Skip to content

What are the checklist for preventing falls at home?

4 min read

According to the National Institute on Aging, about 60% of falls occur at home. This authoritative checklist details the specific, actionable steps to take for preventing falls at home, ensuring a safer environment for you or your loved ones.

Quick Summary

A home fall prevention checklist involves securing loose rugs and electrical cords, enhancing lighting, installing grab bars in bathrooms, ensuring secure handrails on stairs, and keeping pathways clear of clutter. Addressing personal health factors like vision and footwear is also crucial for overall safety.

Key Points

  • Floors First: Secure or remove all loose rugs, clear clutter from pathways, and repair any loose flooring to eliminate tripping hazards.

  • Enhance Bathroom Safety: Install grab bars in and around the shower, tub, and toilet, and use non-slip mats on all wet surfaces for added stability.

  • Improve Lighting and Visibility: Ensure all areas, especially stairs and pathways, are well-lit. Use nightlights and motion-activated lights for nighttime trips to the bathroom.

  • Wear Proper Footwear: Choose supportive, well-fitting shoes with good traction for wearing both inside and outside the house, and avoid walking in socks or loose slippers.

  • Manage Personal Health Factors: Consult a doctor to review medications, get regular vision and hearing checks, and engage in exercises that improve balance and strength.

  • Use Assistive Devices: Incorporate canes, walkers, and securely mounted grab bars as recommended by a healthcare provider for enhanced support and balance.

In This Article

Your Room-by-Room Fall Prevention Guide

Preventing falls is a critical aspect of senior care and healthy aging, but it requires a systematic approach. A comprehensive checklist helps you assess every room in your home for potential hazards, transforming your living space into a safer haven. By tackling one area at a time, you can effectively reduce the risk of accidents and build confidence in your daily movements.

Clearing and Securing Floors and Pathways

Loose flooring, clutter, and misplaced items are among the most common causes of tripping. A proactive approach to floor safety can dramatically decrease your risk.

  • Clear Clutter: Make a habit of picking up items like books, papers, shoes, and clothing from the floor, especially in high-traffic areas and on stairs.
  • Secure All Rugs: Small, loose throw rugs should be removed entirely. For larger area rugs, use double-sided tape or a non-slip backing to prevent them from slipping or bunching up.
  • Manage Cords and Wires: Tape electrical cords and telephone wires along the walls or use cable concealers to prevent them from becoming a tripping hazard across walkways.
  • Repair Damage: Immediately repair any loose wooden floorboards, torn carpeting, or broken tiles. Ensure smooth transitions between different flooring types.

Creating a Safe Haven in the Bathroom

Bathrooms are notoriously dangerous due to slippery, wet surfaces. A few simple modifications can make a world of difference.

  • Install Grab Bars: Securely mount grab bars inside and outside the shower or tub and next to the toilet. These provide critical support for sitting, standing, and transferring. Do not rely on towel racks, as they are not designed to bear weight.
  • Use Non-Slip Surfaces: Place a non-slip mat with suction cups or install self-stick strips on the floor of the tub or shower. Use a non-slip bathmat on the bathroom floor.
  • Add Seating: Consider a shower chair or bench if standing for long periods is tiring or unsteady. A raised toilet seat with armrests can also aid in safely getting up and down.

Enhancing Stair and Hallway Safety

Stairs and hallways can present major fall risks due to lighting, clutter, and insecure railings. Improving these areas is a top priority.

  • Secure Handrails: Ensure handrails are installed and securely fastened on both sides of the stairs and that they run the full length of the staircase. This offers balanced support when going up and down.
  • Improve Visibility: Mark the top and bottom steps with bright, contrasting-colored tape to enhance visibility, especially for those with poor depth perception.
  • Keep Pathways Clear: Never use stairs or hallways for storage. Keep shoes, laundry baskets, and other items off the steps and out of the walkways.

Brightening Your Living Space with Better Lighting

Poor lighting can obscure hazards and create dangerous shadows. Ensuring every area is well-lit is essential for safe navigation.

  • Strategically Place Nightlights: Install motion-activated or standard nightlights in bedrooms, bathrooms, and hallways to provide clear pathways during nighttime trips.
  • Keep Switches Accessible: Place a lamp or light switch within easy reach of your bed. For stairways, ensure switches are located at both the top and bottom.
  • Use Brighter Bulbs: As we age, we often need brighter lighting to see clearly. Use high-wattage, non-glare bulbs in crucial areas.

