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At a glance
What it is
Produces a comprehensive home safety assessment checklist for aging in place, covering fall prevention, mobility accommodation, bathroom safety, lighting improvements, emergency contact setup, and room-by-room hazard identification.
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SKILL.md
305 lines · 2,727 words
Use this skill when:
User asks about making a home safer for an aging parent or relative
User wants a fall prevention checklist for a senior's home
User asks about aging-in-place modifications or accommodations
Produces a comprehensive home safety assessment checklist for aging in place, covering fall prevention, mobility accommodation, bathroom safety, lighting improvements, emergency contact setup, and room-by-room hazard identification.
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Paste it into your agent's instructions (CLAUDE.md, AGENTS.md or a custom GPT), or add it to a bot in Murage.
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Step 1
Send your Chief of Staff this message. It proposes the bot and its role first, and creates it when you say go.
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“Create a bot that uses the Home Safety Assessment for Aging in Place skill, and show me the plan first.”
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Step 2
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Step 3
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Step 4
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What it covers
When to Use
Process
Output Format
Rules
Edge Cases
Example
Home Safety Assessment Report
User wants to assess home hazards for an elderly family member
User asks about bathroom safety, grab bars, or mobility aids for the home
Do NOT use this skill when:
User wants to evaluate care facilities (use care-facility-evaluation)
User needs medical assessment of fall risk or mobility (physician assessment required)
User wants full home renovation planning (this covers safety modifications only)
User asks about caregiver coordination (use caregiver-coordination)
User asks about home maintenance schedules for a general household (this is specifically for aging safety)
Assess current mobility and risk level. Gather baseline information:
Current mobility status: independent, uses cane, uses walker, uses wheelchair
Recent fall history: number of falls in the past 6 months and circumstances
Vision status: corrected vision, low vision, significant impairment
Cognitive status: fully independent, occasional confusion, needs reminders
Current medications (some increase fall risk -- dizziness, drowsiness side effects)
Note: This assessment gathers information for home modification planning. It is not a medical evaluation. If the user reports frequent falls or sudden changes in mobility, recommend a physician evaluation before or alongside home modifications.
Conduct the room-by-room safety audit. Walk through each area systematically:
Entryways and Exterior:
Porch and walkway are well-lit (minimum 50 lumens per square foot at night)
Steps have contrasting color strips on edges for visibility
Handrails present on both sides of all exterior steps
Doorway thresholds are flush or ramped (no trip hazards above 1/4 inch)
Door locks and handles are operable with one hand and minimal grip strength
Welcome mat is secured flat (no curled edges)
House numbers are visible from the street for emergency responders
Living Areas:
All walkways are at least 36 inches wide for walker or wheelchair clearance
Area rugs are removed or secured with non-slip backing
Electrical cords are routed along walls, never across walkways
Furniture is arranged to create clear, unobstructed paths
Frequently used items are stored between waist and shoulder height
Light switches are accessible at every room entrance
At least one chair has armrests and a seat height of 18-20 inches for easier standing
Kitchen:
Frequently used items are on lower shelves (no step stools needed daily)
Step stool (if needed) has a handrail and non-slip surface
Stove has automatic shut-off feature or a stove guard timer installed
Floor surface is non-slip (no wax buildup)
Fire extinguisher is mounted within reach (not above cabinets)
Adequate task lighting over countertops and stove (under-cabinet lights recommended)
Hot water heater is set to 120 degrees F maximum to prevent scalding
Bathroom (highest-risk room):
Grab bars installed next to toilet (wall-mounted, rated for 250+ lbs)
Grab bars installed inside shower or tub (at entry point and on back wall)
Non-slip mat or adhesive strips in tub and shower floor
Raised toilet seat installed (adds 3-4 inches for easier sitting and standing)
Shower chair or transfer bench available if standing is difficult
Handheld showerhead installed for seated bathing
Night light with automatic sensor for nighttime bathroom trips
Medicine cabinet contents are clearly labeled with large text
Bedroom:
Bed height allows feet to rest flat on the floor when sitting on the edge (typically 20-23 inches including mattress)
Path from bed to bathroom is lit with motion-activated night lights
Light switch or lamp is reachable from the bed without standing
Phone or personal emergency response device is within reach from bed
Closet contents are organized with daily items at accessible height
Stairs (if applicable):
Handrails on both sides, securely anchored (should support full body weight)
All steps are uniform height (uneven steps are a major fall risk)
Non-slip treads or contrasting color strips on each step edge
Adequate lighting at top, bottom, and along the stairway
Light switches at both top and bottom of stairs
No clutter or stored items on steps
Consider stair lift if mobility makes stairs unsafe (consult occupational therapist)
Set up the emergency response system:
