Aging in Place

What is Aging in Place?

Aging in Place is the concept of living out one's life in his/her own home and/or community.  Aging in Place does not necessarily mean that someone cannot move, but it is the act of thoughtfully considering and deliberately deciding where to live out one's life  - whether in a specific home or location, and then planning and taking action to ensure one's living environment is suitable to support this decision throughout all life stages.

Some advantages of creating an early roadmap of how and where elders want to live out their lives are that family members are given the opportunity to:

  • fully understand their elder's wishes and preferences

  • voice concerns

  • work through practical and emotional issues, and

  • collectively agree on the role each family member will play  

This is a proactive step in the aging process.

Aging in Place Checklist

What makes a home suitable for aging in place?

  • Suburban or near suburban location

  • Ideally 1 level with a 2 car garage OR a primary bedroom and bathroom on the main floor

  • Adaptability of home to make necessary Aging in Place updates

Preparing to Age in Place can take time, particularly if a home needs to be modified to make it suitable for ongoing living. Below is a checklist for the types of updates one may consider when adapting a home to age in place.  Note that this list is comprehensive and not all updates will be necessary.  The cost of updates will be largely dependent on the home and changes to walls, plumbing or electrical work:

Bathroom:

  • Tub and shower controls offset

  • Light in shower stall

  • Shower stall with low or no threshold, trench drain

  • Fold-down shower seat

  • Hand-held shower head with 6’ hose

  • Lift or transfer seat for bathtub

  • Lower bathtub for easier access

  • Grab bars at back and sides of shower, tub, and toilet, or wall- reinforcement for later installation

  • Adapter to raise toilet seat 21⁄2”–3” higher than standard

  • Turnaround and transfer space for walker or wheelchair (36” x 36”)

  • Knee space under sink and vanity

  • Counters at sit-down height

  • Emergency alert or call button 

Faucets Switches and Controls:

  • Temperature-controlled or anti-scald valves for faucets ˆ Lever faucet handles

  • Easy-to-read, pushbutton controls

  • Lever door handles

  • Loop drawer handles

  • Easy-to-read, programmable thermostat

  • Rocker light switches at each room entry

  • Lighted switches in bedrooms, bathrooms, and hallways ˆ Light switches at 42” from floor

  • Electrical outlets 15”–18” from floor

  • Front controls on cooktop 

Entry and Stairs:

  • At least one entry without stairs

  • 36”-wide doorway with offset hinges

  • Side window at entrance or lowered peephole

  • Handrails on both sides of stairs

  • Outside stair height below 4”

  • Contrasting strip on stair edge

  • Ramp slope of no more than 2” per 12” in length, 2” curbs, 5’ landing at entrance

  • Low (maximum 1⁄2” beveled) or no threshold

  • No mats or throw rugs

  • Exterior sensor light focused on door lock

  • Surface inside doorway for placing packages

  • Audible doorbell

  • Flashing porch light 

Kitchen:

  • Cabinets with pull-out shelves and turntables

  • Wall cabinets set below (about 3”) standard height

  • Glass cabinet doors or open shelving

  • Easy-to-grasp cabinet knobs, pulls, or loop handles

  • Task lighting under cabinets

  • Electric cooktop with front controls and hot-surface indicator

  • Microwave at counter height

  • Wall oven or side opening oven door at counter height

  • Counter space for transferring items from refrigerator, oven, sink, and cooktop

  • Contrasting color strip on counter edges

  • Side-by-side refrigerator/freezer with adjustable upper shelves and
    pull-out lower shelves, or a freezer drawer on the bottom

  • Raised dishwasher

  • Variety in counter height—some at table height (30”)—under-counter seated work area

  • Gas sensor near gas appliances 

Home Design and Layout:

  • Easy-open windows with low sills

  • Color contrast between walls and floors, matte finish wall coverings

  • Adequate, accessible storage

  • Wide halls and doorways (interior doors and hinges can be removed)

  • “Flex room” for family visits or live-in care provider

  • Attached garage with opener or covered carport, room for wheelchair loading

  • Smoke and carbon monoxide detectors

  • Low-vision adaptations:

    • Anti-glare glass

    • Stick-on, tactile markers on controls ˆ Contrasting color switch plates

    • Electrical-plug pullers 

What Makes a Community or Neighborhood Suitable for Aging in Place?

The AARP offers a list of the following community attributes that support continued independent living for older adults and might make it an ideal location to age in place:

  • Fitness: well-run community centers, recreation centers, parks, walking trails and paths, wellness facilities and other places where people can socialize and participate in public meetings and events

  • Community and Activities: churches, employment opportunities, volunteer opportunities, popular activities and hobbies, cultural and educational institutions, and opportunities for civic engagement

  • Transportation: dependable public transportation as well as the availability of safe and convenient transportation options (such as easily accessed rides from friends and family); proximity to airport, parking options roads, sidewalks and traffic volume

  • Medical: health care facilities, doctors, hospitals, clinics, specialists and emergency services nearby

  • Market: Range of housing options including affordable housing, elsewhere in the community if the resident wants to leave the current home

  • Services: Close to shopping, internet and restaurants

For many people, where they live at retirement - in either a their community or their home - is where they want to live out their lives.  

However, the choice of where and how to age in place often depends on the individual's health and support needs, as well as other factors such as safety of the community, access to support services, and whether or how a home might be adapted for aging in place (and the time and resources to do so).

If your intent is to age in place, finding a home that will meet your continuum of needs, or making plans and adaptations well in advance can be an important aspect to successfully staying in a home long term

Need an Aging in Place Specialist? We’re here to help.