73% of families report needing home modifications | $65,000 average hip fracture cost | A $500 grab bar prevents a $100K nursing home stay

Fall Prevention Home Assessment - National Guide

A fall prevention home assessment is a systematic, room-by-room evaluation of a senior's living environment to identify fall risks. Conducted by trained occupational therapists, physical therapists, or certified aging-in-place specialists, these assessments go far beyond a quick walkthrough. A comprehensive assessment evaluates floor surfaces, lighting levels, stairway safety, bathroom hazards, medication effects, vision issues, footwear risks, and furniture placement - producing a prioritized written report that families can use to guide modifications.

What Fall Prevention Include

Common services and typical national average costs. Actual costs vary by region - use our city pages for local estimates.

Full home walkthrough (all rooms)

Systematic room-by-room hazard identification by a trained specialist.

DIY: Free (use our checklist)  |  Professional: $150-400

Bathroom assessment

Detailed evaluation of bathroom hazards (tub entry, toilet height, grab bar locations).

DIY: Free (use our checklist)  |  Professional: Included

Stairway & entryway assessment

Handrail adequacy, step depth, lighting, and surface traction evaluation.

DIY: Free (use our checklist)  |  Professional: Included

Lighting evaluation

Assess illumination levels, glare, and night lighting adequacy.

DIY: Free (use our checklist)  |  Professional: Included

Written priority report

Prioritized list of modifications with estimated costs and urgency ratings.

DIY: N/A  |  Professional: Included

Follow-up consultation

Review report findings and modification options with assessor.

DIY: N/A  |  Professional: $75-150

Occupational therapy evaluation

OT assessment of both home environment and senior's functional abilities.

DIY: N/A  |  Professional: $200-500

Balance & gait screening

Physical evaluation of fall risk factors related to mobility and balance.

DIY: N/A  |  Professional: $100-300
3M+ Senior fall ER visits per year
$65,000 Average hip fracture cost
40% Never return to independent living after hip fracture
$9,000+ Average monthly nursing home cost

How to Get Started with Fall Prevention

1

Schedule a Professional Assessment

Contact an occupational therapist or CAPS-certified contractor in your city to schedule a home walkthrough. Bring a list of any recent near-falls or balance issues your parent has experienced.

2

Review the Written Report

A good assessment produces a prioritized written report with specific recommendations. Use this to create a modification plan, starting with the highest-priority items like bathroom grab bars and stair handrails.

3

Act on the Priorities

Don't let the report sit in a drawer. Schedule the highest-priority modifications within 2 weeks of the assessment. Many critical modifications (grab bars, lighting improvements) can be done in a single day in your city.

Free: Fall Risk Home Audit Checklist

Room-by-room checklist to identify fall hazards in your parent's home.

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Frequently Asked Questions

A professional assessment in your city covers all rooms of the home: entrance, living areas, kitchen, bathrooms, bedrooms, and outdoor areas. The assessor evaluates floor surfaces, lighting, furniture arrangement, stairways, bathroom fixtures, and outdoor hazards like steps and walkways.

Occupational therapists (OTs) are the gold standard - they evaluate both the environment and the senior's functional abilities. Certified Aging-in-Place Specialists (CAPS) also provide excellent home assessments. In your city, look for providers with specific fall prevention training and liability insurance.

Professional assessments in your city typically cost $150-400 for a standard assessment. Occupational therapy assessments may be $200-500 but are sometimes covered by Medicare Part B when ordered by a physician after a fall. Some home modification contractors offer free assessments when you commit to a project.

Experts recommend a formal assessment after any fall, after a significant health change (surgery, new medication, illness), and annually for seniors over 75. Environmental risks change as the senior's abilities change, so a home that was safe 2 years ago may not be safe today.

The top hazards found in your city homes are: loose rugs and carpet edges, inadequate bathroom grab bars, poor lighting (especially nighttime), no handrails on outdoor steps, and clutter in walkways. Bathrooms account for 80% of senior fall injuries, making bathroom assessment the highest priority.

Fall Prevention by City

Find certified fall prevention professionals near you. Click your city for local costs, contractor recommendations, and state-specific financial assistance.

