How to Choose the Right Type of Bed Rail?

CDC reports that falls are the leading cause of injury-related deaths in adults older than 60 years. As per the report, one senior in every four has to be hospitalized every year. That’s an alarming number. Not only can this concern torment you as a caregiver, but it can also spell anxiety for your senior loved one. This is especially true if they’re infirm and can’t move about without assistance.

As we grow older, we get more susceptible to falling and injuring ourselves, for a number of reasons. Our vision blurs, our mobility is restricted, our mental faculties diminish, we often experience dizziness, which puts us at an increased risk of losing our balance and failing to regain it. The elderly patients are also at the risk of rolling out of their beds when they’re sleeping and seriously injuring themselves.

One fairly effective and straightforward solution to fall and rolling out of bed prevention is installing bed rails on their beds. As the name might give away, bed rails are safety rails installed on either or both sides of the bed and provide better support and stability when you’re getting up or sitting down.

They make the bedroom much, much safer for your senior loved one (provided they’re picked and installed right) since they can serve as a barrier when they’re asleep so they don’t fall out of the bed and as a handhold when they’re getting into and out of bed, so that they don’t their balance.

It is hardly just a matter of safety, for older patients, getting into and out of the bed can cause them a great deal of discomfort. There’s an added benefit that you can comfortably leave and get in your bed.

There isn’t just one kind of bed rails available. Choosing one that is perfect for your loved one’s very unique needs can be a challenge. Depending on where they’re residing, whether in an assisted living facility or at their home, every bed rail model has a specific design. Others differ in the ease of installation. A few are crafted with a focus on portability. It doesn’t end there. You also have to factor in the dimension of your bed, the thickness of your mattress, and of course, your budget. In the post that follows, we breakdown different types of bed rails available in the market, along with a few helpful suggestions.

The primary difference between these bed rails is the way they’re mounted or installed. Some rails are screwed firmly into place, models which are held in place with a safety strap and the weight of the mattress, and rails which support their own weight.

Where to Buy
Medical Adjustable Bed Assist Rail Handle and Hand Guard Grab Bar, Bedside Safety and Stability (Tool-Free Assembly)
Medline MDS6800BAH Bed Assist Bar, 1 Bar
OasisSpace Bed Rail for Seniors, Medical Adjustable Bed Assist Rail Handle and Fall Prevention Safety Hand Guard Grab Bar for Elderly, Handicap - Fit King, Queen, Full, Twin Visit the OasisSpace Store
Stander Mobility Adult Home Bed Rail - Elderly Support Bed Handle + Swing-Out Mobility Arm & Adustable Legs Floor Support & Pouch
Stander EZ Adjust Bed Rail, Adjustable Senior Bed Rail and Bed Assist Grab Bar for Elderly Adults with Organizer Pouch
Secure EZBR-2 Adjustable Bed Assist Hand Rail w/Safety Strap- Bedside Fall Prevention Grab Bar Standing Mobility Aid for Adults, Seniors, Elderly, Handicap (Std Model w/Safety Strap)
Able Life Home Bedside Safety Handle - Adjustable Bedside Rail + Elderly Standing Aid Support Handle & Pouch
Drive Medical 1222P Adjustable Height Home Bed Assist Handle, White
RMS Dual Bed Rail - Adjustable Height Bed Assist Rail, Bed Side Hand Rail - Fits Full & Twin Beds (Dual Hand Rail)
Stander Bed Rail Advantage Traveler - Portable Folding Travel Bed Safety Rail + Elderly Assist Handle + Bariatric Support Handle & Pouch
Able Life Bedside Mighty Bed Rail - Elderly Adult Mobility Bedside Safety Rail + Home Bed Support Handle + Travel Rail & Pouch
MEDPRO Adjustable Contoured Bed Rail with Multiple Gripping Positions, Black/White


Standard rails

Unless you are in a wheelchair, standard rails with vertical legs can provide good support and stability to the patient. As the name suggests, they have vertical legs that take the user’s weight and they also offer additional support via the horizontal bars.

Adjustable Bed Rails by Vaun

  • Powder-coated heavy-duty steel construction
  • Slip-resistance with foam padding
  • Maximum weight capacity of 250 lbs.
  • Fits almost every bed size
  • The height is adjustable
  • Tool-free assembly

Height Adjustable Bed Rails by Essential Medical Supply

  • Adjustable height between 17 and 21 inches
  • Comes with safety strap for a secure grip
  • Constructed from steel
  • Fit any bed size (be it double, twin, queen, king)
  • Assist bar by Medline
  • Straps for a secure fastening
  • Comfortable soft grips
  • A pocket bag for extra storage
  • Tool-free assembly
  • Maximum weight capacity of 250 lbs.

