Bath Safety for Older Adults—Especially Those Living with Dementia

National Bath Safety Month is the perfect time to make improvements that increase safety and dignity for loved ones with dementia.

The bathroom is the smallest room in most homes—and one of the most hazardous. Slippery surfaces, tight spaces, and hot water make falls and burns more likely, particularly for older adults. According to the CDC, over 230,000 adults aged 65+ are treated in emergency departments annually for bathroom injuries, with falls being the leading cause. Approximately 14% of these falls occur in or around bathtubs and showers. The injury rate increases dramatically with age, with those 85+ facing the highest risk. Common injuries include fractures, particularly hip fractures, lacerations, and contusions. Slippery surfaces, reduced mobility, and balance issues contribute to these incidents. For people living with dementia, the risks increase because of changes in balance, depth perception, temperature sensitivity, and the ability to follow multi-step tasks. National Bath Safety Month in December is the perfect time to focus on bath safety for older adults, especially those living with dementia. Now is the time to review your setup and make low-stress improvements that protect safety and dignity.

Why Bath Safety for Older Adults Looks Different when Dementia is Involved

Dementia can affect how someone interprets what they see and hear. A shiny floor might look “wet,” dark bath mats can appear like holes, and running water may sound frightening. Short-term memory challenges also make it tough to recall steps (turn on water, adjust temperature, step in, sit, wash, rinse, step out). Anxiety around undressing and being assisted can escalate behaviors that feel like resistance—but are often fear or confusion.

Make the Environment Safer (and Simpler)

Simple changes, including the installation of assistive devices, can reduce injury risk by up to 70%, making bathroom modifications crucial for senior safety.

• Install sturdy grab bars by the toilet and inside the tub or shower (suction cups are not reliable). Place them where hands naturally reach.

• Choose a walk-in shower or tub transfer bench. A shower chair with a back and non-slip feet reduces fatigue and falls.

• Use non-slip treatments on floors and in the tub. Replace small rugs with secured, low-profile mats.

• Set the water heater to 120°F (49°C) or lower to reduce scald risk. Add an anti-scald device to faucets if needed.

• Improve lighting and contrast. A motion-sensing nightlight, brighter bulbs, and contrasting colors (for example, a white toilet seat on a darker bowl or vice versa) help with depth perception.

• Clear the clutter. Keep only the essentials within reach—soap, shampoo, washcloth, towels. Fewer choices reduce confusion.

• Label and pre-set. Use simple labels (“Hot,” “Cold,” “Shampoo”) and pre-set the shower to a safe, comfortable temperature before your loved one enters.

Make the Routine Calm and Familiar

Making physical changes to the bathroom space aren't the only things you can do to make the experience better. The way you interact with your loved one - and the way you set the stage for bathing - can make all the difference.

• Pick the best time of day. Many people with dementia do better when bathed at the same time they naturally feel relaxed (often late morning or early afternoon).

• Warm the room first. Cold air can trigger agitation; a small safe space heater used in advance can help (always supervised, unplugged afterward).

• Explain one step at a time. Use short, reassuring phrases: “We’re going to wash your hands now,” then pause. Demonstrate motions or use hand-under-hand guidance.

• Offer choice without overwhelm. “Shower or sponge bath today?” “Lavender or unscented soap?” Small choices preserve control.

• Protect dignity. Use a large towel, robe, or a bathing poncho for modesty. Keep private areas covered until it’s time to wash them.

When a Full Bath Isn't Possible

On tough days, do a targeted clean: face, hands, underarms, groin, and feet. No-rinse wipes, foaming cleansers, and dry shampoo can bridge between full showers. Aim for consistency over perfection—comfort and safety matter more than a rigid schedule.

Watch for Red Flags

Bruising, new fear of the bathroom, sliding to the floor, or burns from hot water signal that more support or equipment changes are needed. Talk with a clinician about occupational therapy. An occupational therapist can recommend the right setup, from grab-bar placement to specialty seating, and train caregivers on safe transfers.

Quick Checklist for National Bath Safety Month

December is a great time to assess the safety of your bathroom by addressing these seven issues:

1.  Lower water heater to 120°F and test faucet limiters

2.  Add grab bars and a shower chair or transfer bench

3.  Apply non-slip strips/mats and remove loose rugs

4.  Increase lighting; add motion-sensing nightlights

5.  Create a simple, step-by-step bathing card with pictures

6.  Stock no-rinse products for “light bath” days

7.  Schedule a home safety evaluation by an occupational therapist

Ultimately, bathing isn’t just about cleanliness—it’s about comfort, dignity, and the confidence to move safely at home. Use National Bath Safety Month this December as your annual reminder to review the bathroom, update equipment, and refresh routines. Small changes—a grab bar here, a brighter bulb there—can prevent a serious fall and make bath time calmer for everyone. If you’re unsure where to start, ask your doctor for a referral to an occupational therapist or consult your local aging services organization. Your future self will thank you.

Do you have questions about caring for older loved ones with dementia? Kimbrough Law is here for you. Call 706.850.6910 to schedule a family consultation.