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Please note that this page is under construction and will be more accessible and user friendly!
Adaptable Abodes, LLC
Adaptable Abodes helps older adults, families, and individuals with disabilities create homes that are safe, comfortable, and ready for the future.
From grab bars to stair lifts, ramps to elevators, shower conversions to medical equipment, smart home technology, floor plan design and multigenerational homes.
We customize a plan, connect you with trusted contractors, community resources, and compare options and costs so you can make confident, informed decisions.
Investing in accessibility before a crisis isn’t just smart planning - it’s peace of mind.
Founded by Kelly Nesbitt, OT/L, CAPS, ECHM, Adaptable Abodes combines over 25 years of clinical experience in Occupational Therapy with personal experience in home design & remodeling.
Kelly is a Certified Aging-in-Place Specialist (CAPS) through the National Association of Home Builders and holds an Executive Certificate in Home Modification (ECHM) from the USC Leonard Davis School of Gerontology.
Areas of Expertise
✅ Aging in Place & Fall Prevention
✅ Remodel & Space Planning
✅ Accessibility & Universal Design
✅ Home Safety Assessments
✅ Smart Home & Adaptive Technology
✅ Contractor-Ready Specifications
✅ Project Coordination & Homeowner Advocacy
✅ Vetted Professional referrals & Caregiver Support
✅ OT assessments and court ready reports for medical malpractice and personal injury lawyers.
Adaptable Abodes, LLC has been invited to present at the American Association of Nurse Life Care Planners Conference in Orlando this March.
Our session will explore how emerging smart-home and Age-Tech innovations - from fall detection and fire-safety systems to skin-integrity and cognitive-support technologies - can strengthen both quality of life and defensibility in life care planning.
We’ll also highlight the vital role of Occupational Therapy in providing functional insight, home assessments, and evidence-informed environmental design strategies that support safe, dignified, independent living.
Tickets available now HERE.
Before putting any grab bar up or investing in any renovation or remodel, start with a clinically informed Home Accessibility Assessment by a licensed Occupational Therapist (OT) who is CAPS certified and trained in accessibility design.
A Home Accessibility Assessment by Adaptable Abodes combines a home inspection, safety audit, and functional assessment into one comprehensive, easy-to-understand review.
It examines how you move, live, and perform daily activities in your home - identifying what works, what doesn’t, and practical ways to ensure your home fits you and your family’s current and future needs.
This proactive step helps prevent costly mistakes, unsafe layouts, and overlooked details that can affect comfort, safety, and the long-term use of your home.
At Adaptable Abodes, we translate your health and mobility needs into contractor-ready plans that make it easier to live safely and comfortably at home for years to come.
We also help families explore creative housing options - such as home sharing, ADUs, multigenerational living, and Landlord-Occupied Dwellings - to make home life more affordable, social, and supportive.
What sets Adaptable Abodes apart is the clinical expertise behind every recommendation.
With over 25 years of experience as a licensed Occupational Therapist, I bring medical insight into the progression of complex conditions such as Parkinson’s disease, multiple sclerosis, stroke, dementia, traumatic injury, and gait and balance disorders.
What a contractor might recommend is very different from what an Occupational Therapist would - especially one trained in home modifications and accessibility design.
When OTs and contractors collaborate, the result is a home that’s both functional and beautiful - designed to support your safety, comfort, and independence for years to come!
HOME ASSESSMENT
We begin with a comprehensive on-site Home Assessment (approximately 2.5 hours).
Each assessment includes a 30+ page digital report featuring photos, personalized design recommendations, medical equipment options, senior resource referrals, contractor-ready specifications, functional assessments, and generalized cost projections with practical solutions.
Recommendations range from quick, urgent, budget-friendly improvements to longer-term renovation ideas for the future.
Each plan provides a graded roadmap of options - from simple fixes to more complex design upgrades - helping you prioritize based on safety, cost, and readiness.
Digital reports are typically delivered within 72 hours of the assessment.
Add-on option: Printed, full-color report mailed directly to you.
$500–$700 (depending on scope and medical complexity – see Rates)
Payment required prior to Home Assessment
48-hour cancellation policy
Sample reports available upon request
Detailed cost projections and estimates available for case managers, attorneys, and life care planners
Choose Your Path (A or B)
A. Choose Your Own Contractors
After your home assessment, you can take our detailed report and move forward independently - using it as a clear roadmap to share with your own contractor or design team.
The report includes everything you need to get accurate estimates, plan updates safely, and make confident decisions that align with your accessibility goals.
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B. Choose Adaptable Abodes for Project Coordination & Consulting
For families seeking guidance through the remodeling or accessibility process, Adaptable Abodes offers personalized project coordination designed to educate, empower, and advocate for homeowners every step of the way.
We stand by your side from concept to completion—helping you navigate estimates, design choices, and contractor communications with confidence. Our goal is not to take over the process, but to equip you with the knowledge and tools to make informed decisions and stay in control of your project.
