Are People Safer in Home or in Assisted Living?

People can live safely at home and in assisted living communities, although the most appropriate setting largely depends on an individual’s circumstances and support network. People should consider their care needs, health conditions, mobility and cognitive function when choosing the most suitable setting for aging. Other factors, such as local crime rates and home modifications, can also impact actual and perceived safety.

Surveys indicate that most seniors wish to age at home; however, safety concerns are significant reasons for adults moving into residential care facilities.

Most assisted living communities provide 24/7 safety and security features, such as on-site staff, closed-circuit television security systems, locked entrances, gated grounds and in-room emergency alert systems. Facility designs usually prioritize senior safety; features may include nonslip flooring, grab rails and level access. Additionally, individuals often have access to on-call or on-site nurses and visiting medical professionals. Residents commonly undergo routine health checks, and staff members receive training on safety issues, such as falls, burns and medication storage. Residents can also get hands-on assistance with daily tasks and personal care, helping ensure senior hygiene, wellness and comfort. Staff regularly review care plans so that seniors always receive the required care services.

Assisted living fees include nutritious meals, and dietitians may help with menu creation. Communities normally offer a range of activities to support holistic well-being geared toward nourishing physical and mental health and promoting life enjoyment. Many facilities maintain open lines of communication with loved ones, encouraging visits and keeping family members updated on their older relatives. If seniors or their families have concerns, they can contact their state’s Long-Term Care Ombudsman Program or licensing agency. Social workers and specialized elder care lawyers may also assist, and states typically operate hotlines for reporting concerns of elder abuse or neglect.

Aging in a familiar environment can maintain seniors’ feelings of safety and independence, especially if they reside with family or have an active support network. Home and home health care services can help those with care and support needs. Home care aides assist seniors with daily activities, offer companionship and provide regular wellness checks. Home health care aides provide medical and therapeutic services alongside wellness visits. Furthermore, many community support services include initiatives to check seniors’ well-being, such as Meals on Wheels deliveries, friendly phone call schemes and senior companion programs. Individuals can also usually access medical and community transportation services. In-home safety assessments from local agencies can identify modifications and adaptations that may help make a property safer for an older individual. Examples include grab rails, nonslip mats, ramps and additional lighting. Wearable personal safety alarms, voice-activated telephones, smoke alarms and carbon monoxide detectors may further enhance seniors’ safety at home. Anyone experiencing elder abuse or neglect can contact their local Adult Protective Services or law enforcement office in confidence.