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Elderly Parents Moving in with You? Steps to Prepare

application for medicaid
March 6, 2025 • | Curran Estate & Elder Law, PLLC
Bringing an aging parent into your home requires careful planning to balance their safety, comfort and your family's needs.

Many families choose to care for elderly parents at home rather than placing them in personal care, assisted living or skilled nursing facilities. While this arrangement can provide emotional and financial benefits, it also brings new challenges. Preparing in advance helps ensure that the parent and the rest of the household adjust smoothly.

Assessing the Level of Care Needed

Before moving a parent in, evaluating their physical and medical needs is essential. Some seniors require only minor assistance, while others may need daily help with mobility, medication management and personal care. Consulting with a healthcare provider or elder law attorney can help determine the necessary level of care and support.

Making Home Modifications for Safety and Accessibility

Bringing an aging parent into your home requires thoughtful adjustments to ensure their safety and comfort. Falls and mobility challenges become more common with age, making modifying the living space to reduce risks essential. A thorough home assessment can identify hazards such as slippery floors, poor lighting, or narrow doorways that may create difficulties.

A key priority is ensuring that essential rooms—like the bedroom and bathroom—are accessible. If possible, a ground-floor bedroom should be designated to eliminate the need for stairs.

Modifying Bathrooms and Kitchens

Bathrooms often require the most modifications and pose a high risk for falls. Installing well-secured grab bars near the toilet and shower, using a walk-in bathtub or shower with a bench, and placing non-slip mats on tile floors significantly improve safety. Kitchens should also be adjusted for ease of use by keeping frequently used items within reach and ensuring that appliances are simple to operate.

Making Elder-Friendly Passageways

Entryways and hallways may need modifications to accommodate mobility aids. A ramp may be necessary if the home has steps at the entrance. Doorways should be wide enough for walkers or wheelchairs, and any uneven flooring should be smoothed out to prevent tripping hazards. Smart home technology, such as voice-activated lighting and motion-sensor nightlights, can also enhance safety and convenience.

Establishing Legal and Financial Plans

Caring for an aging parent brings financial and legal responsibilities that require careful planning. Without a structured approach, unexpected medical needs, rising expenses, or legal barriers can create unnecessary stress. The first step is to review your loved ones’ healthcare coverage, including Medicare and Medicaid eligibility, to determine available services and benefits.

If your parents have long-term care insurance, they should evaluate it to understand what costs will be covered for in-home care or personal care/assisted living. You should also consider other potential funding sources, such as veteran’s benefits.

Update Estate Planning Documents

A Financial Power of Attorney ensures that someone can manage the parent’s finances, pay bills and make legal decisions if the parent becomes incapacitated. Similarly, a Healthcare Power of Attorney allows a trusted individual to make medical decisions in accordance with the parent’s wishes. If a Will or Trust has not been updated in years, now is the time to ensure that assets are protected and distributed according to the parent's current preferences.

Setting Boundaries and Managing Family Dynamics

Living with an aging parent can impact family relationships. Establishing clear expectations for daily routines, privacy and caregiving responsibilities helps prevent stress and conflict. If multiple family members are involved, discussing how responsibilities will be shared can ensure that caregiving does not fall entirely on one person.

Starting the conversation can be challenging, but you don’t have to do it alone. Call our law firm today in Berks County, Pennsylvania, to schedule a consultation and take the right step toward multigenerational living. We have two care coordinators who, among many other things, assist families while navigating the care needed for an aging parent.

Key Takeaways

  • Assessing care needs is the first step: Understanding a parent’s medical and daily living requirements ensures the right level of support.
  • Home modifications improve safety and independence: Small adjustments, such as grab bars and accessible rooms, reduce fall risks and make living spaces more comfortable.
  • Financial and legal planning prevents future issues: Reviewing insurance, estate planning documents and caregiving costs ensures long-term stability.
  • Setting boundaries maintains family balance: Open communication and shared responsibilities prevent stress and ensure a smooth transition.
  • Advance preparation makes caregiving more manageable: Thoughtful planning leads to a safer, more supportive home environment for both parents and caregivers.

Reference: AgingCarePreparing for a Parent Living with You

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