Home Modifications

Increase ease of living, safety and accessibility 

Our Home Modification Assessments and consultation support Canadians with disabilities and those wanting to

live in place as they age.

Find out if you  should 'Modify or Move!'

Photo of an open concept renovated kitchen with room for a wheelchair user

We are a Canadian leader in home modifications assessment, consultation and training. Home modifications are not just home renovations, they are any residential adaptations that are meant to increase safety, accessibility and functional potential for current and future residents. 

OT Home Modification Assessments

Occupational Therapy Home Assessments are a preventative, functional safety assessment and environmental accessibility consulting service focused on supporting older adults and persons with disabilities to safely live in place, for as long as they wish or are able. 


This service is customized for each client and the functional safety assessment may include cognitive, mobility, and mental health screenings, along with the environmental accessibility assessment. The comprehensive report outlines all findings, including current and future barriers, and provides recommendations for assistive devices, accessibility equipment, home health and community support services, and cost-effective home modifications. We collaborate with qualified accessibility renovators, builders and designers to achieve our client's goals and create beautiful spaces together.


This assessment service is NOT a safety checklist or a rating of the home for accessibility. As health care professionals, occupational therapists are uniquely trained to identify safety risk factors and barriers to access, and make recommendations to increase functional performance. Equipped with knowledge about disability and age-related changes and progressive diagnoses such as dementia, our occupational therapists are able to determine cost-effective solutions that can allow you or your family member to live in place safely while staying connected to their community.

A Home Assessment conducted by our qualified occupational therapists can:


  • Assess a person, their activities and the environment 

  • Identify a person's risk of falling 

  • Identify current and future accessibility barriers

  • Assist in planning for hospital discharge following injury, disability accommodation, and aging in place

  • Educate a person, family, and caregivers in safe methods for bathing, toileting, and other activities of daily living

  • Identify capability and use of environmental controls including home automation or Smart Home features

  • Recommend caregiving services, meal preparation and delivery services, yard care services and more

  • Recommend mobility aids and assistive devices to increase independence and safety

  • Recommend home modifications including structural changes to bathrooms, entrances and other areas of the home.  

  • Assist a family in determining if they should modify or move.

Ask our Experts!

Marnie Courage, Enabling Access' CEO and Inclusion Specialist, is an international expert in the area of home modifications and leads the Enabling Access Home

Modification Team.

Connect with us if you would like Marnie to present on Home Modifications at your next event. 

Read Marnie's full bio here.

Photo of our CEO & Inclusion Specialist Marnie Courage in a Home Modification meeting with a senior client

Articles & Publications 

OT Now Magazine, Nov/Dec 2020, page 5


Building Excellence Magazine, March 2020.      


Lifestyles 55 publication,  Feb 2021, page 9


Dementia Connection Magazine, August 2019

Age Safe Canada Senior Home Safety Specialist logo
Executive Certificate in Home Modification Program frin Homes for All Ages Training for the Future logo
International Association of Accessibility Professionals Logo
Canadian Home Builders' Association Logo
Canadian Association of Occupational Therapists Logo