Most falls in Parkinson's disease happen at home — where bradykinesia (slow movement), freezing of gait, and orthostatic hypotension (blood pressure drops on standing) meet everyday obstacles. The good news is that environmental modification is one of the strongest evidence-based interventions for reducing falls in parkinsonism. This checklist is based on recommendations from the APTA Clinical Practice Guidelines, the Parkinson's Foundation, and peer-reviewed research.
You don't need to do everything at once. Start with the bathroom (the most common fall location, due to slippery surfaces and the sit-to-stand transfers that challenge postural stability) and work through the rest over time.
🛁 Bathroom
The bathroom is the most common location for falls at home. Slippery surfaces, tight spaces, and the need to sit and stand make it especially dangerous.
- Install wall-mounted grab bars next to the toilet (both sides if possible)
- Install grab bars inside the shower or tub and at the entrance
- Use wall-screwed grab bars, NOT suction cup models (they fail under body weight)
- Place a shower chair or bench inside the tub or shower stall
- Install a raised toilet seat or toilet frame for easier sit-to-stand
- Place non-slip mats inside and outside the shower or tub
- Remove any loose or sliding bath mats and replace with non-slip alternatives
- Install a nightlight (warm-toned to avoid disrupting sleep)
- Consider a hand-held showerhead for seated bathing
- Keep the floor dry — wipe up water after each use
🛏 Bedroom
- Install a bed rail on the side they get out of bed
- Ensure the bed is at a height where feet touch the floor when sitting on the edge
- Place a nightlight between the bed and bathroom door
- Keep a walker or cane within arm's reach of the bed
- Keep a phone and medical alert device on the bedside table
- Use satin sheets or pyjamas to make turning in bed easier
- Remove any clutter, shoes, or rugs from the path to the door
- Consider a motion-sensor light that activates when getting out of bed
🛋 Living Areas
- Remove all loose rugs or secure them with non-slip backing
- Tape down or cover electrical cords that cross walking paths
- Create wide, clear walking paths between furniture (at least 3 feet / 1 metre)
- Remove low coffee tables, footstools, and magazine racks from walking paths
- Use chairs with sturdy armrests that help with standing up
- Ensure all rooms are well-lit, including transitions between rooms
- Keep frequently used items (remote, phone, glasses) at waist height
- Avoid furniture on wheels unless it has lockable castors
🍳 Kitchen
- Place non-slip mats in front of the sink and stove
- Move frequently used items to counter height (avoid reaching up or bending down)
- Clean up spills immediately
- Use a kitchen trolley to move items instead of carrying them
- Install a stool or perching seat for tasks that take time (food prep, washing up)
- Never use a chair or step stool to reach high shelves — relocate items instead
🏠 Stairs & Hallways
- Install sturdy handrails on both sides of all staircases
- Apply brightly coloured tape or paint to the top and bottom steps
- Add non-skid strips to every step
- Ensure stairs are well-lit, with switches at both top and bottom
- Keep stairs completely clear of clutter at all times
- Add colour-contrasting tape at doorway thresholds and room transitions
- Install motion-sensor lights in hallways
🌳 Outdoors & Entrances
- Repair uneven pathways, loose paving, or cracked steps
- Install handrails along outdoor steps and ramps
- Add motion-sensor lighting at all entry points
- Keep paths clear of leaves, moss, and garden hoses
- Use non-slip outdoor mats at doorways (secured, not loose)
- In wet or icy weather, apply salt or grit to paths and steps
🚨 General Safety
- Set up a medical alert device or emergency pendant
- Ensure proper, well-fitting shoes with non-slip rubber soles are always worn (no bare feet or socks on smooth floors)
- Keep a phone accessible in every main room
- Post emergency numbers in large print near the main phone
- Schedule a professional home safety evaluation with an occupational therapist
- Review this checklist every 3-6 months as needs change
Request a professional assessment
An occupational therapist can do a professional home safety evaluation and identify risks specific to your parent's Hoehn and Yahr stage, medication schedule (when levodopa "off" periods occur), and individual motor profile. Ask your GP or neurologist for a referral. Many of the modifications they recommend may be covered by insurance or local support programmes.
Learn more about preventing falls
Home safety is one part of a comprehensive fall prevention strategy. Explore exercises, cueing techniques, and more.
View the Full Guide →