Fall Prevention Comparison: Low-Cost vs. Higher-Investment Solutions

Feature Low-Cost Solution Higher-Investment Solution
Rugs Remove all throw rugs or use double-sided tape on area rugs. Purchase high-quality, low-pile carpeting with built-in non-slip backing.
Bathroom Use non-slip mats and a portable shower chair. Professionally install sturdy grab bars, a permanent shower bench, or a roll-in shower.
Stairs Mark step edges with contrasting-colored tape. Install professionally fitted handrails on both sides or a stairlift for significant mobility issues.
Lighting Place inexpensive nightlights throughout the house and use brighter bulbs. Install motion-sensor or voice-activated smart lighting systems.
Storage Rearrange items to keep frequently used ones at waist height. Install pull-out drawers and customized shelving in kitchens and closets.

Personal Wellness and Assistive Devices

Beyond home modifications, personal health and habits play a significant role in fall prevention.

  • Prioritize Regular Exercise: Participate in exercises that improve balance, strength, and coordination, such as Tai Chi, walking, or water aerobics. Consult a physical therapist for a personalized exercise program.
  • Review Your Medications: Have your doctor or pharmacist review all your medications, including over-the-counter drugs, annually. Some medications can cause dizziness or drowsiness that increases fall risk.
  • Check Vision and Hearing: Schedule annual eye exams and update your glasses prescription. Poor vision can impair depth perception. Dizziness can also be linked to hearing loss, so regular checks are vital.
  • Wear Proper Footwear: Always wear well-fitting, sturdy shoes with good traction inside and outside the house. Avoid walking in socks on bare floors, wearing loose-fitting slippers, or going barefoot.
  • Consider Assistive Devices: A healthcare provider may recommend a cane or walker to aid with stability. For reaching, use a sturdy step stool with a handrail, not a chair.

When to Seek Professional Assistance

While this checklist provides a strong foundation, some situations require professional expertise. For complex home modifications like installing permanent ramps, wider doorways, or advanced electrical work, consult licensed professionals. If a loved one experiences frequent falls or exhibits significant balance issues, a physical therapist can offer a balance assessment and tailored plan.

Conclusion: A Proactive Approach for Lasting Safety

An in-depth fall prevention checklist is a powerful tool for maintaining safety and independence at home. By diligently addressing environmental hazards, from slippery bathroom floors to cluttered pathways, and staying on top of personal health factors, you can significantly lower the risk of falls. Making these simple, consistent changes creates a secure environment, allowing you or your loved ones to move with greater confidence and peace of mind. For more information, visit the National Institute on Aging website.

Remember that fall prevention is an ongoing process, not a one-time fix. Revisit this checklist every few months to ensure your home remains a safe space.

Frequently Asked Questions

While there isn't one single action that fits all, addressing floor hazards like securing or removing throw rugs and clearing pathways is arguably the most impactful and easiest step to take. Poor lighting is also a top priority for most experts.

It's a good practice to go through the checklist at least once every three to six months. You should also reassess your home after any significant life changes, such as a new medication that affects balance or vision, or following a remodel.

No, suction-cup grab bars are generally not recommended for fall prevention. They can lose suction and detach unexpectedly under pressure. Always opt for professionally installed, securely mounted grab bars that are anchored into wall studs.

Yes, exercise is one of the most effective ways to prevent falls. Activities like Tai Chi, walking, and specific balance and strength training programs can significantly improve muscle strength, coordination, and stability, reducing your fall risk.

The best shoes are well-fitting, sturdy, and have good traction. They should have low heels and rubber or textured soles. Avoid walking in socks on bare floors, or wearing floppy slippers that can increase the risk of a trip or slip.

If a second handrail isn't possible, ensure the single existing one is securely mounted. Use contrasting-colored tape on step edges to improve visibility. Install brighter lighting with switches at both ends, and make sure to never leave clutter on the stairs.

Generally, standard Medicare does not cover home modifications like grab bars or ramps. However, some Medicare Advantage plans may offer supplemental benefits that can help with specific home safety improvements. It is best to check with your specific plan for details.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.