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How to Create an Accessible Bathroom for Aging in Place

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In today’s fast-paced world, creating an accessible bathroom that caters to the needs of aging individuals or those with disabilities has become increasingly essential.

Such a space embraces the concept of Aging in Place, allowing people to live in their homes safely, independently, and comfortably, regardless of age or ability.

As an occupational therapist working in the homecare sector, I met many people who could no longer function independently in the bathroom.

They needed help with toileting, bathing or both. Maintaining independence with these 2 tasks is vital to having quality of life as we age.

This is why making your environment work for you is so important for aging in place.

Understanding the Basics of Accessibility 

What does accessibility mean when we’re talking about bathrooms?

Simply put, it’s about removing barriers that could make this vital space difficult, unsafe, or impossible to use for those with mobility challenges or other disabilities.

Common issues might include a lack of support bars, slippery surfaces, or fixtures that are too high or too low.

Accessibility, in the context of bathrooms, is more than just a concept; it’s a design philosophy that involves creating a space that everyone, regardless of age or ability, can use with comfort, ease, and safety.

This approach focuses on catering to a wide range of needs and abilities, emphasizing user-friendly and intuitive designs. 

Think about this: traditional bathrooms, while generally functional, can pose significant challenges for older adults or individuals with mobility issues.

High bathtubs can be difficult to step into, small spaces can be challenging to navigate with a walker or wheelchair, and slippery surfaces can increase the risk of falls.

Additionally, amenities like towel racks, mirror heights, or sink designs may not consider those who may be seated or of shorter stature.

To transform a bathroom into an accessible space, we need to identify and eliminate these barriers.

This might involve installing support bars to provide stability, ensuring there’s enough space for wheelchairs to maneuver, or using non-slip flooring to reduce accident risks. 

Fixtures and amenities should be within easy reach for both standing and seated users, and hardware like faucets and door handles should be easy to operate, even for those with limited hand strength or dexterity. 

Even factors like color contrast for visually impaired individuals or sound design for those with hearing challenges come into play when designing an accessible bathroom.

It’s a comprehensive, user-oriented approach that takes into account a wide range of potential needs.

In summary, understanding the basics of bathroom accessibility is about recognizing the diverse needs of individuals who will be using the space.

It’s about being empathetic and creative in your design to ensure that the bathroom, a space everyone needs to use daily, is universally accessible and safe.

Essential Features of an Accessible Bathroom

Let’s talk about the building blocks of an accessible bathroom. First up are walk-in showers and tubs, which are much easier and safer to enter and exit than traditional setups.

Handrails and grab bars offer crucial support for getting around, while non-slip flooring can drastically reduce the risk of falls.

Don’t forget about comfort height toilet seats, designed to be a bit taller than standard models, for easier sitting and standing.

Easy access storage helps avoid strain and overreaching, while adequate lighting ensures all areas of the bathroom are clearly visible.

Creating an accessible bathroom requires thoughtful consideration of various elements that contribute to ease of use, safety, and comfort.

Here are the main features that define such a space:

Walk-in Showers and Tubs

Traditional bathtubs can be a significant barrier for those with mobility challenges, or for anyone, really.

Walk-in showers and tubs have low thresholds that make them far easier and safer to enter and exit.

They also typically incorporate clear floor space outside for easier access, especially for wheelchair users.

Handrails and Grab Bars

These are critical for stability and support in an accessible bathroom. Install these aids near the toilet, bathtub, shower, and even along the walls.

These bars provide a secure grip when transitioning from sitting to standing or moving around the bathroom.

Always ensure they are securely fastened to withstand necessary weight and pressure.

Also make sure that they are designed to be installed in wet areas so your hand doesn’t slip as you are holding it.

Non-Slip Flooring

Bathrooms can become slippery and dangerous, especially when wet.

Using non-slip flooring materials can greatly reduce the risk of slips and falls.

These can include textured tile, rubber flooring, or vinyl (LVT or LVP) — the key is that the surface provides grip underfoot, even when wet.

Comfort Height Toilet Seats

These toilets are a couple of inches taller than standard ones, roughly the same height as a standard chair.

This makes it easier for individuals, especially those with knee or hip issues, to sit down and stand up.

Couple this with nearby grab bars for an even safer toilet use experience.

Easy Access Storage

Accessible storage considerations can make a big difference in the bathroom.

This might involve lowering the height of cabinets for easy reach, using open shelves for frequently used items, or incorporating pull-out shelves or drawers.

The goal is to minimize the need for excessive bending, reaching, or potential loss of balance.

Adequate Lighting

Good lighting is crucial in an accessible bathroom, not just for ambience but for safety too.

Adequate, non-glaring lights can help avoid mishaps by ensuring all areas of the bathroom are well-lit.

Consider adding night lights for safer access during the night and remember to ensure light switches are in an accessible, easy-to-reach location.

These features form the core of any accessible bathroom, promoting safety, ease of use, and independence.

With careful planning and design, these elements can be seamlessly integrated into any bathroom, enhancing functionality without compromising on style.

Adequate lighting in the bathroom and home can greatly decrease your fall risk.

Advanced Accessible Bathroom Features

But the modern accessible bathroom doesn’t stop at the basics.

Think about incorporating voice-activated fixtures for hands-free operation or thermostatic shower mixers to prevent scalding from sudden temperature changes.

Barrier-free design options, such as doorless showers or open under-sink areas, also promote ease of use.

How to Plan and Implement an Accessible Bathroom Renovation

Ready to transform your bathroom into a space that champions accessibility?

Start by assessing your current setup to identify problem areas.

Then, think about the specific needs and preferences of the individuals who will be using it.

