More Than Handrails: How Home Modifications Changed One Family's Life

September 1, 2026

For the Wilkins family, peace of mind came in the form of a handrail. 

For nearly 30 years, Dick and Barbara Wilkins called the same house home. But as mobility challenges increased and falls became more frequent, their son and daughter-in-law, Ken and Sara, began to worry whether they could continue living there safely.


“We worried every time the phone rang that it was Mom telling us that Dad had fallen again,” Ken, Dick and Barbara’s son, said.


Those incidents are exactly what Bluegrass Care Navigators’ Home Modification Program, delivered in partnership with Lexington-Fayette Urban County Government, aims to prevent. After working through the enrollment and eligibility requirements, an occupational therapist evaluated the Wilkins home and recommended changes to improve safety and accessibility. The program provides qualifying older adults with modifications such as grab bars, improved lighting, ramps, and other safety features that help them remain independent at home.


The home modification team works closely with each resident or family to identify specific challenges and develop modifications tailored to their needs.


"We just went around and showed them places around the house where I had fallen, especially in the bathroom," Dick said.


Today, strategically placed handrails provide support throughout the home, including in the shower and even in the closet. The changes may seem simple, but the impact has been profound.


"Since we've done the modifications, he has not had one fall. Not one," Tony Smith, Bluegrass Care Navigators’ Home Modification Program Occupational Therapist, shared.


Beyond the physical safety improvements, the modifications have eased a tremendous emotional burden for the entire family.


"The fear of falling and being hurt is gone because there are things to hold on to," Dick said.


“I would encourage anybody that that feels like they need help or think they're going to need help with their parents to check it out because it's a fantastic program,” Ken said. “It's been a godsend for sure.”


To learn more about the Home Modification Program and eligibility requirements, visit bgcarenav.org/home-modification-program or call 877.439.0262.


The work that provided the basis for this publication was supported by funding under an award with the U.S. Department of Housing and Urban Development. The substance and findings of the work are dedicated to the public. The author and publisher are solely responsible for the accuracy of the statements and interpretations contained in this publication. Such interpretations do not necessarily reflect the views of the Government.




Stock photo of woman celebrating
By by Dee Bowling, MSN, APRN, Advanced Practice Provider • September 29, 2026
The one thing you need to know about our palliative patient Mary is that she sees life as a choose-your-own-adventure book.
Mollie poses with Bird Calls.
September 28, 2026
When Mollie Rabiner's parents became seriously ill, she found herself facing one of life's most difficult seasons.
By Emma Powers, Music Therapist • September 14, 2026
I recently had the opportunity to work with a patient who was struggling with depression and grief as his illness progressed. As he lost abilities and became more homebound, the hospice team knew he could benefit from additional emotional support. However, he had repeatedly declined visits from the chaplain and social worker.
Massage therapy helps patients feel less alone.
By Jeff Zutaut, Massage Therapist • September 14, 2026
Over the years, I've seen how massage therapy can help ease physical discomfort, anxiety, and stress for hospice patients. But one of its most meaningful benefits is something less visible: helping patients feel less alone.
Massage therapy with Bluegrass Care Navigators helped lessen a patients anxiety.
By Jeff Zutaut, Massage Therapist • September 14, 2026
A patient living with Parkinson's disease and advanced prostate cancer was recently referred to our Integrative Medicine team. While his wife was a strong supporter of hospice care, she wasn't aware that Bluegrass Care Navigators also offers integrative medicine therapies such as massage, that complement the medical care for the nursing team.
An adult coloring in a coloring book.
By Whitney Clay, Integrative Medicine Program Coordinator • September 14, 2026
At Bluegrass Care Navigators, our Integrative Medicine and Volunteer teams have been working together to create new opportunities for meaningful patient connections through art and music. This year, we launched a program that trains volunteers to incorporate creative activities into companionship visits with patients.
Seniors music activity
September 11, 2026
Program of All-Inclusive Care for the Elderly (PACE) empowers seniors to remain independent at home with comprehensive support.
Grieving man sitting in chair with his hands folded and near his chin
September 2, 2026
After a loss, many people ask the universal question: “How long will my grief last?” This is especially true for a first loss. Some people ask for ways to hurry through the grieving process, but there is no shortcut. It is difficult to accept that one has little control, but with grief work, the sense of loss can slowly improve.
July 24, 2026
Bluegrass Care Navigators has received grant funding from Truist Foundation and the Lexington-Fayette Urban County Government (LFUCG) to purchase an additional transportation van for Bluegrass PACE participants in Fayette County. The new van will expand Bluegrass PACE Care’s existing transportation fleet, helping meet growing demand and ensuring participants can reliably access the care and services they need.
Northern Kentucky Voluteer Flower Program Participants
July 9, 2026
The dedication of Bluegrass Care Navigators’ Northern Kentucky Flower Program volunteers was recently recognized at the Garden Club of Kentucky Annual Convention, highlighting the powerful impact of their service to BCN patients. In addition to celebrating 22 awards earned for a wide range of gardening projects throughout Boone County, the Boone County Garden Club was also honored with the prestigious Club of Honor for its outstanding partnership with Bluegrass Care Navigators. This recognition reflects the heartfelt commitment of our volunteers and the meaningful difference they make in our community.