The relationships between older adults and their home environments are commonly built upon several decades of personal-expression, values and goals. However, fall preventative home modifications often create a dissonance between existing environments and efforts to prevent falls at home. Within this visual essay, a snapshot of one 88-year-old man's life is presented – Roy's daily routine is offered as an example of the inter-relationships between one's own home, personal goals and daily activities. Furthermore, Roy's story provides a poignant example of how clinically co-created individualized solutions as well as ‘homemade’ approaches to environmental changes can provide a more uplifting home modifications experience for older adults.