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Kelly Aging in Place Assessment

ADA Aging Assesment Survey

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mcarroli
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16 views5 pages

Kelly Aging in Place Assessment

ADA Aging Assesment Survey

Uploaded by

mcarroli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AGING IN PLACE ASSESSMENT

Home Evaluation Safety and Accessibility Checklist

Use this checklist to identify hazards and accessibility issues in your home. Note those
questions you may have, comments, repairs and improvements needed. You will then
be better prepared to discuss what modifications that would best suit your needs. While
you may not need many of the features identified at this time, you will now be aware and
can take into account the potential costs of adding features in the future.

1. Exterior - Entrances and Exits Repairs and Improvements

Are walkways and driveway on a level surface?

Are curbs flush?

Are surfaces of walkways and driveway paved or gravel


surface?
Is the surface slippery at times?

Are walkways wide enough? (36 inches for wheelchair)

Could a ramp be installed, if needed?


(Max. ramp slope 1:12 and landing areas)

Are there sturdy handrails on two sides of walkway?


One side of walkway?

Are the porch, walkway and drive lighted?

Are door thresholds flush or beveled?

Do doors have lever handles?

Are all door and window locks easy to work?

Is the mailbox accessible to owner?

Does door have a peephole or is there a camera to view


front porch?

Is there an accessible package shelf on front porch?


Home Evaluation Safety and Accessibility Checklist

2. Interior Doors, Stairs, Halls Repairs and Improvements

Are door and room thresholds flush or beveled?

Are door handles - lever handles?


Are doorways wide enough for a walker or wheelchair?
(Use swing-clear hinges to widen doorways for minimum
32 inches)

Is hall width adequate for walker or wheelchair?

Are floors level? Is carpeting stretched and secure?


Are rugs or mats taped down to prevent tripping on?

Are stair flights long, straight or curved?

Do steps have a non-slip surface?

Is there color contrast or texture change at top and


bottom of stairs?

Are there sturdy handrails on two sides of stairs? One


side of stairs?

Do stairs and hallways have good lighting?

Are light switches at top and bottom of stairs and ends of


hallway? (Motion sensor light switches will light halls
when in use.)

Is there clutter in halls or stairs?

3. Bathroom Repairs and Improvements

Do faucets and shower control have lever handles?

Are water pressure balance valves installed?

Are drain plugs manageable and working?

Are hot water pipes covered?


Home_Evaluation_Safety_and_Accessibility_Checklist Page 2 of 5
Home Evaluation Safety and Accessibility Checklist

Is mirror height suitable when sitting or standing?

Is storage above or below basin reachable?

Are there sharp corners to countertops?

Is the sink accessible by wheelchair?

Is lighting non-glare and switches accessible?

Are there grab bars to assist to step out of the tub or


shower? (Add non-slip strips in bath/shower)

Is there room for a bench or chair in the tub or shower?


(Add a no-threshold shower, if abilities are severely
limited.)

Does the shower head have an adjustable height?

Is the toilet height accommodating?


(Add portable seat to elevate toilet height.)

Is there a grab bars to assist one to stand?

Is the paper and flush handle easy to reach? (Add


a flush sensor)
Is there room for a caregiver to assist?
4. Kitchen Repairs and Improvements
Is overall light levels and task lighting at table, sink and
stove optimal?
Are switches and outlets at front of counters for easy
access? GFI protected?
Do sink and counter heights meet needs?
Do wall and floor storage shelf heights meet needs?
(adjustable shelving is available for access to upper
cabinets and pull-out units can improve access to
under counter storage)

Are cupboard door handles “D-type”? When viewed


from the side this style of pull looks like the letter “D”.
Are under sink hot water pipes covered?

Home_Evaluation_Safety_and_Accessibility_Checklist Page 3 of 5
Home Evaluation Safety and Accessibility Checklist
Is under counter knee space needed? (Remove doors
or shelves to create sitting/knee clearance under work
counter)
Is there a nearby surface for hot foods when removed
from oven?

Are stove controls located near the front, so not to


require reaching over a hot pot?

Is there a lever faucet at the sink that is pressure


balanced and temperature-regulated?

Is there color contrast of switches, cabinet, counters


surface edges and tactile features for those with low
vision?

5. Living, Dining, Bedroom Repairs and Improvements


Do chair, sofa, bed heights allow sitting or standing?
(1. Risers under furniture legs of chairs and beds may
improve accessibility.
2. Vertical pole next to sofa may assist in standing.)

Do rugs have non-slip pad or rug tape?

Chair available with arm rests to assist in standing. (A


bed side rail may also assist in standing.)
Do room pathways provide clear and easy access? Are
all cords away from traveled pathways?

Are floors level and surfaced with low pile carpet, tile or
wood?
Are controls for lights, TV, phone next to the bed and
chair?
Are there sufficient outlets at needed heights and
locations?
Are windows, drapes and slide patio doors easy to
open?
Are closet rods, shelving adjustable for better access to
storage? (Bi-fold or pocket doors may add to
accessibility)
Are closets lighted?

Home_Evaluation_Safety_and_Accessibility_Checklist Page 4 of 5
Home Evaluation Safety and Accessibility Checklist
6. Windows Repairs and Improvements
Is the opening mechanism 42 inches above the floor?
Lock accessible, easy to operate?
7. Laundry Repairs and Improvements
Is there accessible space to hand-wash, sort, fold and
hang clothes to dry?
Is the washer/dryer easily accessible?
8. Telephone and Door Repairs and Improvements

Is there a phone located near bed, sofa or chair?


Is the doorbell, and phone audible by occupant?
(1. Add light or sound amplifier to alert occupant of
ringing. 2. Add peephole at convenient height.
3. Add camera to view porch.)
9. Safety and Other Controls Repairs and Improvements
Is a neck/wrist device to obtain emergency help worn?
Is there a place outside the home to hide a key?
Are there smoke/CO detectors and fire extinguishers?
Is the thermometer easy to read and program?
Are there sufficient outlets at needed heights and wall
locations? GFI/GFCI Protected?

Is the Water Heater set at 104 f?


Are step edges highlighted?

While some modifications may be “nice” to have they are perhaps not necessities. I would
rank items in order of necessity for safety.

1.

2.

3.

4.

5.

Home_Evaluation_Safety_and_Accessibility_Checklist Page 5 of 5

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