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For families of older adults: where free home safety checks come from, and what to fix while you wait.

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Where can seniors get a free home safety assessment?

Free home safety assessments for seniors usually come from four places: a local fire or EMS department program, your Area Agency on Aging, a home-repair nonprofit, or a therapist home visit after a doctor's referral. None of them is in every town, so the fastest first call is the free Eldercare Locator, which points you to local services by zip code.

Why bother: the CDC says more than one out of four older people falls each year (page reviewed 2026), and emergency departments recorded about 4.5 million visits for older adult falls in 2024. The CDC also says plainly that falls can be prevented.

This is general information, not medical advice. Talk to your clinician.

The roundup: free home safety help, checked November 2026

Start here

Eldercare Locator

A free public service of the U.S. Administration for Community Living. Call 1-800-677-1116 (Monday to Friday, 8 a.m. to 9 p.m. Eastern) or search eldercare.acl.gov by zip code. Ask for your Area Agency on Aging and say the words "home safety" and "home modification".

One phone call, then a local name.

Fire & EMS

Senior home safety visits

Some departments send someone to your home for free. Austin-Travis County EMS, for example, offers a free room-by-room visit by a licensed paramedic for residents 65+ who live independently, with a medication review and safety equipment. Call your own department's non-emergency line and ask.

Ask the non-emergency line, never 911.

Nonprofit

Repair programs

Rebuilding Together affiliates run Safe at Home repairs, such as grab bars, handrails and lighting, aimed at low-income older homeowners. Rules and waitlists are set locally, and you will usually need proof of income.

Assessments that come with the fix.

Tonight

The do-it-yourself check

The CDC's free Check for Safety brochure (2017) walks room by room with yes/no questions. It takes one evening and finds the fixes that need no professional at all: a nightlight, tape under a rug, a cleared stair.

You can start before anyone calls you back.

Five fall facts worth knowing before the visit

  1. 1 in 4+ older people falls each year. CDC, reviewed 2026
  2. 4.5 million emergency department visits for older adult falls in 2024. CDC
  3. 43,000+ deaths from falls among adults 65 and older in 2024, the leading cause of injury death in that group. CDC
  4. 4 steps the CDC lists: ask a provider to evaluate fall risk, review medicines that cause dizziness or sleepiness, have eyes checked yearly, and do leg-strength and balance exercise. CDC, reviewed 2026
  5. Both sides: handrails belong on both sides of stairs and should be secure. NIA

Home fixes are one of four steps, not the whole answer.

Free home safety assessment FAQ

Who does free home safety assessments for seniors?

It depends on where you live. Common sources are local fire or EMS departments (for example, Austin-Travis County EMS runs free in-home visits by paramedics), Area Agencies on Aging found through the Eldercare Locator, and home-repair nonprofits such as Rebuilding Together affiliates. After a fall, a doctor may suggest a home visit by an occupational therapist, physical therapist or nurse.

How do I find a home safety program near me?

Call the Eldercare Locator at 1-800-677-1116 (Monday to Friday, 8 a.m. to 9 p.m. Eastern) or search eldercare.acl.gov by zip code. Also ask your local fire department's non-emergency line whether it runs a senior home safety or fall prevention program.

Does Medicare pay for a home safety assessment?

We could not confirm a simple yes or no that applies to everyone, so we will not guess. Ask the doctor and your plan directly, especially after a fall, when the doctor may refer an occupational or physical therapist for a home visit.

What does a home safety assessor look at?

Mostly trip and fall hazards room by room: rugs, clutter and cords on floors, lighting and handrails on stairs, grab bars and non-slip surfaces in the bathroom, and a lamp and nightlight by the bed. Some programs also review medications and check smoke alarms.

Can I do a home safety check myself?

Yes. The CDC's Check for Safety brochure is a free room-by-room checklist designed for older adults and families. A self-check does not replace a professional visit when someone has already fallen, but it finds the easy fixes fast.

Is RoomMend a home safety assessment?

No. RoomMend organizes your own notes and plans with guided walkthroughs based on public CDC, National Institute on Aging, NFPA and CPSC guidance. It is not a home inspection, safety certification or fall-risk assessment, and it does not detect hazards in photos.

Honest limits of this roundup

What to bring to the visit

Assessors spend the first ten minutes asking what you have already noticed. Arrive with a list, photos of the exact spots, and what has already been fixed. That is the part RoomMend does.

RoomMend bathroom walkthrough asking about stepping into or out of the bathing area, with answers Looks OK to me, Needs attention, Not applicable and Unsure
Bathroom walkthrough: one question at a time, with why it matters.
A sample hallway photo in RoomMend with numbered markers on a rug and shoes, listed below as text
Numbered markers on your own photo.
RoomMend Reports screen with a whole-home binder and free room reports for living room, hallway, bathroom, bedroom and kitchen
A free PDF per room to hand over.

How it works: three steps before anyone visits

  1. Pick the home. Apartment, One-floor house or Two-floor house, and the rooms are ready. No address or account.
  2. Walk one room. Use a guided walkthrough, or the three-tap quick note: room, issue (Loose rug, Too dark, Cord across path), when.
  3. Share the room PDF. Send it by Messages or email, or print it for the assessor. Tick fixes done and RoomMend plans a look-again in 30 days.

A visit goes further when the easy fixes are already done.

Who RoomMend is not for

If someone has already fallen, the first call is the doctor, not an app. If you need a contractor's opinion on wiring, gas, structure or a ramp, RoomMend will hold the note but cannot replace a qualified professional. And if you want a device that detects falls, this is the wrong tool: RoomMend organizes notes and plans, nothing more. Every walkthrough, the fix list, reminders and room PDFs are free; RoomMend Plus is a one-time purchase for extra homes, more photos and the whole-home binder.

Make the list before the call

Walk one room tonight. Start on your iPhone with RoomMend from the App Store.

Download RoomMend: Safer Home Plans on the App Store

Updated November 2026

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