Personal emergency response device (medical alert button) worn at all times
Emergency contact list posted by each phone and on the refrigerator
List includes: primary emergency contact, backup contact, physician, pharmacy, nearest hospital
Smoke detectors tested monthly (replace batteries every 6 months; replace units every 10 years)
Carbon monoxide detector on each floor
House key accessible to emergency contacts (lockbox with combination, spare with trusted neighbor)
Emergency information sheet on refrigerator: medical conditions, allergies, medications, blood type, insurance information
Prioritize modifications by urgency:
Immediate (complete within 1 week):
Remove or secure loose rugs
Install night lights along bathroom path
Clear walkway obstructions
Set hot water heater to 120 degrees F
Post emergency contact information
Short-term (complete within 1 month):
Install bathroom grab bars
Add non-slip surfaces to tub and shower
Install stove guard or auto-shutoff timer
Set up personal emergency response device
Add handrails to exterior steps
Medium-term (complete within 3 months):
Improve lighting throughout (replace bulbs with brighter options, add under-cabinet lights)
Install raised toilet seat
Estimate costs for modifications. Provide general cost ranges:
| Modification | Estimated Cost Range | DIY Possible |
|---|---|---|
| Grab bars (per bar, installed) | $30-80 | Yes, if anchored into studs |
| Non-slip bath adhesives | $10-25 per set | Yes |
| Raised toilet seat | $25-80 | Yes |
| Handheld showerhead | $25-60 | Yes |
| Night lights (motion-activated, 6-pack) | $15-30 | Yes |
| Shower chair or transfer bench | $40-150 | N/A |
Create the follow-up schedule:
Re-assess home safety every 6 months or after any change in mobility
Test smoke detectors and CO detectors monthly
Replace smoke detector batteries every 6 months
Check grab bar anchoring every 3 months
Review emergency contact list quarterly (update phone numbers, physician changes)
Check night light functionality monthly
## Home Safety Assessment Report
### Resident Profile
- **Name:** [Name]
- **Mobility status:** [Independent / Cane / Walker / Wheelchair]
- **Recent falls:** [Number in past 6 months, circumstances]
- **Vision:** [Corrected / Low vision / Significant impairment]
### Room-by-Room Findings
#### [Room Name]
| Item | Status | Action Needed | Priority | Est. Cost |
|------|--------|---------------|----------|-----------|
| [Item] | Pass/Fail | [Action] | Immediate/Short/Medium/Long | $XX |
### Emergency Preparedness
- [ ] Emergency response device: [In place / Needed]
- [ ] Emergency contacts posted: [Yes / No]
- [ ] Smoke/CO detectors tested: [Date]
### Priority Action Plan
**Immediate (This Week):**
1. [Action] -- [Cost estimate] -- [Who will do it]
**Short-Term (Within 1 Month):**
1. [Action] -- [Cost estimate] -- [Who will do it]
**Medium-Term (Within 3 Months):**
1. [Action] -- [Cost estimate] -- [Who will do it]
**Total Estimated Cost:** $X,XXX - $X,XXX
### Follow-Up Schedule
- Next reassessment: [Date -- 6 months from now]
- Smoke detector test: [Monthly on the 1st]
- Emergency contact review: [Quarterly]NEVER provide medical assessment of fall risk or mobility -- this skill assesses the home environment, not the person's medical condition
ALWAYS prioritize bathroom modifications first -- bathrooms account for the highest percentage of in-home falls among seniors
ALWAYS include cost estimates for every recommended modification
ALWAYS flag the hot water temperature check -- scalding injuries from water above 120 degrees F are preventable and common
Include the 36-inch minimum walkway width measurement for every room -- this is the ADA standard for walker or wheelchair passage
Flag grab bars as wall-mounted only -- suction cup grab bars are unreliable and can cause falls when they fail under load
Every assessment must include an emergency response system evaluation regardless of how minor the other findings are
Recommend professional installation for any modification that is structural (stair lifts, ramp construction, doorway widening, walk-in shower conversion)
ALWAYS recommend a follow-up reassessment schedule -- needs change, and a safe home today may have new hazards in 6 months
Present findings in a table format with pass/fail status, never as prose paragraphs
Rental property: When the senior rents rather than owns, note which modifications require landlord permission (grab bars, ramp installation, doorway widening) vs. which can be done without permission (non-slip mats, night lights, furniture rearrangement). Many landlords will approve safety modifications if asked. The Fair Housing Act may require landlords to allow reasonable modifications at the tenant's expense for disabled individuals.
Multi-story home with stairs as primary barrier: If stairs are the primary safety concern and a stair lift is not feasible (cost or structural reasons), recommend converting a ground-floor room to a bedroom and bathroom if possible. This avoids the stair risk entirely. If no ground-floor bathroom exists, a portable commode may be a temporary solution while planning renovations.
Cognitive impairment (dementia, Alzheimer's): Add additional checks: stove controls that can be disabled when unsupervised, door alarms on exterior doors, locked cabinets for cleaning supplies and medications, simplified remote controls and phone interfaces, and labels on drawers and cabinets. Consider a home monitoring camera system for remote family members to check in (with the resident's knowledge and consent where possible).
Limited budget: Focus on the highest-impact, lowest-cost modifications first: removing loose rugs (free), installing night lights ($15-30), securing grab bars in the bathroom ($30-80 per bar, can be DIY if studs are available), and posting emergency contacts (free). These four modifications address the most common fall scenarios for under $150 total.
