Keepstead

Aging-in-place home check: leave with a priced plan

A free aging-in-place checklist for a parent's home or your own. Answer 64 plain checks room by room and get a ranked list of fixes, what each costs, and a brief to hand a contractor.

Takes about 25 minutes. Nothing leaves your browser. Not medical advice.

Home check for Home 1

Who lives here?

Tick any that apply. They raise the priority of related hazards; nothing is sent anywhere.

0 of 64 checks answered

Answer a few checks and your plan builds here.

See the ranked plan

needs a fix all clear

Entrance and steps

The front door is where a lot of falls happen: carrying bags, fumbling keys, a wet step at dusk. It is also the route out in an emergency and the route in for paramedics, so a good entrance does two jobs.

  1. Entry steps are solid and even, with no cracks, loose bricks or raised edges

    Broken or uneven steps leading to the front door are a classic trip. Look for any lip of ¼ in or more and for steps of different heights.

    Source: National Institute on Aging

    Entry steps are solid and even, with no cracks, loose bricks or raised edges
    Add a note
  2. There is a sturdy railing beside the entry steps, ideally on both sides

    Grab the rail and lean on it: it should not move. A rail on both sides lets someone with a weaker side always use the stronger hand.

    Source: National Institute on Aging, U.S. Access Board

    There is a sturdy railing beside the entry steps, ideally on both sides
    Add a note
  3. The entrance and its steps are lit at night, ideally by a light that switches on by itself

    Coming home after dark to an unlit step is a common trip. A motion-sensor light means nobody has to remember to leave the porch light on.

    Source: National Institute on Aging

    The entrance and its steps are lit at night, ideally by a light that switches on by itself
    Add a note
  4. Outdoor steps have a non-slip surface

    Painted wood and smooth concrete get slick when wet or icy. Grit strips on each tread fix it for a few dollars.

    Source: National Institute on Aging

    Outdoor steps have a non-slip surface
    Add a note
  5. There is something solid to hold while unlocking the door

    Standing on one foot on a top step while working a key is a balance test. NIA suggests a grab bar beside the front door.

    Source: National Institute on Aging

    There is something solid to hold while unlocking the door
    Add a note
  6. There is a bench or shelf by the door to set bags down

    AARP's HomeFit guide suggests a bench, table or shelf near the door so both hands are free for the lock and the rail.

    Source: AARP Livable Communities

    There is a bench or shelf by the door to set bags down
    Add a note
  7. The door threshold is low (½ in or less) or beveled

    A raised threshold catches toes, walker legs and wheelchair casters. The ADA benchmark is ½ in, or ¾ in with beveled edges.

    Source: U.S. Access Board, AARP Livable Communities

    The door threshold is low (½ in or less) or beveled
    Add a note
  8. At least one entrance can be used without climbing steps

    A zero-step entrance is the first item in AARP's HomeFit guide. If the person uses a wheelchair or struggles with steps, this decides whether they can leave the house at all.

    Source: AARP Livable Communities, U.S. Access Board

    At least one entrance can be used without climbing steps
    Add a note
  9. The front door lock and handle are easy to work, and family can get in without breaking the door

    Small keys and round knobs are hard with arthritis. A keypad lock lets family, carers and paramedics in without a hidden key.

    Source: U.S. Access Board, AARP Livable Communities

    The front door lock and handle are easy to work, and family can get in without breaking the door
    Add a note
  10. The house number is large and visible from the street at night

    If an ambulance cannot find the house, minutes are lost. Fire services ask for numbers at least 4 in tall on a contrasting background, reflective or lit.

    Source: FIRESafe MARIN

    The house number is large and visible from the street at night
    Add a note
Save, load or start over

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How the plan is built

  1. Answer what is true today

    Each check is the safe version of a room ("rails on both sides of the stairs"). Yes, No, Unsure or N/A. Unsure counts at half weight until you look.

  2. Hazards get weighted for the person

    Severity and likelihood from the cited guidance, multiplied up for a walker, low vision, memory changes or a wheelchair, so the plan fits who lives there.

  3. Fixes get ranked by safety per dollar

    Every fix carries a national cost range with its source and date. Free and cheap fixes rise to the top; the budget picker finds the best set for what you can spend.

Room-by-room checklists

Prefer to read first? Each area has its own page with every check, why it matters and what the fixes cost.

What modifications cost

National US price ranges for the common jobs, each with its source and date, and when the job is worth doing.

Frequently asked questions

What is an aging-in-place home assessment?

A room-by-room look at the home for the things that make falls, burns and getting stuck more likely: rugs, dark stairs, a high tub wall, no grab bars. Keepstead walks you through 64 checks drawn from CDC, NIA, ADA and AARP guidance, then turns every "no" into a priced fix.

How much do home modifications for seniors cost?

Many fixes are free (moving rugs, clearing stairs, turning the water heater to 120°F) or under $100 (motion night lights run $40–$53 a 4-pack). Grab bars cost $85–$300 each installed, a straight stair lift $2,000–$8,000 and a tub-to-shower conversion $2,000–$12,000, based on national cost guides checked in October 2026.

Does this replace an occupational therapist or a contractor?

No. It is a planning checklist. An occupational therapist can assess the person and the home together, and a contractor measures and quotes. The plan and the one-page contractor brief make both conversations faster.

Does Medicare pay for home modifications?

Original Medicare generally does not pay for grab bars, raised toilet seats or other home modifications, though Part B covers some prescribed equipment such as walkers and commode chairs. Veterans can apply for VA HISA grants of up to $6,800, and some state Medicaid waivers, USDA Section 504 grants and local Area Agencies on Aging help.

Are home modifications tax deductible?

Possibly. IRS Publication 502 says changes such as ramps, widened doorways, grab bars and handrails usually do not raise a home’s value, so their cost can count as a medical expense. Only total medical expenses above 7.5% of adjusted gross income are deductible, and you must itemize.

What is a CAPS contractor?

A builder or remodeler who has completed the National Association of Home Builders’ Certified Aging-in-Place Specialist courses. Keepstead’s contractor brief includes the questions to ask one.

Where are my answers stored?

Only in this browser. Nothing you type is sent to us. Download a backup file to move your plan to another device or share it with family.

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