Unsure If Your Aging Parent Can Safely Stay Home?
Get a professional assessment built on clinical knowledge and construction expertise — not guesswork.
Independent Home Safety Assessments and Aging-in-Place Advisory for families across Greensboro, Winston-Salem, High Point, and the NC Triad.
Credentials & Professional Affiliations
Independent and unaffiliated — OrangeBean accepts no referral fees, contractor commissions, or payments from senior living communities. Every recommendation is based solely on what is right for your family.
The Problem
Because a new diagnosis changes how a home functions
Most home assessments only look at walls, tape measures, and generic grab bars. They miss the human element entirely.At OrangeBean, every assessment looks at four things: the person and how they actually move through their home, the environment and what the physical space is doing for or against them, the caregiver who is often the most important and most overlooked part of the picture, and the trajectory — where things are heading in 6 and 12 months, not just today.The result is a complete, honest picture of whether staying home is realistic, what it would take, and what it would cost. Not guesswork. Not a checklist. A defensible clinical and construction-informed assessment with a prioritized plan your family can actually use.
Why OrangeBean
Why your family needs both clinical and construction expertise — and why almost nobody has both
Most home safety assessors are one thing: a therapist who understands how people move, or a contractor who understands how buildings are built. Very few are both.De'Juan Scriven is a Licensed Occupational Therapy Assistant (COTA/L) with more than ten years of experience in home health — walking into real homes, watching how real people with real diagnoses actually function, and identifying what the environment is doing to help or hurt them. He is also a Certified Aging-in-Place Specialist (CAPS), holds an Executive Certificate in Home Modification from USC's Leonard Davis School of Gerontology, and is a North Carolina Licensed Residential General Contractor.That combination matters because the questions families face are never purely clinical or purely structural. Can Dad safely use that bathroom? Is there room for a ramp? Can that half-bath become an accessible full bath? Answering those questions accurately requires someone who understands both the person and the building.OrangeBean is assessment-only and completely independent. We do not perform modifications, do not refer contractors for compensation, and have no financial relationship with any senior living community. Every recommendation is based solely on what is right for your family.
⛊ COTA/LCertified Occupational Therapy Assistant · 10+ years in home health and fall prevention
⛊ CAPSCertified Aging-in-Place Specialist (national NAHB designation)
⛊ Licensed GCNC Licensed Residential General Contractor — construction feasibility, code, real costs
⛊ ECHMExecutive Certificate in Home Modification, USC Leonard Davis School of Gerontology
“Most OTs don’t understand construction. Most contractors don’t understand functional decline. I do both—so you get assessments that are clinically informed AND structurally realistic.”
The Person Nobody Asks About
The Load-Bearing Caregiver
In almost every family navigating a progressive diagnosis — Parkinson's, dementia, stroke — there is a spouse or adult child quietly carrying the full weight of keeping the system together. They manage the medications, the appointments, the household, and the emotional reality of watching someone they love change.We call this person the Load-Bearing Caregiver. They are often the most important factor in whether aging at home is sustainable — and the person least often asked how they are doing.Every OrangeBean assessment includes a private caregiver conversation and a dedicated Caregiver Capacity Assessment in the written report. Not because it is a checkbox. Because caregiver collapse precedes patient catastrophe — and a perfectly modified home cannot hold if the person holding it together goes down first.
Who I Work With
Two families. One question. One answer.
Living Out of State?
You live in Texas, Oregon, or hours from the Triad, and you are losing sleep wondering whether Mom or Dad is safe. You need a trusted, local professional to be your eyes on the ground in Greensboro or Winston-Salem — someone who will give you an honest picture and a clear plan, not a sales pitch. OrangeBean serves as your independent expert on the ground.
Navigating a Changing Condition?
Your loved one has been diagnosed with Parkinson's disease, dementia, a stroke, or another condition that changes how they move through their home. The stairs, the bathroom, the thresholds, and the doorways that worked last year are quietly becoming risks. You need a clear-eyed assessment of what the home can support, what needs to change, and in what order — before a fall forces the decision.
The Process
Three steps to a clear plan
01
The In-Home Assessment
90 minutes
A 90-minute in-home visit covering how your loved one actually moves through their home, every room and all three exterior entrances, and a private conversation with each family member who wants to be heard. As a COTA/L and Licensed GC, I assess both the person and the building — and identify which areas require structural confirmation by a contractor or engineer.
02
Your Report Package
within 10 business days
You receive two documents built for two different readers:
The Family Report
Plain language for you and your family. Every hazard, three decision pathways with real cost comparisons, a caregiver capacity assessment, and a prioritized action plan. No jargon. No checklist.The Contractor Specification Sheet
A technical companion coded to ICC A117.1 residential accessibility standards. Hand it directly to any contractor you hire so they can scope and price the work accurately.
