Designing for Comfort and Independence: Home Updates for Aging at Home

As people live longer and healthier lives, many want to remain in their own homes rather than move to assisted living. This concept, known as "aging in place," focuses on creating a safe, comfortable, and adaptable home environment that supports independence and dignity at every stage of life. Whether you’re planning ahead or updating a loved one’s home, these thoughtful renovations can make all the difference.

In the greater Pittsburgh area (Allegheny County and surrounding communities), this is especially relevant: nearly 20 % of the population is aged 65 or older, making it one of the highest concentrations of older adults in the nation. HousingWire+1

1. Start with a Safety Assessment

Before making changes, evaluate how the home currently functions. Walk through each area and look for potential hazards — narrow doorways, steep steps, poor lighting, or slippery floors. A certified aging-in-place specialist (CAPS) or occupational therapist can help identify problem areas and suggest solutions tailored to mobility, vision, and daily habits.

2. Focus on Accessibility at the Entry

Getting in and out of the home should be as easy as possible:

• Zero-step entry: Replace stairs with a ramp or graded walkway leading to at least one main entrance.

• Wider doors: Expand doorways to at least 36 inches to accommodate walkers or wheelchairs.

• Lever handles: Swap traditional knobs for lever-style door handles, which are easier to operate for those with arthritis or limited grip strength.

• Smart locks and lighting: Motion-activated lights and smart locks reduce fumbling for keys in the dark and improve overall security.

3. Reimagine the Bathroom for Safety and Comfort

Bathrooms are one of the most common areas for falls, so thoughtful design is crucial:

• Curbless or walk-in shower: Replace traditional tubs with low-threshold or roll-in showers. Include a built-in bench and handheld showerhead for flexibility.

• Grab bars: Install sturdy grab bars near the toilet and shower — modern versions can match existing finishes and look stylish.

• Comfort-height toilet: These slightly taller toilets make sitting and standing easier.

• Non-slip flooring: Choose slip-resistant tile or vinyl for a secure, easy-to-clean surface.

• Good lighting: Add bright, even lighting and consider nightlights for safe navigation.

4. Make the Kitchen More User-Friendly

Aging in place doesn’t mean giving up independence in the kitchen — it means designing smarter:

• Pull-out shelves and drawers: Replace lower cabinets with pull-out shelves to reduce bending and searching.

• Side-opening ovens and drawer dishwashers: These make loading and unloading safer and easier.

• Counter height variation: Incorporate work surfaces at multiple heights — one at standard height and one lower for seated prep work.

• Lever or touch-activated faucets: Easier to use than twist handles, especially for arthritic hands.

• Under-cabinet lighting: Improves visibility on counters and reduces shadows.

5. Prioritize Lighting and Visibility Throughout

Vision tends to change with age, so balanced lighting is essential:

• Layered lighting: Combine ambient, task, and accent lighting for even coverage.

• Motion sensors: Place them in hallways, bathrooms, and closets for automatic illumination at night.

• High-contrast design: Use contrasting colors between walls, floors, and furniture edges to define spaces and improve depth perception.

• Window treatments: Install easy-to-operate blinds or shades to control glare while maintaining natural light.

6. Improve Flooring for Safety and Mobility

Falls are a leading cause of injury among older adults. Flooring updates can greatly reduce that risk:

• Non-slip materials: Opt for matte-finish tile, cork, rubber, or low-pile carpet with firm padding.

• No thresholds: Eliminate transitions between rooms or use low-profile strips to prevent tripping.

• Avoid loose rugs: If rugs are used, secure them with non-slip backing or remove them entirely.

7. Update Stairs and Multi-Level Homes

If the home has more than one floor:

• Sturdy railings: Ensure both sides of the staircase have secure handrails.

• Improved lighting: Brighten stairwells and landings.

• Contrasting steps: Add color contrast on stair edges to make them easier to distinguish.

• Stairlifts or home elevators: For those with limited mobility, these can be life-changing investments that allow continued access to upper floors.

8. Create a Main-Floor Living Space

To make the home truly livable long-term, consider consolidating essential rooms — bedroom, bathroom, kitchen, and laundry — on the main floor. If remodeling space isn’t possible, converting a den or dining room into a bedroom can be a cost-effective alternative.

9. Simplify Controls and Technology

Smart home features can improve comfort and safety:

• Voice-activated assistants: Help control lights, thermostats, and reminders without physical effort.

• Video doorbells and smart cameras: Offer security and peace of mind.

• Smart thermostats: Maintain consistent temperatures and reduce energy use.

• Automatic blinds: Open and close with the touch of a button or on a set schedule.

10. Consider Exterior Upgrades

Aging in place extends beyond the front door:

• Well-lit pathways: Use low-voltage or solar lights to mark walkways and driveways.

• Level patios and decks: Replace uneven pavers or raised steps with smooth, slip-resistant surfaces.

• Covered entries: Provide shelter from rain or snow, making entrances safer.

• Easy-to-maintain landscaping: Opt for low-maintenance plants and raised garden beds to reduce bending and heavy yard work.

Helpful Organizations and Resources for Aging in Place

No one has to navigate this transition alone. Many national and local organizations provide financial, practical, and emotional support to help older adults stay safely at home.

• National Aging in Place Council (NAIPC): Offers access to Certified Aging-in-Place Specialists (CAPS), home modification experts, and community resources.

• AARP HomeFit Guide: Free printable guide with checklists for making a home more accessible and comfortable.

• Carson Eldercare: Provides individualized assessments, care coordination, and assistance in connecting with trusted service providers.

• ComForCare: Offers in-home caregiving and daily living support to promote independence and safety.

• Area Agencies on Aging (AAAs): Local offices that connect seniors and families to housing assistance, transportation, and modification grants.

• U.S. Department of Veterans Affairs (VA) Home Modification Grants: Financial aid for eligible veterans to make accessibility improvements to their homes.

Aging in place isn’t just about safety — it’s about maintaining independence, comfort, and connection in the place you call home. With thoughtful updates and the right support network, homeowners can design environments that adapt gracefully over time, supporting both physical needs and emotional well-being.

Small improvements made today can make a world of difference tomorrow — especially in regions like the greater Pittsburgh area, where the concentration of older adults is among the highest in the nation.