Home Safety Checklist for Seniors

    A room-by-room safety audit for Houston families. Falls are the leading cause of injury-related death among older adults in Texas — most of them are preventable.

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    Critical — address immediately Important — address soon Nice to have

    Throughout the Home

    Remove all loose rugs and mats, or secure them with non-slip backing

    Critical

    Clear all walkways and hallways of clutter, furniture, and electrical cords

    Critical

    Install nightlights in every room, hallway, and staircase

    Critical

    Ensure all stairways have sturdy handrails on both sides

    Critical

    Check that all doors open and close easily — no sticking or difficult handles

    Important

    Ensure phone or emergency call device is accessible from multiple rooms

    Critical

    Store emergency numbers (doctor, pharmacy, poison control) in a visible place

    Important

    Check smoke detectors and carbon monoxide detectors are working

    Critical

    Review lighting — replace dim bulbs with brighter ones throughout

    Important

    Consider a medical alert system (e.g. LifeAlert) if living alone

    Important

    Bathroom

    Install grab bars beside the toilet — not towel bars, which are not weight-bearing

    Critical

    Install grab bars inside and outside the shower or tub

    Critical

    Place non-slip mat inside the shower/tub and on the bathroom floor

    Critical

    Consider a shower chair or bench for those with balance issues

    Critical

    Set water heater to 120°F or below to prevent scalding

    Critical

    Ensure toilet seat is at a comfortable height — raised toilet seat if needed

    Important

    Keep frequently used items within easy reach — no climbing or reaching high

    Important

    Ensure bathroom door can be opened from the outside in an emergency

    Important

    Kitchen

    Move frequently used items to easy-reach shelves (waist to shoulder height)

    Important

    Install a stove knob cover or automatic shut-off device if stove use is unsafe

    Critical

    Keep a fire extinguisher accessible and ensure your loved one knows how to use it

    Critical

    Ensure adequate lighting over work surfaces and the stovetop

    Important

    Remove or secure step stools — falls from step stools are common and serious

    Critical

    Consider an automatic kettle or single-serve coffee maker to reduce burn risk

    Important

    Keep the floor dry — place a non-slip mat in front of the sink

    Important

    Label food clearly with dates if your loved one has memory concerns

    Nice to have

    Bedroom

    Ensure a clear, unobstructed path from the bed to the bathroom

    Critical

    Place a nightlight on the path from the bed to the bathroom

    Critical

    Bed should be at a height that allows feet to rest flat on the floor when sitting

    Important

    Keep a phone or call device within reach from the bed

    Critical

    Ensure medications are clearly labeled and stored safely

    Critical

    Remove or secure any furniture with sharp corners near the bed

    Nice to have

    Consider bed rails if fall risk from bed is a concern

    Important

    Ensure windows have secure latches — especially for those with dementia

    Important

    For Those with Dementia

    Install door alarms or chimes on all exit doors to alert when opened

    Critical

    Consider door knob covers or deadbolts at eye level to deter wandering

    Critical

    Remove or secure stove controls if cooking is no longer safe

    Critical

    Lock medications, cleaning products, and sharp objects in secured cabinets

    Critical

    Consider a GPS tracker device or ID bracelet in case of wandering

    Critical

    Label rooms clearly with pictures if the person gets disoriented

    Important

    Cover mirrors if the person becomes distressed by their reflection

    Nice to have

    Reduce visual complexity — remove clutter, busy patterns that can cause confusion

    Important

    Want a Professional Home Safety Assessment?

    Our care coordinator — a registered nurse — will walk through your loved one's home and identify risks you may have missed. It's free, no obligation, and could prevent a life-changing accident.