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Home Care Safety
Ensuring Safety for Home Care Recipients

Improving the safety of the home, you can reduce a senior's risk for falls and other accidents contributing to health hazards that result in severe injuries.

Keeping seniors safe at homes means they can live more independently for longer.

Home Safety and Care Tips

The primary home hazards that put seniors' health at risk are:

  • Falls
  • Scams
  • Nutrition
  • Neglect and Abuse
  • Fire

Caring for seniors requires particular attention to details. Did you know that an 85-year-old requires about three times as much light as a teenager?

It's difficult to know if a senior is safe at home without understanding the obstacles to safety. With the following information, you're given simple, and real actions to take that helps support your loved one to remain safe and independent at home.

Home Care Safety

Keep Loved Ones Safe at Home
Keep Loved Ones Safe at Home

Most aging adults prefer living in their own home. To make it happen, create and carry out a safe living environment that removes hazards and threats. Once a plan is in place, the wish to age in place is possible.


According to the National Institute of Health, six out of 10 falls happen at home. It's where people, especially older adults, spend much of their time. Like most individuals, seniors take the safety at home for granted. They move around freely, giving little thought to the hazards around them. Falls could be prevented by making simple changes in living areas, as well as personal and lifestyle changes.

In Every Room

  • Replace long pile carpet with the a short version.
  • Arrange furniture around the outside edges of the room to clear walking paths.
  • Make rooms well-lit and allow ease of turning on lamps without having to walk through the room in the dark.
  • Raise heights on chair and sofa seating.
  • Keep floors clear of clutter.
  • Eliminate pointed or sharp edges on furniture by replacing it or covering corners with padded materials.
  • Place phones in an area that is easily accessible.
  • Keep medications in an area that's reachable and clearly marked.
  • Make a list of phone numbers in large lettering and place it near all phones.

In the Kitchen

  • Clean up spills right away.
  • Provide grip extension tools for seniors to get things from high shelves.
  • Discourage seniors from using step stools.

In the Bathroom

  • Install non-slip strips or rubber mats in the bathtub.
  • Install railings in the bath and near the toilet.
  • Use a tub seat for showering or bathing.
  • Make sure towels and cords are up off of the floor and clean up any standing water.


  • Inspect handrails on steps and make sure they are secure.
  • Use ice-melting materials on icy sidewalks.
  • Assist seniors when walking on uneven walkways or using stairs.

Fall Risk Factors

  • Impaired vision - Glaucoma and cataracts significantly impair vision and depth perception.
  • Osteoporosis - Contributes to loss in bone density which increases a person's chances of falling.
  • Lack of physical activity - Leads to decreased muscle tone, poor balance, and impaired flexibility.
  • Medications - Watch for side effects like drowsiness, dizziness and changes in blood pressure.
  • Pets - Tripping over a cat or dog prowling around one's ankles, pets toys, and tangled in a leash.


Rule: Never underestimate the cleverness of scammers and criminals.

According to the Federal Bureau of Investigation (FBI), the threat to seniors grows and changes. Since the elderly population is on the rise, the criminals modify targeting techniques; telephone calls, mass mailings and online scams like phishing. It's a practice to trick someone to give secret bank information by sending an e-mail that mirrors one from the bank.

***Criminals (targeting elderly) are increasingly located outside the U.S., making it difficult for American law enforcement to track them down.

Leading Senior Scams

  • Identity theft - Finding personal information in dumpsters, phishing, address changes
  • Health insurance frauds - Rolling lab schemes, medical equipment, Medicare fraud, counterfeit prescription drugs
  • Home repair schemes
  • Foreign Lottery and Sweepstakes fraud
  • Advance fee and Credit card frauds
  • Investment fraud
  • Charity schemes

Tips to Avoid Senior Scams

  • Join Do-Not-Call Registry
  • Shred sensitive documents
  • Call Better Business Bureau on suspicious phone calls or mail
  • Do Not give out personal information over the phone to unknown persons
  • Monitor your bank and credit card statement for unauthorized transactions
  • Do Not give money or credit card information over the phone
  • Check on charities asking for money - call the State Attorney General Office
  • Learn about email and phishing schemes
  • Pay close attention to telemarketing, Internet, phone and mail schemes
  • Check your credit report at least once a year
  • Protect your Social Security number, account numbers and passwords

Top Reasons Seniors are Targets

  • They're retired and less mobile
  • They're isolated
  • They're lonely
  • Some live with dementia
  • They have money, property, life savings and other assets


Healthy Eating
Healthy Eating

Seniors at home eating alone, find it difficult to eat healthy meals. Shopping and cooking hindered with dexterity, mobility and balance, make meal planning a challenge and too much trouble.

