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Making the house safer: the changes that matter most
Falls send more older adults to the hospital than anything else. A short list, in order of payoff, with the cheap fixes first.
2 min readUpdated September 26, 2026
Written by Cardinal Care Advisors in Buffalo, New York. Checked against 3 official sources.
This weekend
- Take up throw rugs, or tape them down. This is the single most common cause of falls.
- Night lights from bed to bathroom. Motion-sensor ones cost little.
- Clear paths: cords, magazines, the ottoman that is always in the way.
- A non-slip mat in the tub and a handheld shower head.
- Put the phone and a list of numbers where they sit most.
This month
- Grab bars in the shower and beside the toilet, screwed into studs, not suction cups.
- A raised toilet seat or a shower chair if standing is hard.
- Railings on both sides of any stairs.
- Move daily items to waist height so nobody climbs a stool.
- A medical alert pendant or watch if they are alone for stretches.
An occupational therapist, ordered by a doctor and often covered by Medicare after a hospital stay, can walk the house and write the list for you.
Bigger
A first-floor bedroom and bathroom, a ramp, a walk-in shower. Some of this is covered by Medicaid waiver programs or veterans benefits. An occupational therapist, ordered by a doctor and often covered by Medicare after a hospital stay, can walk the house and write the list for you.
Bring it up at the next doctor visit
The CDC's falls program for clinicians, called STEADI, asks doctors to look at three things: medicines that cause dizziness or sleepiness, vision, and strength and balance. You can ask for the same check. Useful questions:
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Then the plan
In CarePair, the Homeward plan holds the steps with dates, and the care team list holds who to call. An advisor can arrange the assessment.
Why we can say this
We checked this guide against the official pages below. We link only to government agencies and established nonprofits. Each one opens on another website.
- CDC: older adult fall prevention (opens another site)
Facts, a home checklist, and what to ask the doctor.
https://www.cdc.gov/falls/
- CDC STEADI (opens another site)
The CDC's fall prevention program, with materials for older adults and families.
https://www.cdc.gov/steadi/
- Eldercare Locator (opens another site)
Federal service that connects you to local aging programs. 1-800-677-1116.
https://eldercare.acl.gov/
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General information for families in Western New York, written by Cardinal Care Advisors. Not medical or legal advice; a physician, an elder law attorney, or a licensed assessor decides the things that need deciding. Tell us if something here is wrong or out of date: hello@thecardinalgroup.org.