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While Medicare will pay for some bathroom modifications, it won’t pay for all modifications done to help make the room more accessible for older adults. Plus, the improvements must be approved in advance, or they won’t cover the upgrade. Check well in advance of construction if you have coverage for grab bars, walk-in tubs, wider doorways, higher toilets, and more.

Shower niches can be placed anywhere they will be most accessible for those in the shower. A shower niche should be close enough to the showerhead that it’s convenient to grab products, but not so close that it’s in the direct path of the water. You can also consider the overall shower design and favor symmetry, integrate the niche with the tile design, or hire a bathroom remodeling contractor to help you decide.

While a bathroom vanity doesn't need to be flush with the side wall, it’s best to install it that way where possible. Achieving a flush fit can enhance aesthetics and create a cohesive look, plus it will help conceal and safeguard your plumbing. However, exceptions can be made based on design preferences and available space. Be sure that there’s sufficient clearance for drawers and cabinet doors to open comfortably. Additionally, consider factors like plumbing and room layout when deciding on the vanity's positioning relative to the side wall.

In short, it depends. When it comes to accessibility, a roll-in shower is easier to enter than a walk-in bathtub because it doesn’t have the extra step required to access the bathing area. On the downside, walk-in showers can be less safe for seniors who struggle with standing or balancing. Parents of young children may also prefer walk-in bathtubs for their ease of bathing children who don’t yet know how to clean themselves.