In-Home Evaluation, Treatment, and Prevention of Falls

About SureSteps, Inc.

SureSteps, Inc. is a private physical and occupational therapy practice which specializes in the evaluation, treatment and prevention of falls in Raleigh and Wake County. Falls are a major functional and financial burden for the elderly. They can result in pain, suffering, emergency room visits or hospitalization, a need for an increase in the level of care, and even death.  Falls often cause increased costs for care whether paid for privately or by Medicare or other insurance plans.

While we specialize in the evaluation, treatment and prevention of falls, SureSteps therapists are also experienced generalist geriatric therapists.

We do not provide nursing care.

We provide our services in the client’s home, which can include Independent Living and Assisted Living Facilities in Wake County of North Carolina. A physician’s referral is required. The referring physician receives a detailed report of the patient’s outcomes at the completion of therapy.

We strive to provide a high level of customer service with client satisfaction being a primary goal of our practice.

SureSteps, Inc. is a Medicare Part B, or out-patient Medicare provider. We accept Medicare Assignment which means that we do not bill above the rates which Medicare designates as being reasonable in our area of the country. Medicare Part B pays for 80% of services and the remainder of the bill is then processed by any Medicare supplemental or secondary insurance policy.

SureSteps, Inc. is different from Home Health because the client does not have to be home bound to receive services.  We are often the perfect source of OT and PT for individuals who are not home bound but for whom transportation to an out-patient clinic would be a hardship.

Our physical therapists start with reviewing your history, including previously experienced falls. Typically, we use the Berg Balance Test, and the Tinetti Test to establish a baseline and direct us in planning your therapeutic program. These tests also give us guidance in determining whether you should use a gait assistive device, and whether it should be a rollator walker (with 4 wheels and a seat), a 2-wheeled walker, a hiking stick or a cane. You may also be given a program of home exercises to perform in between your visits from the physical therapist.

Our occupational therapists will review your history and start to develop a plan to improve your safety in performing your activities of daily living. These activities include working in your kitchen, dressing, getting in and out of bed and on and off the toilet, and bathing or showering. Bath and shower safety is extremely important as we know that falls that occur in the bathroom cause the most serious injuries and result in death more frequently.  This is because wet surfaces in the bathroom cause us to slip, accelerate and hit with greater force when we fall. There are also more hard and sharp surfaces to hit in the bathroom, including the tub, commode and sharp corners of a vanity. Our occupational therapists also focus on patient, family and caregiver education to incorporate safety measures into daily living skills, upper extremity function, and household tasks which involve turning, bending and reaching. Energy conservation and pacing strategies are also taught to allow improvement in safe function.​


Have I had a recent fall or near falls?

Has the quality of my walking changed so that I’m taking shorter steps or feel less steady?

Has a recent hospitalization left me feeling less balanced or has it limited my walking?

Is my usual caregiver having difficulty providing the support I need to stay in my home?

Even though I am no longer homebound, and therefore not eligible for additional Home Health Services, do I feel I need continued rehabilitation?

Is it difficult for me to get to out-patient therapy?

Am I losing independence in caring for myself, such as in kitchen tasks, dressing, going to the bathroom or bathing?

Am I having difficulty getting up from chairs or my bed? 

Do I need help training a new caregiver to meet my needs to allow me to stay safely in my home?