🔹 Rates🔹

$60 /hour

Accessibility & Design Consultation
Home assessments, space planning, product sourcing, and accessibility-focused design recommendations, plus home sharing, landlording, and multigenerational living consultation.

Project Coordination & Contractor Liaison
Oversight of timelines, contractor communication, milestone tracking, and on-site coordination.


Care Coordination
Support for families navigating aging, system navigation, referrals, and long-term planning. (Higher rate for crisis interventions)

$150/hour


Legal Support Consulting
Expert Occupational Therapy assessments and reports for attorneys - supporting documentation, claims, and case-based consultations.

$50/hour


Veteran Discount: for all services

Concierge Packages & Flat-Rate Options Available upon request

🔹 PAYMENTS 🔹

Payments are due upon scheduling. There is a 48 hour free cancelation policy. There is an extra charge for travel greater than 30 minutes from Portland/Vancouver.

(Venmo, Paypal, Stripe, SQUARE, Zelle) kelly-nesbitt.squarespace.com/payment

🔹 NOTE🔹

Adaptable Abodes is private pay only – we do not bill Medicare for these preventative services.

Otherwise, we provide assistance with identifying funding sources (grants, loans, long term care insurance benefits, financing options, Veteran benefits), and connect clients with vetted professionals (see below).

We provide navigation support for Renters with Disabilities seeking reasonable accommodations in rental housing.

FUNDING SOURCES

🔹 Grants 🔹

  • VA Specially Adapted Housing (SAH) Grant – For eligible veterans with service-connected disabilities.

  • VA HISA Grant – For medically necessary modifications.

  • HUD Home Modification Grants – Offered through local housing authorities.

  • Community Development Block Grants (CDBG) – Local government-administered support for accessibility upgrades.

  • Rebuilding Together / Habitat for Humanity – Free or low-cost repairs for income-qualified seniors.

  • Area Agencies on Aging (AAA) – May offer minor home repair funds.

  • Utility Company Assistance Programs – May include accessibility improvements under energy efficiency support.

🔹 Government & Public Programs🔹

  • Medicaid Waivers (HCBS) – In select states, may cover home modifications.

  • State Assistive Technology Programs – Offer funding, equipment loans, and referrals.

  • USDA Section 504 Loans & Grants – For low-income, rural homeowners (age 62+ for grants).

🔹 Loans & Lines of Credit🔹

  • Home Equity Line of Credit (HELOC) – Flexible option using home equity.

  • Home Equity Conversion Mortgage (HECM) – Reverse mortgage for adults 62+.

  • Personal Loans / Credit Unions – Useful for smaller or short-term projects.

🔹 Private Insurance / Legal / Employer Benefits🔹

  • Long-Term Care Insurance – May reimburse accessibility upgrades

  • Worker’s Comp / Legal Settlements – May cover injury-related modifications

  • Employer or Union Retiree Benefits – May include stipends or support for aging-in-place needs.