Aging in Place Primary Bathroom Design – Six Important Factors to Consider

Aging in Place and Living in Place recommendations draw heavily on the principles of Universal Design. Universal Design is the design of space so that it can be utilized and enjoyed to its full extend by as many people as possibly regardless of their ability, including age, mobility, vision, hearing, etc. So often, the presence of an accessible bathroom in a home can be the difference between being able to remain at home or having to find alternative arrangements.

The following tips will help you determine the choices for creating a primary bath that you can easily improve the functionality of your bathroom. Topics will include accessibility, ergonomics, materials, and lighting and safety.

Reduce Entrance Barriers

The first barrier to a bathroom that accommodates a broader range of users is the doorway. Many older homes have bathrooms with doors that are only 28″ wide. If there is enough room for adjusting the framing, consider enlarging the door to at least 32″.

Although we aren’t talking specifically about wheelchair access, 32″ is the minimum door opening to accommodate a wheelchair.  It’s easier to navigate a wider opening with a walker or assistant as well. Also, switch out any round doorknobs for lever handles. Lever handles on doors are more ergonomic and easier to operate whether you have arthritic hands or are simply carrying something.  If the space allows, you could replace the traditional hinged door with a pocket door and automate the open/close function.

There are special hinges that you can install on your bathroom door that will allow for more clearance into the space. These hinges use the same screw holes as the existing hinges. They are also great for when your architecture simply does not permit for a larger door opening.

Install Blocking for Grab Bars

Grab bars can provide extra support in multiple areas of your bathroom. The best time to install blocking (extra 2×4 studs in the framing) in your walls for grab bars at your toilet and in your shower is during a major bathroom remodel. If you should need a grab bar later, it will be impossible to install it without proper blocking, and you don’t want to rip out all that pretty tile you just installed. You don’t even need to install the grab bars right away. Make sure the contractor notes their location on your plans, and you can add them later when they become necessary.

Don’t worry that your grab bars need to look industrial or like a hospital bathroom. There are many beautifully designed grab bars on the market for all styles of bathroom.  Some manufacturers make attractive grab bars that look like heavy duty towel bars. The top three areas to install grab bars in your bathroom are on the side wall of the toilet, behind the toilet, along the shower walls, and at the tub. Consider a combination of horizontal and vertical style grab bars. The exact location of grab bars will be specific to the layout and design of your space.

Design Your Shower for Aging in Place

Aside from grab bar blocking, there are a few other design elements you should include in your shower. First, you will want to enlarge the shower to at least 5′ x 3′ even if it means eliminating your tub.

A Curbless or Low Threshold Entry

A curbless shower has no threshold to step over, reducing your likelihood of falling. There can be challenges to installing a custom formed curbless shower depending on the construction of your home. We’ll help you navigate the construction changes and determine the best possible option for your space.

One alternative to the custom formed zero entry base is a pre-formed accessible base. It’s more cost effective from both a material and labor perspective. There are various configurations and sizes that available.

The Shower Bench

Include a shower bench that is at least 18″ deep and 18″ high. Ideally, the bench would span the width of the shower. If you’ve ever shaved your legs in a shower without a bench, you know how difficult it is. Every shower needs some sort of bench or shaving niche.

There may come a time when you do want to sit while you shower, and it might not have anything to do with getting old. You could break your ankle or have your hip replaced.

Corner benches are not optimal for this scenario. Make sure you add a recessed wall niche or shelf that is accessible from a seated position at the bench.

The bench does not have to be permanent. By planning a 5′ x 3′ shower, you can always bring in a portable bench if it becomes necessary. If floor space is at a premium, consider a folding teak bench. If you add the blocking during construction, you can add this bench later when you need it. Removable teak benches are also a great option. Many clients do not want a stone or tile top bench because it’s cold to sit on. Teak is a much more comfortable and affordable alternative.

Plumbing Fixtures

Add a separate hand shower on an adjustable bar close to the bench. I always specify a hand shower for cleaning anyway. Hand showers can be installed on an adjustable bar, which is my preference for the greatest flexibility. They can also be installed on a hook. For an Aging in Place bathroom, you want a separate hand shower and not a hand shower that is combined with the main showerhead. The hand shower needs to be lower so it can be accessed from a seated position.

When you choose your plumbing, you’ll have the option to combine your shower control valves so that they all operate from one place. If you have a large shower, you may want to consider a separate valve control just for the hand shower.

Choose plumbing fixtures with lever handles instead of cross handles. Yes, the cross handles can look more upscale, but they are harder to operate if you develop joint issues.

The Shower Floor

Use an anti-slip mosaic tile for the shower floor if you are not using a preformed shower pan. When you are selecting your floor tile, we can help you select the proper tile for your shower configuration.