Their food choices are frozen meals, snacks, and take-out. As a result, the food's loaded with sodium, cholesterol, and sugar; low in vitamins, minerals and protein.

If one lives with chronic illnesses like diabetes, high blood pressure, weight and high cholesterol, their health is negatively affected. According to the National Institute on Aging, older adults can make wise food choices and learn about food labels, food safety, meal planning, food shopping, and ways to enhance nutritious eating.

Better Food Choices


  • Dark Greens veggies; broccoli, salads greens, and cooked greens
  • Orange veggies: carrots and sweet potatoes
  • Dried beans; pinto, black, kidney beans and lentils
  • Fruits
  • Bananas, berries, grapes and oranges. Fresh and frozen or dried. Eat fruit rather than drinking juice
  • Grains
  • East 3 oz. of whole grain cereals, bread, rice, crackers or pasta every day
  • Eat cereals with B12


  • Low fat or lean meats and poultry
  • Bake, broil, grill
  • Vary choices to include fish, dried beans, seeks, tofu, nuts.


  • Low-fat or fat-free milk, yogurt


  • 8 glasses a day

Make better food choices

USDA MyPlate for Older Adults

Health Eating After Fifty

  • Eat many different colors and types of vegetables and fruits.
  • Make sure at least half of your grains are whole grains.
  • Eat only small amounts of solid fats and foods with added sugars.
  • Limit saturated fat (found mostly in foods that come from animals) and trans fats (found in foods like store-bought baked goods and some margarines).
  • Eat seafood twice a week


Neglect and abuse refers to negligent acts by a family member, trusted friend, and service professionals. It causes harm and hurt to a vulnerable elder.

Elder abuse and neglect happens frequently, more than we'd like to admit. To keep your loved one free of harm, learn the signs and act immediately. .

Warning Signs

Financial Exploitation

  • Lack of comforts in one's home
  • Giving excessive gifts or financial reimbursement for needed care and companionship
  • A person's in charge of elder's money but fails to provide for the needs
  • Transferred property, the Power of Attorney, or Will and has little memory how it occurred

Physical Abuse

  • Visible signs of unexplained fractures, bruises, welts, cuts, sores, or burns
  • Unexplained sexually transmitted diseases


  • Lacks food
  • Lacks medical aids like walker, dentures, medications
  • Person with dementia left unsupervised
  • Confined in bed is left without care
  • Cluttered and dirty home
  • Lacks adequate facilities like stove, refrigerator, heating and cooling, plumbing, or electricity
  • Untreated bed sores or pressure ulcers

Protect Seniors

If You Suspect Abuse

Report It. Act to protect seniors by bringing suspected abuse to appropriate authorities.

Contact your local adult protective services agency. For state reporting numbers, call the Eldercare Locator at 1-800-677-1116.


According to the United States Fire Administration, close to 1,100 U.S. citizens over the age of 65 die as a result of a home fire. Leading Causes of fire:

Smoking carelessly

  • Never smoke in bed
  • Put it out at first sign of feeling drowsy
  • Use deep ashtrays and put it all the way out
  • Don't walk away from lit cigarettes and other smoking materials

Cooking safely

  • Never leave cooking unattended.
  • Always wear short or tight-fitting sleeves when cooking
  • Keep towels, pot holders and curtains away from flames.
  • Never use the range or oven to heat your home.
  • Double-check the kitchen before you go to bed or leave the house.

Heating for warmth

  • Keep fire in the fireplace and place a screen large enough to catch flying sparks and rolling logs.
  • Space heaters need space.
  • Keep flammable materials at least three feet away from heaters.
  • Use a space heater that has control features to automatically shut power off, if the heater falls over

Safety tips

  • Install Smoke Alarms
  • Plan out a Home Fire Escape Plan
  • Install Home Fire Sprinklers

Fire prevention information


Publications Office

United States Fire Administration

16825 South Seton Avenue

Emmitsburg, MD 21727


As a home health caregiver or family member, consult with your loved one's physician to learn about more ways to keep loved ones safe at home.

Carol Marak
Carol Marak

After seven years of helping her aging parents, Carol Marak has become a dedicated senior care writer. Since 2007, she has been doing the research to find answers to common concerns: housing, aging and health, staying safe and independent, and planning long-term.