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Adaptable Abodes, LLC (Portland, OR and Vancouver, WA) helps older adults, families, and people with disabilities make their homes safer, more comfortable, and easier to live in - now and in the years ahead.

We provide Occupational Therapy-led home accessibility consulting, so you get a practical, step-by-step plan to reduce fall risk, improve daily function, and make thoughtful decisions without feeling rushed.

We support everything from simple home modifications to complex remodel planning - helping you choose the right solutions and, when needed, coordinate with qualified contractors, vendors, and trusted senior-serving professionals.

Founder Kelly Nesbitt is a Certified Aging-in-Place Specialist (CAPS) and holds an Executive Certificate in Home Modifications (ECHM), bringing specialized training in accessibility and home modification to every recommendation.

What WE OFFER

Quick safety improvements: grab bars, railings, lighting, trip-hazard reduction, safer entries, stairs and caregiver training
Bigger accessibility projects: ramps, bathroom remodels, first-floor living conversions
Vertical access solutions: chair lifts, ceiling lifts, elevators, and other lift options
Smart home options: voice control, alerts, sensors, and fall-prevention tech that fits the person and the home
NOTE:
We do not perform construction or install equipment - we help you identify the right solutions and coordinate with qualified professionals as needed.

A plan you can act on - without guesswork:

A functional home assessment report focused on real-life safety and independence
A phased roadmap (what to do now, what can wait)
Contractor-ready scopes so bids are easier to compare
Options and budget-range guidance so decisions feel clear
Connections to a trusted, vetted network of home and care professionals when needed
(See samples below. All identifying client information has been removed.)

Some clients want a plan. Others want a partner through the whole process. Adaptable Abodes can support projects from start to finish:

Vet and schedule contractors
Review bids and compare approaches
Coordinate timelines and communication
Support you through construction and the final walkthrough

Who we support:

Wealth managers, fiduciaries, and estate planning teams seeking to reduce preventable crises, protect the home as an asset, and support proactive planning
Elder-law attorneys navigating aging-in-place decisions, transitions, and family complexity
Personal injury attorneys and life care planners who need home accessibility assessments and cost projections for medically necessary modifications and equipment integration

Common deliverables:

Functional home accessibility assessments with clear recommendations
Contractor-ready scopes and budget-range guidance
Documentation-ready summaries that support decision-making
Funding pathway exploration when relevant (Veterans benefits, Tribal programs and grants, HUD-funded resources, Medicaid waiver-related options)

Areas of Expertise

✅ Aging in Place & Fall Prevention
✅ Remodel & Space Planning
✅ Accessibility & Universal Design
✅ Home Safety Assessments
✅ EOL Home Transition Set Up (hospice)
✅ Smart Home & Adaptive Technology
✅ Contractor-Ready Specifications
✅ Project Coordination & Homeowner Advocacy
✅ Cost Projections for Home Mods & Aging in Place
✅ Vetted Professional referrals & Caregiver Support
✅ OT assessments and court ready reports for medical complex malpractice and personal injury lawyers.

What We Do

Before you install a grab bar or invest in a remodel, start with a clear plan.

Adaptable Abodes begins with a 2-3 hour, in-home assessment focused on safety, access, and real-life routines. We walk through key spaces, identify risks and barriers, and talk through how needs may change over time so the plan supports both current life and future shifts.

After the visit, you receive a detailed report that serves as your roadmap - with photos and key measurements, urgent safety priorities, contractor-ready specifications, phased planning options, and budget-range guidance, plus vetted referrals and helpful local resources so you can compare options and move forward with confidence.

Next step: Start with a phone call.

BOOK A CALL

CALL or TEXT (503) 673-6299

PEO - Model

**Person:** strength, balance, vision, cognition, health, routines
**Environment:** layout, stairs, lighting, floors, supports, resources
**Occupation:** daily activities like bathing, cooking, and getting in/out of bed

Adaptable Abodes uses the PEO model (Person, Environment, Occupation) - a simple “fit” framework. When your abilities, your home setup, and daily activities match well, life at home works. Home modifications are powerful because we can improve safety and independence by changing the environment - not asking the person to push harder.

**WHY OT?**

Occupational Therapy brings a functional, human-centered lens to home modifications. We look at the person, the home, and daily routines - then translate needs into clear, practical recommendations that reduce risk and support independence over time.
(Read AJOT study)

What Sets Us Apart

Complex medical insight - Experience with Parkinson’s, ALS, MS, dementia, stroke, SCI, TBI, and other complex conditions. We translate health needs into practical, safer solutions that also support caregivers.

