5 Reasons Falls Happen at Home

Falls are one of the leading causes of injury at home, especially for older adults. Understanding why falls happen can help you take simple but powerful steps to make your home safer. Below are the five most common causes of in-home falls—and expert tips on how to prevent them.

Lack of Safety Equipment

Many homes lack basic safety equipment that helps prevent falls, such as grab bars in bathrooms, handrails on stairs, or non-slip mats in showers. These features are essential in providing support and stability, especially in high-risk areas like bathrooms and stairwells. Without these aids, older adults may struggle with balance when getting in and out of the bathtub, walking on wet floors, or navigating steps.

Tip: Install grab bars near toilets, in the shower, and along stairways. Add non-slip mats in the bathroom and kitchen to reduce the risk of slipping.

Throw Rugs and Other Trip Hazards

Throw rugs, clutter, and uneven flooring are major hidden fall hazards in the home. Older adults often have slower reaction times, making it easier to trip over loose rugs, tangled cords, or furniture. Even small objects left in pathways can be dangerous for someone with balance or vision issues.

Tip: Remove or secure throw rugs using non-slip pads. Keep walkways clear and use furniture that doesn’t obstruct foot traffic.

Unsafe Footwear Choices

What you wear on your feet can directly impact your balance and stability. Shoes with slippery soles, poor support, or that don’t fit properly can lead to falls—especially for older adults with existing mobility issues.

Tip: Choose shoes that have non-slip soles, closed heels, and good arch support. Avoid slippers or sandals with smooth soles.

Walking Instability

Walking instability is common with age due to muscle weakness, arthritis, or balance disorders. Uneven gait or poor coordination increases the likelihood of losing balance on stairs, rugs, or wet surfaces.

Tip: Work with a physical therapist on strength and balance exercises. Use a cane or walker if necessary for extra stability.

Medication Side Effects

Some medications—like sedatives, antidepressants, or blood pressure drugs—can cause dizziness, drowsiness, or low blood pressure, all of which increase the risk of falling. These side effects can impair coordination and reaction time.

Tip: Review medications regularly with your healthcare provider. Rise slowly from sitting or lying down to prevent dizziness.

Conclusion:
Falls don’t have to be an inevitable part of aging. By addressing common causes—like unsafe footwear, poor lighting, lack of safety equipment, and medication issues—you can reduce fall risks and improve home safety.

Physical therapy plays a vital role in preventing falls. A licensed therapist can create a personalized plan to strengthen muscles, improve balance, and enhance mobility. Regular therapy helps older adults move more confidently and avoid dangerous stumbles.

Making small changes, paired with expert guidance, can lead to a safer, more independent lifestyle—supporting both physical and mental well-being.