New York, NY

1,128,000 seniors · Northeast

Los Angeles, CA

430,000 seniors · West

Chicago, IL

323,000 seniors · Midwest

Houston, TX

208,000 seniors · Southwest

Philadelphia, PA

206,000 seniors · Northeast

Phoenix, AZ

198,000 seniors · Southwest

San Antonio, TX

165,000 seniors · Southwest

San Diego, CA

158,000 seniors · West

Dallas, TX

130,000 seniors · Southwest

Jacksonville, FL

110,000 seniors · Southeast

San Francisco, CA

105,000 seniors · West

San Jose, CA

102,000 seniors · West

Indianapolis, IN

100,000 seniors · Midwest

Charlotte, NC

95,000 seniors · Southeast

Austin, TX

92,000 seniors · Southwest

Columbus, OH

92,000 seniors · Midwest

Fort Worth, TX

90,000 seniors · Southwest

Seattle, WA

90,000 seniors · Northwest

Las Vegas, NV

88,000 seniors · Southwest

Denver, CO

85,000 seniors · Southwest

Portland, OR

83,000 seniors · Northwest

Boston, MA

82,000 seniors · Northeast

Nashville, TN

82,000 seniors · Southeast

Detroit, MI

82,000 seniors · Midwest

Louisville, KY

80,000 seniors · Southeast

Washington, DC

78,000 seniors · Northeast

Memphis, TN

78,000 seniors · Southeast

Baltimore, MD

78,000 seniors · Northeast

Oklahoma City, OK

75,000 seniors · Southwest

El Paso, TX

73,000 seniors · Southwest

Tucson, AZ

72,000 seniors · Southwest

Albuquerque, NM

70,000 seniors · Southwest

Mesa, AZ

70,000 seniors · Southwest

Milwaukee, WI

67,000 seniors · Midwest

Sacramento, CA

62,000 seniors · West

Kansas City, MO

60,000 seniors · Midwest

Colorado Springs, CO

60,000 seniors · Southwest

Virginia Beach, VA

58,000 seniors · Southeast

Fresno, CA

55,000 seniors · West

Omaha, NE

55,000 seniors · Midwest

Miami, FL

55,000 seniors · Southeast

Long Beach, CA

55,000 seniors · West

Tampa, FL

55,000 seniors · Southeast

Honolulu, HI

55,000 seniors · West

Cleveland, OH

53,000 seniors · Midwest

Atlanta, GA

52,000 seniors · Southeast

Wichita, KS

52,000 seniors · Midwest

Raleigh, NC

50,000 seniors · Southeast

Minneapolis, MN

50,000 seniors · Midwest

New Orleans, LA

48,000 seniors · Southeast

All 500 Cities

Find fall prevention in any of our 500 cities.