Design-forward collaboration - Partnering with architects and designers to review floor plans early, flag accessibility issues, and prevent costly redesigns.
Legal and insurance-ready support - Neutral, Occupational Therapy-informed evaluations for attorneys, insurers, workers’ comp, wealth managers, and life care planners, including functional needs analysis and cost projections.
Collaborative and human-centered - We work side by side with families, builders, and professional teams, centering the person and the real life happening in the home.

the Process

ServinG

Portland, Oregon • Vancouver, Washington • Virtually Nationwide

BOOK A CALL

CALL or TEXT (503) 673-6299

Kelly Nesbitt

OTR/L, CAPS, ECHM

Founder • Accessibility Specialist • Occupational Therapist

I’m a Certified Aging-in-Place Specialist (CAPS) through the National Association of Home Builders and hold an Executive Certificate in Home Modification (ECHM) from the USC Leonard Davis School of Gerontology.

I’m first generation by way of Ireland and Canada, with roots in Maine, the Pacific Northwest, and Austin, Texas. I’m also a lifelong artist and creative, so I’ve always been drawn to how spaces feel, function, and tell the story of the people living in them.

Over the past 18 years, I’ve remodeled two of my own homes and later managed new construction as my own general contractor - hiring and coordinating a timber-frame build for a double-decker tiny house that also serves as a backyard theater (see photos below). I also oversaw and completed a private guest-suite home addition. Together, these projects became a home-share, sustainable living setup that supports my values and deepened my practical understanding of how homes can evolve over time.

In parallel, I’ve spent 25+ years as an Occupational Therapist, working across hospitals, rehabilitation centers, and home settings, with a focus on neurology, geriatrics, and complex care. That blend of clinical experience and real-world remodeling led me to found Adaptable Abodes.

Today, I help older adults, people with disabilities, and families create safer, more functional, and future-ready homes by translating health and mobility needs into clear design priorities and workable modification plans - and by collaborating with contractors, architects, and care teams to support projects from concept through completion.

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RESUME

Additional Credentials

CAPS– Certified Aging-in-Place Specialist (National Association of Home Builders)
ECHM – Executive Certificate in Home Modification (USC Leonard Davis School of Gerontology)

Backyard double decker timber frame theater. Before/After.

Certified Occupational Therapist in Oregon # 1036721 / Oregon Business Registry # 2369980-92

Certified Occupational Therapist in Washington # 60952325 / Washington Business UBI #: 606 027 121

NPI Number (National Provider Identifier) # 1508193830

Executive Certificate in Home Modifications - ECHM

Certified Aging-in-Place Specialist - CAPS

NBCOT - active

Member American Occupational Therapy Association (AOTA)

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®

Founding Member NAIPC - Oregon Chapter (in process)

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)

Example of a space-saving 2-in-1 solution that works as both a staircase and a wheelchair lift. FlexStep by Liftup (see video).

READ TESTIMONIALS

Google Reviews

Kelly brings a rare combination of relationship-building skill and credibility. She has a strong network of professionals who value her perspective, and she consistently shows up as someone who is collaborative, thoughtful, and action-oriented. I believe Kelly is at the beginning of a significant growth trajectory, and I would recommend her without reservation.

Kabir Bhatia, MS, MBA
CEO and Co-founder, Hello Everyday

AgeTech company providing privacy-first home wellness monitoring for older adults.

Veteran Home Modification Grant for 121k

Dennis Serov (Serden Group, LLC) and I worked together with a Veteran on the SAH grant.
See BEFORE / AFTER bathroom photos below.

✨ Let’s create a home that works beautifully - for how you live now and into the future.✨

BOOK A CALL

CALL or TEXT (503) 673-6299

Aging in Place Founder Consultant on Zoom call, floor plans, design studio — Schedule a Call

rates, home remodeling and construction tools, justice mallet, cash, architectural floor plans, levels and measure stick — Rates

📩 Email

adaptableabodesllc@gmail.com

SCHEDULE A SERVICE

BOOK A CALL

CALL ME (503) 673-6299

LEARN MORE ABOUT MY SERVICES

Before / After

Photos of my personal home renovation projects .

The Tower of Power.

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

IN-LAW SUITE

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

TESTIMONIALS

"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)

BOOK A CALL

TEXT ME (503) 673-6299

CALL ME (503) 673-6299

FOLLOW ADAPTABLE ABODES ON FACEBOOK

aging in place consultant — Referrals are Appreciated!

Referrals Are Greatly Appreciated!

I’m always looking to connect with:

Elder law attorneys
Case managers & Physicians
Life care planners & Wealth managers
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.