Guide
Fall Prevention at Home
How to reduce fall risk, improve strength and balance, and create safer independence for older adults.

Why Fall Prevention Is So Important
Falls are the leading cause of injury among older adults. A single fall can result in fractures, head injuries, hospitalizations, and a rapid decline in independence.
But most falls are not random accidents.
They are usually the result of predictable factors: gradual muscle weakness, subtle balance changes, medication side effects, environmental hazards, fatigue, or cognitive decline.
The difference between reactive care and proactive care is recognizing those risks early — and building systems that reduce them over time.
At Coastal Care Partners, fall prevention is not a checklist.
It is an ongoing, integrated strategy designed to preserve mobility, confidence, and stability.
The Most Common Causes of Falls
Understanding risk is the first step toward prevention.
- Muscle Weakness
Loss of lower-body strength reduces stability and increases difficulty with standing, walking, and transfers.
- Balance Impairment
Even minor changes in coordination can increase the likelihood of missteps.
- Medication Side Effects
Blood pressure medications, sleep aids, anxiety medications, and pain medications may cause dizziness or lightheadedness.
- Vision Changes
Reduced depth perception or contrast sensitivity can make everyday obstacles more dangerous.
- Cognitive Changes
Individuals with Alzheimer's or dementia may forget to use assistive devices, misjudge distances, or move impulsively.
- Environmental Hazards
Loose rugs, cluttered walkways, poor lighting, slippery floors, and uneven surfaces contribute significantly to risk.
Falls rarely stem from one issue alone.
They are usually the result of multiple small risks combining.
Environmental Safety: The Foundation
Simple modifications can dramatically reduce fall risk:
- Remove loose rugs or secure them with non-slip backing
- Improve lighting in hallways and bathrooms
- Install grab bars near toilets and in showers
- Use shower chairs and raised toilet seats
- Ensure sturdy handrails on both sides of stairs
- Keep pathways clear of clutter and cords
- Use non-slip mats in bathrooms
However, environmental safety alone is not enough.
Mobility must be supported and strengthened.
Improving Strength, Balance & Mobility
One of the most effective ways to prevent falls is to maintain and improve physical function.
At Coastal Care Partners, we incorporate safe, supervised exercises into daily care routines when appropriate.
Here are simple, evidence-supported movements that can significantly improve stability:
1. Sit-to-Stand Exercise
Strengthens thighs and improves transfer safety.
How it works:
- Sit in a sturdy chair
- Cross arms over chest (or use armrests if needed)
- Slowly stand up
- Slowly sit back down
- Repeat 5–10 times
This improves the ability to rise safely from chairs and beds.
2. Heel-to-Toe Walking
Improves balance and coordination.
How it works:
- Walk slowly in a straight line
- Place the heel of one foot directly in front of the toes of the other
- Use a counter or wall for light support
This builds control and awareness of foot placement.
3. Standing Leg Raises
Strengthens hips and stabilizing muscles.
How it works:
- Stand behind a chair for support
- Slowly lift one leg to the side
- Lower slowly
- Repeat 8–10 times each side
Stronger hip muscles reduce instability during walking.
4. Seated Marching
Improves core stability and circulation.
How it works:
- Sit upright in a chair
- Lift one knee toward chest
- Lower slowly
- Alternate legs
This supports endurance and coordination.
5. Gentle Stretching
Maintains joint flexibility and mobility.
Daily stretching of calves, hamstrings, and shoulders helps reduce stiffness and improve stride.
Why Supervision Matters
Exercise should always be:
- Introduced gradually
- Adapted to the individual's ability
- Performed with supervision when balance is compromised
- Adjusted based on medical conditions
At Coastal Care Partners:
- Caregivers reinforce approved exercises during shifts
- Nurse Care Managers monitor mobility trends
- Care plans are updated as strength improves or declines
- Communication flows to medical providers if concerns arise
Movement becomes intentional, not accidental.
Dementia & Fall Risk
Individuals living with Alzheimer's or other dementias face higher fall risk because they may:
- Forget safety cues
- Stand impulsively
- Misinterpret shadows or patterns
- Resist assistive devices
Our caregivers are trained to:
- Provide steady supervision
- Use calm redirection techniques
- Reinforce safe movement patterns
- Create simplified, structured environments
Fall prevention becomes integrated into the broader cognitive care plan.
How Coastal Care Partners Makes the Difference
Many families assume hiring a caregiver automatically reduces fall risk.
But without structure, communication, and oversight, risk still builds quietly.
At Coastal Care Partners, fall prevention is integrated into our model:
- ✔Nurse-led mobility assessments
- ✔Real-time documentation of balance and gait changes
- ✔Medication coordination when dizziness appears
- ✔Structured exercise reinforcement
- ✔Environmental safety review
- ✔Clear communication with families
When a caregiver notices even a slight hesitation or instability, it is documented and reviewed. Small changes are not ignored — they are addressed early.
This is how preventable falls are reduced.
When to Seek Additional Support
Consider structured support when:
- A fall has already occurred
- There is increasing dizziness
- Transfers feel unstable
- Strength is visibly declining
- Fear of falling limits activity
- Medication changes have occurred
- Dementia symptoms are progressing
Early intervention preserves independence longer.
Waiting often increases risk.
Final Thought
A fall can change everything.
But in many cases, it can be prevented.
Through thoughtful home modifications, structured movement, nurse-led oversight, and coordinated care, stability can be strengthened over time.
At Coastal Care Partners, we do not simply respond to falls.
We build systems designed to prevent them.
That is what structured, integrated care looks like.