03
The Follow-Up Call
45 minutes
A 45-minute virtual call via Teams or Zoom — ideal for out-of-town family members — to walk through every finding in priority order, answer questions, and help the family decide what to do first, what can wait, and how the investment compares to the long-term cost of assisted living or memory care.
What Families Say
“This report is so helpful. I cannot thank you enough.”
— Sarah P., daughter of OrangeBean client, Texas
Investment
Home Safety & Aging-in-Place Assessment
$1,497
What’s included:
90-minute in-home assessment
Two-document report package — Family Report + Contractor Specification Sheet — delivered within 10 business days
45-minute follow-up call
For context: assisted living and memory care facilities in the Triad can run several thousand dollars per month — a cost that recurs every year. A single OrangeBean assessment produces a plan that may keep your loved one home safely for years and gives your family the information to make the right decision, whatever that decision turns out to be.
Case Study
What an OrangeBean assessment looks like in practice
An adult daughter living out of state reached out about her father, a 75-year-old man with a progressive neurological diagnosis living in a historic two-story home with his wife as his primary caregiver.The assessment identified the main staircase as the highest-risk feature in the home, an upstairs bathroom that was simultaneously the most dangerous room and the least accessible as the condition progressed, and a caregiver carrying the full weight of the household on a thinner margin than the family realized.The family received a phased modification roadmap, a clear gate item to bring to a contractor before committing any resources, and a specific plan for supporting the caregiver — not just the patient — as a condition of staying home remaining viable.
“This report is so helpful. I cannot thank you enough.”
— Adult daughter, Texas
| 3 | 10 | 1 |
|---|---|---|
| Decision pathways | Business days | Prioritized plan |
Guess on modifications
Spend $15K–$30K on changes that may not work
Move to assisted living
$5K–$8K/month when staying home might be realistic
Do nothing and wait
Make rushed decisions after a fall or crisis
01
In-Home Assessment
90 minutes
I assess you or your loved one clinically—mobility, balance, cognitive function, decline trajectory—and the home structurally—fall risks, modification needs, construction feasibility.
02
Written Report
Delivered within 7 days
You get an 8–10 page report with fall risk analysis, room-by-room safety evaluation, recommended modifications prioritized by urgency, three decision pathways (Stay, Move, or Monitor), and cost estimates.
03
Follow-Up Call
45 minutes
We review the report together, answer your questions, and help you decide on next steps.
Is This Right For You?
This Assessment Is For You If…
Your parent has fallen recently or you’re worried about fall risk
You’re recovering from a stroke, spinal cord injury, or orthopedic surgery and need home modifications
You have a progressive condition (Parkinson’s, MS, arthritis) and want to stay independent as long as possible
You have a child or family member with a disability and need to modify your home to meet their needs
You’re debating whether to spend money on modifications or move to assisted/accessible housing
You don’t know what modifications are actually needed or whether they’ll work long-term
You want to plan ahead before a crisis forces rushed decisions
Credentials
Why Families Trust Me
COTA/L (Certified Occupational Therapy Assistant)
10 years in home health and fall preventionCAPS
Certified Aging-in-Place Specialist (national designation)Licensed GC
I understand construction feasibility, code compliance, and realistic costsECHM
Environmental and Home Modification certification
“Most OTs don’t understand construction. Most contractors don’t understand functional decline. I do both—so you get assessments that are clinically informed AND structurally realistic.”
Investment
Home Safety & Decision Assessment
$1,497
What’s included:
90-minute in-home assessment (clinical + structural)
8–10 page written report with fall risk analysis, recommended modifications, three decision pathways, and cost estimates
45-minute follow-up call to review the report
Privacy Policy
OrangeBean Aging-in-Place, LLC collects only the information necessary to provide home safety assessment services. Your personal information is never sold or shared with third parties. All assessment reports and client information are kept strictly confidential.For questions contact: [email protected]
Terms of Service
By booking an assessment with OrangeBean Aging-in-Place, LLC you agree that: Assessment reports are for informational and planning purposes only. OrangeBean AIP is not liable for construction outcomes performed by third-party contractors. Results may vary based on individual circumstances. De’Juan Scriven is a Certified Occupational Therapy Assistant and Licensed General Contractor — not a physician. Nothing in this assessment constitutes medical advice.
Cancellation & Refund Policy
Our Commitment to You:
If after receiving your assessment report and follow-up call you feel your questions weren’t fully addressed, we’ll schedule an additional 30-minute consultation at no charge to ensure you have the clarity you need to move forward confidently.
All assessment bookings are final. All sales are non-refundable. By booking your assessment you acknowledge and agree that no refunds will be issued under any circumstances.Rescheduling is available with 48 hours notice at no additional charge.To reschedule contact: [email protected] or 336-422-1515