Hillsborough, Somerset County
Aging in Place in Hillsborough, NJ: Newer Homes, Real Obstacles
Aging in place in Hillsborough, NJ usually does not mean tearing a house apart. Most homes here are young enough that one well-chosen change, such as a lower shower entry or a rail on the stairs, fixes the daily problem.

Home modifications in Hillsborough
Pick the job that matches your daily trouble spot. Each page below shows what the work looks like in a Hillsborough house.
Accessible bathrooms and walk-in showers
See detailsStairlifts and home lifts
See detailsWheelchair ramps
See detailsDoorway widening
See detailsGrab bars and handrails
See details
In Hillsborough, local help with aging services comes from Somerset County Office on Aging and Disability Services.
Questions people ask
Do newer Hillsborough homes need accessibility changes at all?
Many do. Newer homes tend to have wider halls, but two-story layouts, tub-shower units and entry steps still cause trouble as mobility changes.
Where is the county aging office for Hillsborough?
The Somerset County Office on Aging and Disability Services, in Somerville, is the state-listed office for Somerset residents. It handles information and programs, not building work.
Who reviews lift plans in Hillsborough?
The State of New Jersey. Hillsborough uses state jurisdiction for the elevator subcode, so chairlift and platform lift plans go to the state Elevator Safety unit.
I live in a Hillsborough townhouse. Can I still make changes?
Usually yes inside your own unit. Anything on common property, such as entry steps or outdoor rails, needs your association's approval first.
Does Medicare pay for home modifications?
Original Medicare treats them as noncovered. Some Medicare Advantage plans offer limited benefits for chronically ill members, so check your plan.
Homes in Hillsborough
Hillsborough is young by New Jersey standards. The median home was built in 1986, and only a minority of units predate 1980. Statewide, that share is much higher.
Source: Census Bureau, median year built and age
Homes of this era tend to have drywall walls, standard stair widths and halls that were laid out for modern furniture. The usual obstacles are the stairs, the tub-shower unit, the front stoop and the second-floor bedroom.
Most units are detached houses. The rest are townhouses, condominiums and other attached homes, where an association often has a say. Owners live in most occupied homes, and 16 percent of residents are 65 or older, a little under the share for New Jersey.
That mix points to planning ahead. You have time to choose, compare and schedule work on your terms, not after a fall.

Aging in place in Hillsborough, NJ: what the housing numbers show
A 1986 median year built shapes almost every decision. Walls are framed with standard studs and covered in drywall. Plaster and lath, knob and tube wiring and cast-iron drains are rare, so there are fewer surprises behind a wall than in a prewar town.
That does not make the work trivial. Half the town's homes are older than the median, and some predate 1978. For paid work that disturbs paint in a pre-1978 home, EPA lead-safe rules apply, and the Census counts homes before 1980, not 1978. If your house is near that line, ask the contractor how they will handle dust. EPA also lists vinyl floor tile and some patching compounds as places asbestos can hide.
Sources: Census Bureau, median year built, U.S. EPA
The bigger story is layout. Many Hillsborough homes put every bedroom upstairs and the only full bath at the top of the stairs. That is why most calls here are about getting up, getting in the tub and getting through the front door.
Detached houses, townhouses and who has to say yes
With 58 percent of units detached and 80 percent owner-occupied, most Hillsborough households can decide on their own. A detached owner picks the door, the tub and the stair without asking anyone but the town.
Source: Census Bureau, home types and owners and renters
Townhouse and condominium owners have an extra step. Entry steps, walks and railings outside the unit are often common property. Plumbing shutoffs may be shared. Before you price a ramp or an outdoor rail, read your governing documents and write to the board.
Renters need the landlord's written approval before any permanent change. State housing guidance puts modifications to public areas of association communities and to rentals on the owner, landlord or association, not on a state program.
Not sure which group you are in? Say so on the form. It changes the first step, and it is better to know before a contractor visits.
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Which accessibility job should come first in a Hillsborough home
Falls are the reason to move early. CDC reports that one in four older adults falls each year, and New Jersey counted 574 fall deaths among residents 60 and older in 2024. Most falls in a house like yours happen on stairs, in the bath or at a door threshold.
Sources: NJ Human Services, CDC
Use this order as a starting point:
- Today: add grab bars and a second stair rail in Hillsborough. It is the smallest job and often the fastest.
- Next: if the tub rim is the hard part, look at turning the tub into a walk-in shower.
- If stairs limit you: compare stairlift installation in Hillsborough with a home lift.
- If a chair or walker is coming: measure the doors, then see doorway widening for Hillsborough homes and a ramp for the stoop.
You do not need to do all five. Many households do one or two and are done for years.
Who reviews what in Hillsborough
Two offices matter. The Hillsborough construction office handles permits for most interior work, such as a bathroom rebuild or a wider doorway. Anyone doing plumbing or electrical work on the job has to hold the matching trade license, and those license numbers are written on the permit application.
Lifts are different. Hillsborough lists the State of New Jersey as its elevator subcode authority, so a chairlift or platform lift is reviewed by the state Elevator Safety unit, not the township. A new residential elevator needs signed and sealed drawings from a New Jersey architect or engineer.
Source: NJ Community Affairs
Your contractor should explain which office covers your job. For the long version on lifts, read how stairlift permits work in New Jersey. Permits are one part of the work, not the whole of it.
Paying for the work and finding county help
Original Medicare treats home modifications as noncovered, and it lists grab bars and stairway elevators among denied items. Some Medicare Advantage plans offer limited benefits for chronically ill members, and they vary by plan, so ask yours.
Other routes are worth a call. The Somerset County Office on Aging and Disability Services, in Somerville, is the state-listed county office for residents. It can tell you which programs exist now. Veterans may qualify for the VA home improvement benefit, which has a lifetime cap. Some accessibility costs also count as medical expenses on a tax return, so ask your tax preparer.
Sources: NJ aging offices, Medicare and Medicaid (CMS)
Our ways to pay for home modifications in New Jersey page lays out each option and its limits.
We are not a funder. We help you plan the work and connect you with a local contractor.
Hillsborough and the towns around it
Hillsborough sits in Somerset County with Bridgewater, East Brunswick and Edison close by. Those towns differ a lot in house age. If a parent lives nearby, look at aging in place in Bridgewater or Edison, because the right project can change with the decade the house was built.
A contractor who knows the area will already know Hillsborough's mix of colonials and townhouses.
What to have ready when you ask for a quote
A few details make the first conversation useful:
- Which room or door causes the trouble, and who uses it.
- Whether you own a detached house, a townhouse or a condominium.
- Rough measures: stair count, door width, tub length.
- Photos of the stairs, tub or entry, if you can take them.
- Your timing, from planning ahead to coming home soon.
Send that on the form below and take $100 off your first project. You can also call us and talk it through. Nothing is booked until you agree to a written contract, and New Jersey gives you until midnight of the third business day to cancel most home improvement contracts.
Source: NJ Legislature
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