More than 1 in 4 older adults fall each year, but most falls are preventable. A few specific, immediate changes reduce risk meaningfully - before any care plan is even in place.
Why falls happen
Falls are rarely caused by one thing. Common contributing factors include muscle weakness, vision changes, medication side effects (dizziness, low blood pressure), poor lighting, and home hazards like loose rugs or clutter. Identifying which of these apply to your loved one is the first step.
Source: CDC, STEADI Older Adult Fall Prevention.
A room-by-room walkthrough
Bathroom
Grab bars near the toilet and in the shower, a non-slip mat, and a raised toilet seat if needed.
Stairs & hallways
Handrails on both sides, bright lighting, and no loose rugs at the top or bottom.
Bedroom
A clear path to the bathroom, a nightlight, and a phone or call button within reach of the bed.
Kitchen & living areas
Frequently used items within easy reach — no step stools needed — and cords kept away from walkways.
If a fall has already happened
See a doctor even if there's no obvious injury — falls are often a symptom of something else (medication interaction, infection, vision change) worth investigating. Ask specifically about a fall-risk medication review.
A second fall significantly raises the risk of a serious injury. If it's happened more than once, it's worth having an honest conversation about additional support — even a few hours of help can meaningfully reduce risk.
When to consider additional support
Repeated falls, falls with injury, or a fall combined with living alone are all signs that in-home support - from a few hours a week to overnight supervision - may meaningfully improve safety.