Aberdeen, SD
Abilene, TX
Akron, OH
Albany, NY
Albany, GA
Albuquerque, NM
Alexandria, VA
Alexandria, LA
Allentown, PA
Amarillo, TX
Ames, IA
Anaheim, CA
Anchorage, AK
Ann Arbor, MI
Annapolis, MD
Antioch, CA
Appleton, WI
Arlington, TX
Arvada, CO
Asheville, NC
Athens, GA
Atlanta, GA
Augusta, GA
Augusta, ME
Aurora, CO
Aurora, IL
Austin, TX
Bakersfield, CA
Baltimore, MD
Bangor, ME
Baton Rouge, LA
Beaumont, TX
Beaverton, OR
Bellevue, WA
Bellevue, NE
Bellingham, WA
Bend, OR
Berkeley, CA
Bethesda, MD
Bethlehem, PA
Billings, MT
Biloxi, MS
Birmingham, AL
Bismarck, ND
Blacksburg, VA
Bloomington, MN
Bloomington, IN
Bloomington, IL
Boise, ID
Bolingbrook, IL
Bossier City, LA
Boston, MA
Bowie, MD
Bowling Green, KY
Bozeman, MT
Bridgeport, CT
Brooklyn Park, MN
Brownsville, TX
Buffalo, NY
Burlington, NC
Burlington, VT
Burnsville, MN
Canton, OH
Cape Coral, FL
Cape Girardeau, MO
Carmel, IN
Carrollton, TX
Carson City, NV
Cary, NC
Cedar Rapids, IA
Champaign, IL
Chandler, AZ
Chapel Hill, NC
Charleston, WV
Charlotte, NC
Charlottesville, VA
Chattanooga, TN
Chesapeake, VA
Cheyenne, WY
Chicago, IL
Cincinnati, OH
Clarksville, TN
Clearwater, FL
Cleveland, OH
Clinton Township, MI
Coeur d'Alene, ID
Colorado Springs, CO
Columbia, SC
Columbia, MO
Columbus, OH
Columbus, GA
Columbus, SC
Columbus, MS
Concord, CA
Concord, NC
Concord, NH
Coon Rapids, MN
Coral Springs, FL
Corpus Christi, TX
Corvallis, OR
Costa Mesa, CA
Council Bluffs, IA
Covington, KY
Dallas, TX
Davenport, IA
Dayton, OH
Daytona Beach, FL
Dearborn, MI
Decatur, IL
Deltona, FL
Denton, TX
Denver, CO
Des Moines, IA
Des Plaines, IL
Detroit, MI
Dothan, AL
Dover, DE
Downey, CA
Dubuque, IA
Duluth, MN
Durham, NC
Eagan, MN
Eau Claire, WI
Edison, NJ
El Monte, CA
El Paso, TX
Elgin, IL
Elizabethtown, KY
Elk Grove, CA
Elko, NV
Elyria, OH
Erie, PA
Escondido, CA
Eugene, OR
Evanston, IL
Evansville, IN
Everett, WA
Fairbanks, AK
Fargo, ND
Fayetteville, NC
Fayetteville, AR
Federal Way, WA
Fishers, IN
Flagstaff, AZ
Flint, MI
Florence, SC
Fontana, CA
Fort Collins, CO
Fort Lauderdale, FL
Fort Myers, FL
Fort Smith, AR
Fort Wayne, IN
Fort Worth, TX
Frankfort, KY
Franklin, TN
Frederick, MD
Fredericksburg, VA
Fremont, CA
Fresno, CA
Frisco, TX
Gainesville, FL
Gainesville, GA
Gaithersburg, MD
Garden Grove, CA
Garland, TX
Gary, IN
Gastonia, NC
Gilbert, AZ
Glendale, AZ
Glendale, CA
Grand Forks, ND
Grand Island, NE
Grand Prairie, TX
Grand Rapids, MI
Great Falls, MT
Green Bay, WI
Greensboro, NC
Greenville, SC
Gresham, OR
Gulfport, MS
Hagerstown, MD
Hamilton, OH
Hammond, IN
Hampton, VA
Harrisburg, PA
Harrisonburg, VA
Hartford, CT
Hattiesburg, MS
Hayward, CA
Helena, MT
Henderson, NV
Hendersonville, TN
Hialeah, FL
High Point, NC
Highlands Ranch, CO
Hillsboro, OR
Hilo, HI
Hollywood, FL
Honolulu, HI
Hoover, AL
Houston, TX
Huntington, WV
Huntington Beach, CA
Huntsville, AL
Idaho Falls, ID
Independence, MO
Indianapolis, IN
Inglewood, CA
Iowa City, IA
Irvine, CA
Irving, TX
Jackson, MS
Jackson, TN
Jacksonville, FL
Jacksonville, NC
Janesville, WI
Jefferson City, MO
Jersey City, NJ
Johnson City, TN
Joliet, IL
Jonesboro, AR
Joplin, MO
Juneau, AK
Kailua, HI
Kalamazoo, MI
Kalispell, MT
Kansas City, MO
Kansas City, KS
Kearney, NE
Kenner, LA
Kennewick, WA
Kenosha, WI
Kent, WA
Kettering, OH
Killeen, TX
Kingsport, TN
Kirkland, WA
Kissimmee, FL
Knoxville, TN
La Crosse, WI
Lafayette, LA
Lake Charles, LA
Lake Havasu City, AZ
Lakeland, FL
Lakewood, CO
Lakewood, WA
Lakewood, OH
Lancaster, CA
Lansing, MI
Laredo, TX