We can also introduce you to vetted, CAPS-certified contractors who share our commitment to accessibility, quality, and long-term client care—so you leave the process with both a safer home and trusted professionals for future needs.
Adaptable Abodes collaborates with:
Homeowners and Families – adjusting to new medical needs, planning for aging in place or deciding to embrace a new space.
Professionals – architects, designers, senior advisors, senior real estate agents (SRES), financial specialists, medical equipment specialists, and contractors seeking CAPS-informed collaboration.
Healthcare & Legal Teams – attorneys, physicians, life care planners, insurers, and case managers needing OT-informed reports and cost projections
Together, we create homes that are functional, stylish, and defensible - clinically sound and thoughtfully designed.
🔹 Complex Medical Expertise – Experience with Parkinson’s, ALS, MS, dementia, stroke, SCI, TBI, and other complex conditions. We translate medical needs into safe, functional solutions that also support caregivers.
🔹 Architectural Collaboration – Partnering with architects and designers to review floor plans, flag accessibility concerns, and prevent costly redesigns.
🔹 Legal & Insurance Support – Neutral, OT-informed evaluations for attorneys, insurers, workers’ comp, and life care planners—complete with cost projections, functional needs analyses, and litigation-ready reports.
🔹 Collaborative & Human-Centered – Working side by side with families, builders, and professionals, centering the person, the home, and the story behind each space.
Kelly Nesbitt
OT/L, CAPS, ECHM
Hello! I am Kelly. I am a CAPS Certified Aging in Place Specialist and certified Occupational Therapist with 25+ years of hands-on experience in hospitals, rehabilitation centers, and home settings - plus nearly two decades of personal remodeling experience. I founded Adaptable Abodes to bridge clinical insight with real-world design. I do not perform the work on your home, I help you navigate the process.
Certifications
Certified Occupational Therapist in Oregon # 1036721
Certified Occupational Therapist in Washington # 60952325
Executive Certificate in Home Modifications - ECHM
Certified Aging-in-Place Specialist - CAPS
Abides by the American Occupational Therapy Association (AOTA) code of ethics
Member Home Modification Occupational Therapy Alliance
Member OT Potential
Member Next Level OT Home and Community Therapist Network
Member Oregon Gerontological Association
Member National Aging in Place Council NAIPC®
Member Aging-in-Place Directory
Member Metropolitan Senior Network
Member Portland Area Rental Owners Association
(Red grab bars in photo by PONTE GUILIO in Italy)
Portfolio
&
Reviews
Photos of my personal home renovation projects .
New construction (in my backyard), hybrid timber frame, double decker art studio, backyard speakeasy performance space, tiny home, 10-12 footprint, 25ft eave, seasonal plumbing (sink/toilet), electric heaters, mini fridge, ceiling fan, and 50 amp panel. Portland, Maine.
GC/Project manager; Kelly Nesbitt, Designer; Rachel Conly @ Juniper Design, Construction; Greg Gilman & company
Personal remodel and new addition construction, 3 room, single level studio, 500 sqft.
GC/Project manager; Kelly Nesbitt, New Addition Designer; Das Chapin Design, Construction; Mark Pendergrass & company
Accessibility Design
"Kelly was instrumental in helping us make design choices when building my mother's casita.
After my father passed, my husband and I decided to transition my limited mobility elderly mother to our home. Soon after, we recognized we needed our own spaces and plans for an ADU to suit her needs quickly began.
Though new building codes already mandated certain ADA accessibility requirements, we quickly recognized that we needed a more customized plan. Kelly gave us a detailed list of design requirements specific to my mother's needs, including: appropriate flooring selections, lighting considerations, floor layouts that would accommodate a future live-in caretaker, specific shower bar adaptations, design layouts that would create clear pathways, AND SO MUCH MORE.
We were able to pass this detailed list on to our architect, who was able to incorporate these accommodations into our final design. We are super grateful for her insight and guidance. Her input saved us thousands of dollars and time in what would be future renovations." - Dee Roberts - 10/2024
(ADU seen in photos, first floor is her mother’s casita apartment)
Meet Marty.
Company mascot.
Referrals are Appreciated!
I’m always looking to connect with:
Elder law attorneys
Case managers & Physicians
Life care planners
Senior service professionals
Architects & Builders & Developers
Complex Rehab Professionals
If you know someone supporting families through home modifications, catastrophic injuries, or long-term care planning, a referral means so much. Together, we can ensure clients have the safety, accessibility, and dignity they deserve.
via OT Potential
DSHS Washington State
(Adaptable Abodes does not accept Medicare)
Home Financing for Seniors with Landis Group
Renovation Loans, Retirement Loans, VA Loans and much more
Complex environmental modifications: OT perspective
By Goldhammer, T 2024. Journal of Nurse Life Care Planning. (Requires access through your institution)
AGE TECHNOLOGY
Home Safety & Well-Being Device (founded in Lake Oswego, Oregon)
Architechs, Designers, Accessibility OT’s
A model that the Irish are doing.
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Please note that this page is under construction and will be more accessible and user friendly!