In a scenario where an 82-year-old living alone after a fall has grab bars and hazard removal completed, transportation arranged, but lighting remains poor and fall-prevention activities have not started, what is the likely rating for the Safety domain?

• A. Not Met
• B. Partially Met
• C. Mostly Met
• D. Fully Met

Answer: (B)

The Safety domain rating depends on whether essential safety actions are in place. When some safety measures are completed but others are still needed, Partially Met is the appropriate descriptor. Here, grabbing bars are installed and hazards removed, which are solid safety improvements. Having transportation arranged also supports safe access to care. Yet, poor lighting and the absence of any initiated fall-prevention activities leave meaningful risks intact—poor lighting can lead to misses, trips, and missteps, and not starting fall-prevention activities means there’s no active plan to reduce future falls. Because important safety elements are still unfinished, the overall rating fits Partially Met. If lighting were adequate and a fall-prevention program had begun and been followed, the rating could move toward Fully Met. If none of these safety items were addressed, it would be Not Met; if most safety items were in place with only minor gaps, it would be Mostly Met.