Updated August 7, 2025 | Lisbeth Cano
Making stairs safe for older adults and those with mobility challenges is a key part of maintaining independence at home.
While stair lifts offer a solution, there are many effective alternatives to enhance stair safety without installing a lift. These measures can significantly reduce the risk of falls and help your loved one navigate their home confidently.
Stairs can be a high-risk area for older adults.
More than one in four people age 65 or older fall each year1.
People over 60 are six times more likely to be hospitalized after a stair-related injury than younger individuals2.
Common causes of stair-related falls include:
The impact of a fall can range from minor injuries to serious fractures. Falls may also lead to a fear of activity, which reduces physical ability and independence over time.
Before implementing changes, assess the current condition of your stairway.
Add visual and traction aids like:
Good design enhances visibility, grip, and confidence when using stairs.
Improve lighting using bright LEDs. Install night lights to aid visibility during low-light hours.
Install handrails on both sides of the staircase if not already present3.
Remove trip hazards such as:
Apply non-slip stair treads or runners on the steps.
For guides on lighting and safety upgrades, visit:
Supportive tools can enhance stair safety.
See:
Integrate exercises into daily life to improve strength and reflexes. Tai Chi and yoga are especially effective4.
Small behavioral changes can go a long way.
Consistent physical activity improves balance and muscle strength.
Effective stair-related exercises include:
Incorporate a mix of aerobic, balance-based, and strength-building workouts.
“Good balance is a must for any stair activity. If you cannot stand on one leg for 45 seconds without holding onto something, you may not be able to safely perform some exercises”5
Always consult a healthcare professional before beginning a new exercise regimen.
Simple home modifications can support aging in place and enhance safety beyond the stairs.
Learn more:
Improve kitchen and living room safety by organizing items within reach and improving pathway clearance.
Explore tech solutions:
Even with changes and guidance, navigating stairs may still be difficult for some.
Signs a lift might be needed:
For more, check:
In homes with multiple levels, a landing "refuge area" can be a short-term resting or waiting spot during emergencies6.
Visit Emergency Planning for tips.
Make sure the home is equipped to handle falls, even with precautions in place.
If a fall occurs:
More resources at Medical Alert Systems
Professional assistance and local resources are available.
Reputable sources like:
offer fact sheets, support networks, and toolkits on fall prevention and home safety.
Taking proactive steps today ensures a safer, more confident tomorrow at home.
https://www.nia.nih.gov/health/falls-and-falls-prevention/falls-and-fractures-older-adults-causes-and-prevention ↩
https://www.aarp.org/home-living/ways-to-make-stairs-safer-at-home/ ↩
https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/fall-prevention/art-20047358 ↩
https://www.nia.nih.gov/health/exercise-and-physical-activity/three-types-exercise-can-improve-your-health-and-physical ↩
https://sportsmedicine.mayoclinic.org/news/5-stair-exercises-to-do-at-home/ ↩
https://www.nfpa.org/news-blogs-and-articles/blogs/2017/07/12/101wednesdays-areas-of-refuge-why-what-and-when ↩
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Meet the author: Lisbeth Cano earned her medical degree from Universidad de Iberoamérica in Costa Rica and worked as a doctor before becoming a clinical researcher. She now focuses on senior care, writing evidence-based guides for SeniorCanvas.com to help families make safer, smarter decisions for aging parents.