Resistance to modifications: When the senior resists changes to their home, start with the least visible modifications (night lights, non-slip bath strips, water heater adjustment) and frame them as maintenance updates rather than safety accommodations. Grab bars can be chosen in decorative styles that look like towel bars. The goal is safety without making the home feel institutional.
Input: "My dad is 82, uses a walker, and lives alone in a two-story house. He had a fall in the bathroom last month. What should we do to make his home safer?"
Output:
Name: [User's father]
Mobility status: Walker
Recent falls: 1 fall in the past month (bathroom)
Vision: [Ask user to confirm]
Immediate (This Week) -- Estimated Cost: $45-85:
Remove all loose area rugs throughout the house -- $0 -- Family member
Install 3 motion-activated night lights along path from bedroom to bathroom -- $15-30 -- Family member
Verify hot water heater is set to 120 degrees F or below -- $0 -- Family member
Post emergency contact list by phone and on refrigerator -- $0 -- Family member
Clear any items stored on stairway steps -- $0 -- Family member
Short-Term (Within 1 Month) -- Estimated Cost: $200-450:
Install 3 grab bars in bathroom: beside toilet, shower entry, shower back wall (wall-mounted, 250+ lb rated, anchored into studs) -- $90-240 installed -- Handyperson or family member with stud finder
Place non-slip adhesive strips inside tub or shower -- $10-25 -- Family member
Install raised toilet seat (adds 4 inches) -- $40-80 -- Family member
Set up personal emergency response device (medical alert pendant) -- $20-50/month -- Family member helps with setup
Install handheld showerhead for seated bathing -- $25-60 -- Family member or plumber
Medium-Term (Within 3 Months) -- Estimated Cost: $300-700:
Add second handrail to stairway (currently likely has one side only) -- $100-200 installed -- Handyperson
Replace round doorknobs with lever handles on bathroom and bedroom doors -- $60-160 (4 handles) -- Family member
Install under-cabinet kitchen lighting -- $40-120 -- Family member
Add motion-activated lights in hallways -- $40-80 -- Family member
Install shower chair or transfer bench -- $50-150 -- Family member
Long-Term Planning -- Estimated Cost: $3,000-10,000:
Evaluate stair lift installation for main stairway -- $3,000-8,000 -- Professional installation required
Consider converting ground-floor room to bedroom to eliminate stair use entirely -- Variable -- Contractor assessment needed
Evaluate walk-in shower conversion to replace tub -- $3,000-10,000 -- Professional installation required
Total Immediate + Short-Term Estimate: $245-535 Total All Modifications Estimate: $3,545-11,235
| Item | Status | Action | Priority | Est. Cost |
|---|---|---|---|---|
| Grab bars near toilet | FAIL | Install wall-mounted bar | Short-term | $30-80 |
| Grab bars in shower | FAIL | Install 2 bars (entry + back wall) | Short-term | $60-160 |
| Non-slip tub surface | FAIL | Add adhesive strips | Short-term | $10-25 |
| Raised toilet seat | FAIL | Install 4-inch riser | Short-term | $40-80 |
| Night light | FAIL | Install sensor night light | Immediate | $5-10 |
| Floor mat | CHECK | Verify non-slip backing, lies flat | Immediate | $0-15 |
| Shower chair | ABSENT | Provide for seated bathing | Medium-term | $50-150 |
Your father uses a walker on a two-story home. Stairs with a walker are a significant fall risk. The short-term plan adds a second handrail, but the long-term goal should be either a stair lift or moving his bedroom and primary bathroom to the ground floor. Discuss this with his physician and consider an occupational therapist home visit for a professional stair safety assessment.
Next full reassessment: 6 months from now or immediately after any fall
Monthly: test smoke detectors, check night light function, check grab bar anchoring
Quarterly: review emergency contacts, confirm emergency response device is functioning
SKILL.md
305 lines · 2,727 words
The text of SKILL.md is shown as it downloads, under the Apache-2.0 license, by Ferrox Labs. The license is the one in the file's own frontmatter.
Your new bot
Home Safety Assessment for Aging in Place bot
Waiting in your sidebar once you say go.
Floor mat outside shower is non-slip and lies flat
Reorganize storage to eliminate overhead reaching
Add motion-activated lights in hallways
Replace round doorknobs with lever handles
Long-term (plan and budget):
Stair lift installation
Walk-in shower conversion
Wheelchair ramp construction
Widening doorways (if wheelchair or wide walker needed)
Smart home devices (voice-activated lights, video doorbell, automated locks)
| $20-60 |
| Yes |
| Lever door handles (per handle) | $15-40 | Yes |
| Stove guard auto-shutoff | $80-200 | Yes |
| Personal emergency response device | $20-50/month | N/A |
| Stair lift (installed) | $3,000-8,000 | No |
| Walk-in shower conversion | $3,000-10,000 | No |
| Wheelchair ramp (installed) | $1,000-4,000 | Possible for experienced DIY |
No account needed · Runs on the AI plan you already pay for