Do I need to have a bathtub in my bathroom?

If you don’t have room to create a large shower with all the features described without eliminating the tub, then get rid of the tub. If you do have room for a tub, then consider a model that is shallower to reduce the perils of stepping over the side and keep the thickness of the side as narrow as possible. If you absolutely must have a tub and do plan to use it for as long as possible, then you may want to consider investing in a walk-in version.

Choose Finishes and Materials Thoughtfully

 As you age, your vision will naturally degenerate. One way to compensate for the loss of vision in design is by incorporating high contrast at changes in plane (horizontal to vertical). For instance, if you select a medium to dark floor, you may want to paint your baseboards white so that the change in plane from floor to wall is obvious. If you choose dark cabinets, then select light countertops.

Next, make sure your floor tile has a high coefficient of friction and use smaller tiles so that you have more grout lines. I think the wood and brick look tiles are perfect for a Universal Design bathroom because many of them are textured. Avoid high contrast patterned mosaics which can seem to vibrate.

Install a Floating Vanity

If you raise your vanity off the floor by 9″, it will make your bathroom feel larger and add a contemporary vibe to the design. It will also accommodate the wheels of a walker. This is a Universal Design principle that no one will ever think twice about. Guests will just think you have a cool modern bathroom. You should install the countertop height at 34″, which is 2″ lower than standard height.

Some other vanity features that you can incorporate into your accessible bathroom remodel are:

  • Create a seated makeup counter. If it gets harder for you to stand as you age, or if you have a mobility issue, you may prefer to dry your hair and apply your makeup while seated.
  • Install a swing-out, lighted makeup mirror with a magnifying option. These are great for shaving too, completely illuminate your face, and make everything easier to see. You also don’t have to lean over the counter to see yourself.
  • Install pulls instead of knobs. Pulls are easier to grasp than knobs, especially for arthritic fingers.
  • Select a faucet for your sink that has a single lever handle, which is the easiest style to operate.

Design Your Lighting with Intention

    To use your bathroom safely, you need to be able to see properly. A variety of light fixtures can provide adequate lighting at the vanity, in the shower, and throughout the space.

    The best vanity lighting configuration is a sconce on either side of the mirror, with the light source (not the box) mounted at 63″-66″ above the floor, combined with a recessed LED can centered over the sink. The combination of the downlight and sconce light on either side of your face washes out harsh shadows so that shaving and makeup application is easier.

    For maximum lighting, I prefer a sconce with two bulbs. Below I’ve rounded up some stylish vanity sconces that each have two bulbs and fit in narrow spaces on either side of a mirror.

    LED tape light under the vanity (floating) or installed along the vanity toe kick can illuminate the floor and be used as a nightlight. In the shower, make sure you have at least one wet location recessed can light. Two can lights might be necessary for an extra-large shower. Additional recessed cans or ceiling lights may be necessary depending on the size of the room.

    Install dimmer switches on all lights so that you can the option to adjust the level of lighting depending on the time of day or desired mood. Dimmers allow for flexibility in lighting levels depending on the needs and preferences of the person using the room.

    When does Aging in Place become less important for a bathroom remodel?

    This is a very good question. There are a couple circumstances in which it would be less important to consider Aging in Place for a bathroom remodel.

    First, if your primary suite is on the second floor of your home, then it’s less likely you’ll remain in your home if mobility becomes a serious issue. You may want to consider creating a more accessible bathroom and bedroom suite on your main level instead.

    Second, if you are in your sixties but planning to move within the next five to ten years, then it sounds like your remodel might be driven more by resale considerations than your personal preferences. However, it’s never a bad idea to use Aging in Place or Living in Place principles whenever possible.

    As mentioned at the beginning of this post, if you thoughtfully approach your bathroom remodel from a Universal Design perspective, then it probably will not affect the aesthetics of the design.  You can still achieve a beautiful new bathroom that can serve you for many years to come.

    It’s possible to consider Universal Design in a bathroom remodel project given each client’s particular situation to create a flexible space that adapts to their changing needs as they age while making it beautiful and meeting their aesthetic vision.

    When executed thoughtfully, many people wouldn’t even realize that a space incorporates Universal Design principles. The whole point of Universal Design, in my opinion, is to minimize the differences in our physical abilities, not to call attention to them.

    Start your bathroom remodel today!

    As you can see, there are many things to consider when remodeling your bathroom.  With more than 40 years of experience, Roberts’ Residential Remodeling has the knowledge and expertise to guide you through the process and accomplish your remodeling goals.  Contact us to learn more or to get started with your Twin Cities bathroom remodeling project.  We look forward to working with you!