OasisSpace Bed Rail for Seniors, Medical Adjustable Bed Assist Rail Handle

  • Made of Alloy Steel
  • Height is adjustable from 12″ to 16″
  • Bed Assist Bar Padded with a soft, nonslip foam
  • Additional Suction Cup
  • The hand guard provides a comfortable and secure grip
  • Fall Prevention & Safe
  • Maximum weight capacity of 250 lbs.

Bed Rail and Bed Handle by Stander

  • Ergonomic design with extendable legs and padded grips
  • Storage pouch with 4 pockets to store small items
  • Comes with a safety strap
  • Can handle up to 300 lbs.
  • Height can be adjusted between 13-25 inches
  • Comes with a pivoting handle for convenient transfer
  • Can fit mattresses with a thickness between 8-18 inches

Legless rails

These rails have a similar design to the standard ones with one key difference: they lack the vertical supporting legs and rely on the weight of the mattress alone for keeping themselves in place. Naturally, if you have a heavy mattress – a queen or king-sized one, a legless design would be ideal. Conversely, if your mattress is light-weight, it won’t be exerting enough pressure to secure the frame in place. If that is the case, a standard design or one that can be screwed in place would be the perfect solution.

Stander EZ Adjust Bed Rail

  • Constructed out of Alloy steel
  • The length of the EZ Adjust Bed Rail may be adjusted from 26 to 34 to 42 inches.
  • Can extend to 26″ – 34″ – 42″
  • Fit any bed size
  • Strap for securing the frame in place
  • Can support up to 300 lbs.

Adjustable Rails EZBR-2 by Secure

  • Powder-coated steel frame
  • Can be anchored to any bed size with a maximum height of 21 inches and width of 20 inches
  • Height adjustable handle
  • Non-slip foam grip
  • Maximum weight capacity of 350 lbs.
  • Lifetime guarantee
  • Add-on storage pouch

Safety Rails by Able Life

  • Cushioned handles
  • Adjustable height of 13-20 inches
  • Weight capacity 300 lbs.
  • Pouch for storage purposes
  • Fits most traditional beds

Drive Medical 1222P Adjustable Height Home Bed Assist Handle

  • Multiple crossbars creates easy grip for any height use
  • Made of powder coated steel for long life and easy cleaning
  • Maximum weight capacity of 300lbs.
  • Fits any bed size
  • To ensure a secure fit, the safety strap wraps around the mattress or box spring.
  • Adjustable height

RMS Dual Bed Rails by RMS Solutions

  • Dual rail design attaches to both sides of the bed
  • Adjustable height and width with a maximum height of 23 inches and a maximum width of 30 inches
  • 3 bar design for a comfortable grip
  • Non-slip foam on the handles
  • Lifetime manufacturer’s warranty

Travel-friendly Rails

If you often find yourself traveling, then collapsible and lightweight travel-friendly rails are the way to go. They hardly ever weigh over 2 pounds and can be used in your home or an assisted living facility.

Advantage Traveler by Stander

  • Adjustable and foldable design
  • Pouch with 4 pockets to store small items
  • Can support up to 400 lbs.
  • Comes with a safety strap
  • Easily installed without tools

Bed Side Mighty Rail by Able Life

Cushioned handle

  • Pocket organizer for storage
  • Snap-on assembly
  • Can be folded in half
  • Can support up to 300 lbs.

Adjustable Travel-friendly Rails by MedPro

  • Contoured cushioned design
  • Multiple gripping positions
  • Easily assembled, lightweight and compact
  • Crossbars to prevent entrapment
  • Adjustable straps to fit all bed sizes
  • Maximum weight capacity of 300 lbs.

Final Thoughts

As a caregiver, you can appreciate how valuable peace of mind is. For instance, if you can get a good night’s sleep without having to check on your senior loved every few hours, you can attend to your other duties as a caregiver better. Just by installing these rails by their bedside, you can ensure that your loved one won’t fall out of bed in their sleep. Or if they tend to move around unattended, you can at least make sure that they won’t lose their balance and fall, if they try and get up by themselves.