2026 RATES for Adaptable Abodes
HOME ASSESSMENT PACKAGES
Adaptable Abodes is a private-pay practice offering preventive, non-medical home accessibility consulting
1. Focused Home Consultation | $275
For one immediate question, decision or area of concern.
Includes:
✔ Up to 60-minute in-home consultation
✔ Focused walk-through and discussion
✔ Brief written outline of recommendations and next steps
✔ Relevant product, equipment and professional resources
✔ Local travel within the standard service area
Does not include a formal assessment report, detailed measurements, 3D renderings or contractor-ready specifications.
2. Essential Home Assessment | $850
For focused planning in one to two priority areas, such as an entrance, bathroom, bedroom or kitchen.
Includes:
✔ Up to two-hour in-home assessment
✔ Photos and key measurements
✔ Prioritized and phased recommendations
✔ Product, equipment and planning-level cost guidance
✔ 2–3 conceptual 3D-rendered design inspirations
✔ Focused contractor or designer specifications
✔ Contractor or designer handoff consultation
✔ 20–30-page report
✔ Printed color report booklet and digital copy
✔ Follow-up review call
✔ One to two vetted professional referrals
3. Comprehensive Home & Design Plan | $1,100
For whole-home or multi-level planning, progressive conditions, move-or-modify decisions or significant remodeling.
Includes:
✔ Up to three-hour whole-home assessment
✔ Detailed photos and measurements
✔ Current and future mobility, equipment and care partner planning
✔ Prioritized and phased whole-home recommendations
✔ Planning-level cost guidance
✔ Floor plan, circulation and accessibility review
✔ 2–3 conceptual 3D-rendered design inspirations
✔ Comprehensive contractor or designer specifications
✔ Contractor or designer handoff consultation
✔ 40–60-page comprehensive report
✔ Printed color report booklet and digital copy
✔ Follow-up planning call
✔ Two to three vetted professional referrals
PROJECT DESIGN & COORDINATION
$2,000-$10,000 per project, depending on scope
$100 hour for 20-100 hours (retainer)
For clients who want support from early planning through project completion.
Most projects begin with a Home Accessibility Assessment & Design Planning.
From there, Adaptable Abodes can provide Project Coordination, working alongside the designer, architect, and contractor as the project moves forward.
VIRTUAL HOME STRATEGY CALL
50 minutes | $125
Focused guidance for one primary question or concern, including a brief written summary and resources.
90 minutes | $225
Extended strategy session for multiple concerns, family participation or more complex planning, including a detailed written summary and resources.
Ideal for adult children coordinating from a distance, families preparing for surgery or a new diagnosis, and clients considering whether to modify their home or move.
HOURLY RATES
Project Coordination
Design Consulting
$100/hr
Contractor-facing support for accessible design decisions, clear scope, and smooth follow-through - plus help assembling a care team and sourcing the right products and equipment.
TRAVEL
All home assessments:
Includes travel within 25 minutes of the Portland metro area (including Vancouver, WA)
Travel time beyond is billed at $50/hr.
Professional & Legal Support Services
PROFESSIONAL SERVICES - CUSTOM RATES
Professional case work carries expanded documentation, coordination, analysis, and reporting requirements.
Services may include:
Letters of Medical Necessity (LMNs)
ADL, IADL, Cognitive & Environmental Assessments
Workers’ Compensation Assessments
Auto No-Fault Home Modification Evaluations
Return-to-Home Assessments
Accessibility & Home Modification Feasibility Studies
Aging in Place Housing Assessments
Medical Necessity Justification
Cost Projections & Budget Development
Replacement Schedules
Future Accessibility Planning
Equipment & Technology Recommendations
Contractor & Vendor Coordination
Attorney & Life Care Planner Consultation
Court-Ready Reports
Rapid Turnaround Reports
Expert Consultation
Professional services are typically billed at $150/hour. Custom quotes available upon request. Virtual consultations are available. Willing to travel.
Payment & Funding Information
Adaptable Abodes is a private-pay practice offering preventive, non-medical home accessibility consulting and does not directly bill traditional health insurance. Services are generally paid by the client, although some clients may qualify for assistance through HSA/FSA accounts, Medicare Advantage supplemental benefits, Medicaid or state programs, long-term care insurance, Veterans benefits, Tribal programs, workers’ compensation, auto insurance, grants or community resources. Coverage varies, and clients should confirm eligibility, preauthorization and documentation requirements directly with the funding source.
Traditional Medicare-covered occupational therapy is not provided by Adaptable Abodes. These services may be available through Home Health agencies or outpatient/mobile occupational therapy providers and typically do not include structural modification planning, detailed accessibility design or project coordination.
Adaptable Abodes may provide clinically informed recommendations, support documentation needs, identify potential funding resources and organize a practical plan for contractors, family members, care teams or program representatives.
KELLY NESBITT OT, CAPS, ECHM / Home Accessibility Specialist
CALL 503-673-6299
EMAIL AdaptableAbodesLLC@gmail.com
