier to press than traditional switches
- Pull-out shelves and lazy Susans in cabinets
- Reachers and grabbers for picking up items
Moderate projects
- Walk-in shower with a low or no threshold, replacing a tub
- Comfort-height toilet
- Wider doorways to accommodate a walker or wheelchair
- Stair lift for multi-level homes
- Lowered countertops or a work surface where you can sit
- Front-loading washer and dryer on pedestals
- Smart home devices, such as voice-controlled lights, thermostats and doorbell cameras
Larger renovations
- Zero-step entry or a ramp at the front or side door
- First-floor bedroom and full bathroom, so you can live on one level
- Accessible kitchen with varied counter heights and easy-to-reach storage
- Home elevator in some cases
Universal design principles
Universal design means creating spaces that work well for people of all ages and abilities. If you are remodeling anyway, consider features like wider hallways, no-step entries and lever handles, which make a home easier to live in now and later.
Paying for modifications
- Area Agencies on Aging may know of local grants or low-cost repair programs.
- USDA Rural Development offers home repair loans and grants to eligible low-income homeowners in rural areas.
- Medicaid waiver programs in some states cover certain modifications for eligible people.
- Veterans may qualify for grants through the Department of Veterans Affairs.
- Nonprofit organizations, such as Rebuilding Together, provide free repairs and modifications for eligible homeowners in many communities.
- Medicare Advantage plans sometimes offer limited benefits for safety items, such as grab bars.
Choosing a contractor
- Look for contractors with experience in accessibility or a Certified Aging-in-Place Specialist (CAPS) designation.
- Get several written estimates.
- Check licenses, insurance and references.
- Never pay the full amount upfront.
- Be wary of contractors who show up uninvited or pressure you to decide quickly.
Services that support aging in place
Home modifications work best alongside services such as meal delivery, transportation, home care and caregiver support. Your local Area Agency on Aging can help you find these. Call the Eldercare Locator at 1-800-677-1116.