Hiring a Certified Aging in Place Specialist (CAPS) will ensure your bathroom modification will and work now in the future.

While the essential features create the foundation of an accessible bathroom, there are advanced features that can further enhance the experience for those with specific needs or preferences.

These advanced features often incorporate modern technology and innovative designs to promote a more comfortable, convenient, and safe environment. 

Voice-Activated Fixtures:

With the rise of smart homes, voice-activated technology is becoming more common and affordable.

This technology can be particularly beneficial in an accessible bathroom. Imagine being able to adjust lighting, start a shower at a desired temperature, or even play calming music, all with simple voice commands.

This hands-free control can significantly enhance the bathroom experience for individuals with mobility or dexterity limitations.

Thermostatic Shower Mixers:

These are fixtures that automatically adjust the water temperature to prevent sudden changes that could lead to scalding.

By maintaining a consistent water temperature, thermostatic mixers add an extra layer of safety, especially for individuals with sensitive skin or those who might have difficulty adjusting water temperature manually.

Barrier-Free Design Options:

These designs aim to remove physical barriers in the bathroom, such as shower curbs or closed cabinets, to make the space easier to navigate, especially for wheelchair users.

Examples could include a doorless walk-in shower with a gently sloping floor towards the drain, or an open under-sink area that allows a wheelchair user to access the sink comfortably and safely. 

Adjustable Height Sinks and Countertops:

These features allow for customization based on the user’s needs. For instance, an adjustable sink can be raised or lowered depending on whether the user is standing or in a wheelchair.

If your bathroom is large enough it is a good idea to have one vanity at a 34″ or 36″ height and a lower vanity at a 30″ height with leg room for placement of a chair.

This flexibility makes the bathroom more accessible to people of various heights and abilities.

Touchless Faucets:

Touchless technology is not only convenient but also hygienic and easy to use, especially for individuals with limited hand dexterity.

These faucets use motion sensors to start and stop the flow of water, eliminating the need to grip and turn a handle.

These advanced features, while not necessary for every accessible bathroom, can provide increased safety, convenience, and comfort.

They represent the intersection of technology and design, pushing the boundaries of what an accessible bathroom can offer.

Common Mistakes to Avoid When Creating an Accessible Bathroom

Even with the best of intentions, it’s easy to slip up when designing an accessible bathroom. Ignoring personal needs is a big one — every individual is unique, and their bathroom should reflect that.

Be careful with fixture and equipment selection; not every product labeled “accessible” will be a good fit for your space or users.

And always, always keep an eye on the future. Needs can change over time, and your bathroom design should be flexible enough to change with them.

Creating an accessible bathroom involves many considerations, and it’s easy to overlook some of them.

Here are a few common mistakes to steer clear of during the design and renovation process:

Ignoring Personal Needs:

Accessibility is not a one-size-fits-all concept. ADA standards only apply to public buildings. The height of a grab bar should be placed specifically for the user(s).

Each individual’s needs and preferences are unique, and an accessible bathroom should reflect this.

It’s a mistake to install standard accessibility features without considering who will be using the bathroom.

Always consult with the individuals who will be using the space to understand their specific needs and hire a CAPS consultant to help you create the best modification for your needs.

Inappropriate Fixture and Equipment Selection:

While many products are marketed as “accessible,” not all of them will be suitable for your particular situation.

For example, grab bars come in different sizes and styles. They also need to be textured or non-slip

Some might be too small to provide adequate support, while others might not fit comfortably in the user’s hand.

Always do your research or consult with a CAPS professional to ensure that the fixtures you select are truly accessible and suitable for your space.

Overlooking Future Needs:

It’s not enough to just consider current needs; you also need to think about how these needs might change over time.

For instance, a person who can walk with minimal assistance today might require a wheelchair in the future.

Make sure your bathroom design is flexible enough to accommodate these changes.

This could involve leaving enough space to install additional features in the future or opting for adjustable fixtures that can adapt to changing needs.

Neglecting Aesthetics:

An accessible bathroom doesn’t have to be sterile or hospital-like.

Unfortunately, many people make the mistake of focusing solely on functionality and forgetting about design.

Or thinking that they have to sacrifice design for functionality. Fortunately, neither is true.

Remember, this is a space in a home, and it should feel warm, welcoming, and personal. Consider style preferences when choosing colors, materials, and finishes.

Underestimating the Value of Professional Help:

While a DIY approach can be tempting to save costs, professional guidance can be invaluable in creating an accessible bathroom.

Certified Aging in Place Specialists (CAPS) have the training and experience to ensure that all aspects of accessibility are considered and properly implemented.

By avoiding these common mistakes, you can create an accessible bathroom that is not only functional and safe but also personalized, flexible, and aesthetically pleasing.

The Role of Certified Aging in Place Specialists (CAPS)

So, what’s a CAPS professional? These experts have been trained in the unique needs of the elderly, understanding how to modify homes to ensure they’re safe, comfortable, and accessible.

The CAPS certification was created by the NAHB in 2002.

When it comes to creating an accessible bathroom, their expertise can be invaluable, offering advice and guidance on everything from layout design to fixture selection.

By now, you should have a good idea of what it takes to create an accessible bathroom.

And remember, if you ever feel overwhelmed or uncertain, don’t hesitate to reach out to a CAPS professional.

They’re here to help you navigate the process, ensuring your bathroom isn’t just a space for hygiene, but also a safe, welcoming space that everyone can use with ease and dignity.

Each bit of advice in this guide is backed by our experience and knowledge as CAPS professionals.

If you are interested in aging in place, I can help you. For more detailed information on accessible bathrooms and aging in place, call me at 352-281-6681 or email me at

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