RATES for 2026
Clear options. Personalized guidance. Flexible support.
Adaptable Abodes offers private-pay home accessibility consulting, from focused consultations to comprehensive home planning and ongoing project support.
HOME ASSESSMENT PACKAGES
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 recommendations and next steps
Relevant equipment, product, and professional resources
Local travel within the standard service area
Does not include a formal assessment report, detailed measurements, conceptual design images, or contractor specifications.
2. Essential Home Assessment | $900
Focused planning for one or two priority areas, such as a bathroom, entrance, bedroom, or kitchen.
Includes:
Up to two-hour in-home assessment
Photos and key measurements
Prioritized and phased accessibility recommendations
Equipment, product, and preliminary cost guidance
2–3 conceptual before-and-after images illustrating proposed modifications
Focused contractor or designer guidance
Written assessment report with photos and recommendations
Printed color booklet and digital copy
Follow-up review call
1–2 professional referrals
3. Comprehensive Home & Design Plan | $1,100
Whole-home planning for progressive conditions, major renovations, future caregiving needs, or move-versus-modify decisions.
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
Preliminary cost projections and budget considerations
Floor plan and circulation review
Annotated floor plan recommendations, when applicable
4–6 conceptual before-and-after images illustrating proposed modifications
Detailed contractor or designer guidance
Comprehensive written report with photos and recommendations
Printed color booklet and digital copy
Follow-up planning call
2–3 professional referrals
Conceptual images are for visualization and planning only. They are not to scale or intended for construction or permitting.
Additional design services: Detailed floor plan development, 3D design, and ongoing contractor coordination are available separately.
DESIGN CONSULTING & PROJECT COORDINATION
$100/hour | Project Retainers: $2,000–$10,000
For clients seeking support from initial planning through design, remodeling, equipment selection, and installation.
Services may include:
Accessible design consultation and floor plan development
3D design concepts and layout exploration
Contractor and designer collaboration
Reviewing proposals, materials, and specifications
Equipment sourcing and vendor coordination
Project meetings, site visits, and accessibility reviews
Independent homeowner advocacy throughout the project
Most projects begin with a Home Accessibility Assessment. Ongoing services are billed at $100/hour, with customized retainers typically ranging from $2,000–$10,000 (approximately 20–100 hours), depending on scope.
Adaptable Abodes provides consultation and coordination, not construction management or supervision.
VIRTUAL CONSULTATIONS
50-Minute Strategy Call | $125
For one primary question or concern.
Includes:
Focused consultation
Brief written summary
Relevant recommendations and resources
90-Minute Strategy Session | $225
For multiple concerns, family participation, or more complex planning.
Includes:
Extended consultation and planning
Written recommendations and next steps
Relevant equipment, design, and professional resources
Ideal for long-distance family coordination, changing health needs, equipment decisions, and move-versus-modify planning.
PROFESSIONAL & ORGANIZATIONAL CONSULTING
Starting at $150/hour | Custom Project Rates Available
Specialized consulting for healthcare, legal, financial, design, construction, and aging-in-place professionals.
Professional & Clinical Consultation
Home accessibility and environmental assessments
Functional, cognitive, ADL, and IADL considerations
Return-to-home and home modification planning
Medical necessity documentation and equipment recommendations
Legal & Litigation Support
Personal injury and medical malpractice cases
Workers' compensation and auto no-fault evaluations
Accessibility feasibility studies and cost projections
Specialized environmental and litigation reports
Attorney and life care planner consultation
Expert consultation and case support
Business & Organizational Consulting
Startup and aging-in-place business development
Service design and marketing strategy
Team consultation and interdisciplinary collaboration
Program development and grant-funded initiatives
Professional education, workshops, and training
Professional Partnerships
Concierge medical practice packages
Estate and financial planning consultations
Customized accessibility assessments for clients
Ongoing referral and consulting partnerships
Specialized reports, organizational contracts, training, and ongoing partnerships are quoted individually. Virtual and travel-based engagements are available.
TRAVEL
Home assessment packages include travel within approximately 25 minutes of Portland, including nearby Vancouver, Washington.
Additional travel time is billed at $50/hour.
Extended regional and out-of-area travel is available by arrangement.
PAYMENT & FUNDING
Adaptable Abodes is an independent, private-pay consulting practice and does not directly bill traditional health insurance.
Depending on eligibility, potential funding or reimbursement sources may include:
HSA/FSA accounts
Medicare Advantage supplemental benefits
Medicaid and state-funded programs
Long-term care insurance
Veterans and Tribal benefits
Workers' compensation and auto insurance
Grants and community funding programs
Coverage varies. Clients should confirm eligibility, preauthorization, and reimbursement requirements with their funding source.
A note about Medicare: Adaptable Abodes does not provide Medicare-billed occupational therapy. Covered OT services may be available through eligible home health, outpatient, or mobile therapy providers.
I can help identify potential funding resources and provide supporting documentation when appropriate.
NOT SURE WHERE TO BEGIN?
Let's discuss your home, priorities, and next steps.
Schedule a complimentary 25-minute introductory consultation.
Kelly Nesbitt, OT, CAPS, ECHM
Home Accessibility Specialist
Adaptable Abodes, LLC
Call: (503) 673-6299
Email: AdaptableAbodesLLC@gmail.com
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Serving Oregon and Washington, with virtual consultations nationwide.
Independent consulting | Private pay | Non-medical services