Las Cruces, NM
Las Vegas, NV
Lawrence, KS
Layton, UT
League City, TX
Lee's Summit, MO
Lexington, KY
Lincoln, NE
Little Rock, AR
Livonia, MI
Long Beach, CA
Longview, TX
Lorain, OH
Los Angeles, CA
Louisville, KY
Lubbock, TX
Lynchburg, VA
Macon, GA
Madison, WI
Manassas, VA
Manchester, NH
Manhattan, KS
Maple Grove, MN
Marysville, WA
McAllen, TX
McKinney, TX
Medford, OR
Melbourne, FL
Memphis, TN
Mentor, OH
Meridian, ID
Meridian, MS
Mesa, AZ
Mesquite, TX
Metairie, LA
Miami, FL
Miami Gardens, FL
Midland, TX
Mililani Town, HI
Milwaukee, WI
Minneapolis, MN
Minot, ND
Miramar, FL
Missoula, MT
Mobile, AL
Modesto, CA
Montgomery, AL
Montpelier, VT
Moreno Valley, CA
Morgantown, WV
Mount Pleasant, SC
Murfreesboro, TN
Myrtle Beach, SC
Nampa, ID
Naperville, IL
Naples, FL
Nashua, NH
Nashville, TN
New Haven, CT
New Orleans, LA
New York, NY
Newark, NJ
Newport News, VA
Noblesville, IN
Norfolk, VA
North Charleston, SC
North Las Vegas, NV
O'Fallon, MO
Ocala, FL
Oceanside, CA
Ogden, UT
Oklahoma City, OK
Olathe, KS
Olympia, WA
Omaha, NE
Ontario, CA
Orem, UT
Orlando, FL
Oshkosh, WI
Overland Park, KS
Owensboro, KY
Oxnard, CA
Palatine, IL
Palm Bay, FL
Palm Coast, FL
Palmdale, CA
Parkersburg, WV
Parma, OH
Pasadena, TX
Pasadena, CA
Pasco, WA
Paterson, NJ
Peachtree City, GA
Pearl, MS
Pearl City, HI
Pembroke Pines, FL
Pensacola, FL
Peoria, AZ
Peoria, IL
Philadelphia, PA
Phoenix, AZ
Pierre, SD
Pittsburgh, PA
Plano, TX
Plymouth, MN
Pocatello, ID
Pomona, CA
Pompano Beach, FL
Pontiac, MI
Port St. Lucie, FL
Portland, OR
Portland, ME
Portsmouth, VA
Prescott, AZ
Providence, RI
Provo, UT
Pueblo, CO
Racine, WI
Raleigh, NC
Rancho Cucamonga, CA
Rapid City, SD
Reading, PA
Redmond, WA
Reno, NV
Renton, WA
Richland, WA
Richmond, VA
Richmond, CA
Rio Rancho, NM
Riverside, CA
Roanoke, VA
Rochester, NY
Rochester, MN
Rochester Hills, MI
Rock Hill, SC
Rockford, IL
Rockville, MD
Rocky Mount, NC
Roseville, CA
Roswell, GA
Roswell, NM
Sacramento, CA
Saginaw, MI
Salem, OR
Salina, KS
Salinas, CA
Salt Lake City, UT
San Antonio, TX
San Bernardino, CA
San Diego, CA
San Francisco, CA
San Jose, CA
Sandy, UT
Sandy Springs, GA
Santa Ana, CA
Santa Clara, CA
Santa Clarita, CA
Santa Fe, NM
Santa Rosa, CA
Sarasota, FL
Savannah, GA
Schaumburg, IL
Schenectady, NY
Scottsdale, AZ
Scranton, PA
Seattle, WA
Shoreline, WA
Shreveport, LA
Silver Spring, MD
Simi Valley, CA
Sioux City, IA
Sioux Falls, SD
Skokie, IL
Smyrna, TN
South Bend, IN
Southaven, MS
Southfield, MI
Sparks, NV
Spartanburg, SC
Spokane, WA
Spokane Valley, WA
Spring Hill, FL
Springfield, MO
Springfield, IL
Springfield, OR
Springfield, OH
St. Charles, MO
St. Cloud, MN
St. Joseph, MO
St. Louis, MO
St. Paul, MN
St. Petersburg, FL
Stamford, CT
Sterling Heights, MI
Stockton, CA
Suffolk, VA
Sumter, SC
Sunnyvale, CA
Surprise, AZ
Syracuse, NY
Tacoma, WA
Tallahassee, FL
Tampa, FL
Tempe, AZ
Thornton, CO
Thousand Oaks, CA
Toledo, OH
Topeka, KS
Torrance, CA
Trenton, NJ
Troy, MI
Tucson, AZ
Tupelo, MS
Tuscaloosa, AL
Twin Falls, ID
Tyler, TX
Utica, NY
Vallejo, CA
Vancouver, WA
Victorville, CA
Virginia Beach, VA
Visalia, CA
Waco, TX
Walla Walla, WA
Warner Robins, GA
Warren, MI
Warwick, RI
Washington, DC
Waterbury, CT
Waterloo, IA
Waukegan, IL
Waukesha, WI
West Covina, CA
West Jordan, UT
West Palm Beach, FL
West Valley City, UT
Westminster, CO
Westminster, CA
Wheeling, WV
Wichita, KS
Wichita Falls, TX
Wilmington, NC
Wilmington, DE
Winston-Salem, NC
Woodbridge, NJ
Worcester, MA
Yakima, WA
Yonkers, NY
Youngstown, OH
Yuma, AZ