The drawing board

Design Strategies for Aging in Place

A Growing Reality

One of the most traumatic and easily avoidable events for older adults happens when capable, independent homeowners feel forced to leave their homes because the home is no longer safe or designed to support their physical or cognitive needs. This fear looms for millions of Americans as the population continues to age rapidly.

As of 2024, there are roughly 62 million Americans aged 65 and older, making up nearly 19% of the U.S. population (U.S. Census Bureau). About 78% of these adults own their homes, and over 75% say they want to remain there as long as possible (AARP “Home and Community Preferences” survey, 2023).

Yet most American homes were not built to meet the needs of aging residents or anyone with temporary or long-term mobility, vision, or hearing challenges. The effects of aging can begin subtly by age 40 and gradually intensify. By 75, nearly half of adults experience significant vision or hearing loss, both of which can contribute to falls, frustration, and social isolation, one of the most harmful threats to well-being in later life.

A Better Way Forward

The good news is that with thoughtful design, most homes can be adapted to allow older adults to stay independent and comfortable, often for far less than the cost of moving into assisted living. Small changes make a big impact on safety, confidence, and livability, while often adding long-term value and universal appeal.

As a designer and daughter of parents wrestling with this problem, I understand the emotions, hesitations, and fears that come with these decisions. The key is applying Universal Design principles early and intentionally. These strategies help create environments that work beautifully for people of all ages and abilities, without compromising style or comfort.

Practical Ways to Apply Universal Design at Home

Entrances & Pathways

  • Barrier-free entry with a gently sloped walkway or flush threshold
  • Wider doors (minimum 36″) and clear turning zones for mobility devices
  • Motion-activated or layered lighting for safe navigation

Kitchens

  • Multi-height counters or pull-out work surfaces
  • Linear handles and pull-out shelves for easier access
  • Task lighting under cabinets and contrasting edge colors for visibility

Bathrooms

  • Zero-threshold shower with built-in bench and hand-held shower wand
  • Reinforced walls for grab bar installation
  • Comfort-height toilet and slip-resistant flooring
  • Heated tile floors

Living & Sleeping Areas

  • Main-level bedroom and full bathroom
  • Smooth, non-glare flooring with no-trip transitions or rugs
  • Rocker switches and outlets placed 18-48″ from the floor

Whole-Home Enhancements

  • Smart lighting, thermostats, and door locks for convenience and safety
  • Adjustable closet systems and storage within easy reach
  • Good acoustic control to support hearing health and communication
  • Easy grip handles and railings
  • Maintenance free finishes and materials