Best Bed Rails for Seniors

We found the best bed rails for seniors based on safe product design and happy customers.
Best overall
Stander EZ Adjust Bed Rail
  • pro
    Folds down
  • pro
    Adjustable length
  • pro
    Mesh bumper
Best for travel
Stander Bed Rail Advantage Traveler
  • pro
    Folds for travel
  • con
    Not adjustable
  • pro
    Mesh bumper
Budget pick
Vaunn Medical Adjustable Bed Assist Rail
  • con
    Doesn’t fold down
  • pro
    Adjustable height
  • con
    No mesh bumper
Best handle positions
Stander Mobility Rail
  • con
    Doesn’t fold down
  • pro
    Adjustable height
  • pro
    Mesh bumper
Best for adjustable beds
Able Life Click-N-Go Bed Handle
  • pro
    Removable handle
  • con
    Minor adjustability
  • con
    No mesh bumper

SafeWise experts have years of firsthand experience testing the products we recommend. Learn how we test and review

Seniors are more likely to experience falls in their bedrooms than any other place in the home.1 Bed rails prevent your loved one from falling out of bed—whether they roll off the mattress or lose their balance when sitting or standing.

Our overall favorite is the Stander EZ Adjust Bed Rail. It’s adjustable, sturdy, and can fold out of the way in a breeze. Plus, it comes with a mesh bumper to prevent serious entrapment injuries.

Other bed rails on our list work with different mattress heights compared to the EZ Adjust Bed Rail. Proper mattress fit is essential for bed rail safety—but we’ll explain all of that below.

Compare the best bed rails for seniors

Product
Best for
Price
Weight capacity
Length
Height from mattress base
Ideal mattress thickness
Learn more
Best overall300 lb.26–42 in.22 in.12–16 in.
Best for travel400 lb.17 in.22 in.10–16 in.
Budget pick300 lb.20 in.13.5–15.5 in.7–11 in.
Best handle positions300 lb.19–28 in.7.5–26.5 in.8–18 in.
Best for adjustable beds300 lb.20.25 in.17.25–18.25 in.8–14 in.

*Amazon.com price as of post date. Read full disclaimer.

Best bedside rail reviews

1. Stander EZ Adjust Bed Rail: Best overall

Best overall

 *Amazon.com price as of post date. Read full disclaimer.

The Stander EZ Adjust Bed Rail offers the best mix of practicality and convenience. We love that it folds down for easy sheet changes and extends from 26 to 42 inches in length for superior fall prevention. While its height isn’t adjustable, there are four horizontal grab bars to suit most users.

pro
Pros
pro Works on twin- to king-sized mattresses
pro 300 lb. capacity
pro Anchor strap
pro Tool-free assembly
pro Adjustable length
pro Folds down
con
Cons
con Non-adjustable height

You don’t need any tools to install the Stander EZ Adjust Bed Rail. While we wish it had legs for even more stability, the anchor strap does a good job of locking this bed rail into place.

This option fits stationary bed frames and works best with mattresses 12 to 17 inches thick.

Bell
Soft mattress warning

If you have a soft mattress, be sure to pair the bed rail with the Stander Bed Rail Safety Guard to prevent entrapment—which can be deadly. See our FAQs for more information.

2. Stander Bed Rail Advantage Traveler: Best bed rail for travel

Best bed rail for travel

 *Amazon.com price as of post date. Read full disclaimer.

The Stander Bed Rail Advantage Traveler weighs about 8 lb.. yet supports 400 lb.. It’s also super easy to pack into a suitcase—just fold it in half. An anchor strap secures this small-but-mighty bed rail into position on most stationary bed frames.

pro
Pros
pro Works on twin- to king-sized mattresses
pro 400 lb. capacity
pro Anchor strap
pro Tool-free assembly
pro Portable
pro Padded handle
con
Cons
con Not adjustable

On the downside, this bed rail doesn’t work well for people at risk of falling out of bed. It’s only 17 inches wide and can’t be adjusted.

The Stander Bed Rail Advantage Traveler works best on mattresses 10 to 16 inches thick.

3. Vaunn Medical Adjustable Bed Assist Rail: Budget pick

Budget pick

 *Amazon.com price as of post date. Read full disclaimer.

We prefer the Vaunn Medical Adjustable Bed Assist Rail’s sturdy construction over other bargain bed rails. Check out the two horizontal stability bars on this Vaunn Medical bed rail, plus the floor supports and anchor strap—it’s not going anywhere.

pro
Pros
pro Works on twin- to king-sized mattresses
pro 300 lb. capacity
pro Padded handle
pro Tool-free assembly
pro Anchor strap
pro Adjustable height and depth
con
Cons
con Doesn’t fold down
con Non-adjustable length

We’re not fans of the two-toned look since it seems like something you’d expect in a hospital—not something that boosts morale when you see it every day in your home. It also doesn’t fold down or easily scoot out of the way when it’s time to change the sheets.

On the plus side, the Vaunn Medical Adjustable Bed Assist Rail works with all stationary bed frames. It has an adjustable depth of 36 to 45 inches and fits twin- to king-sized mattresses. The height adjusts from 31 to 37.5 inches, but there’s no way to extend or shorten the length of its 20-inch handle.

This bed rail works best with mattresses 7 to 11 inches thick.

4. Stander Mobility Rail: Best handle positions

Best handle positions

 *Amazon.com price as of post date. Read full disclaimer.

A secondary grab bar is perfect for people who need to hold something in front of them when sitting or standing, which you’ll find on the Stander Mobility Rail. It has legs for extra stability, and you can adjust them until the entire bed rail is 21 to 44 inches high.

pro
Pros
pro Works on twin- to king-sized mattresses
pro 300 lb. capacity
pro Padded handle
pro Tool-free assembly
pro Anchor strap
pro Adjustable height
con
Cons
con Doesn’t fold down
con Non-adjustable length or depth

The Stander Mobility Rail is 19 inches long. It doesn’t adjust any longer than that, so it may not provide enough protection for people at risk of falling out of bed.

This bed rail works best with mattresses 8 to 18 inches thick.

5. Able Life Click-N-Go Bed Handle: Best for adjustable bed frames

Best for adjustable bed frames

 *Amazon.com price as of post date. Read full disclaimer.

So far, the other bedside rails on our list are compatible with stationary bed frames only. If you have an adjustable bed frame that lifts your head or feet, then the Able Life Click-N-Go Bed Handle is the best option. It works with stationary frames too.

pro
Pros
pro Works on twin- to king-sized mattresses
pro 300 lb. capacity
pro Tool-free assembly
pro Anchor strap
pro Adjustable height
pro Removable handle
pro Works on any bed frame
con
Cons
con Non-adjustable length or depth
con Non-padded handle

You get about one inch of wiggle room in the height of this bed rail. Nothing else is adjustable. The handle is just over 20 inches wide and the base sits 26 inches under the mattress.

It’s called the Click-N-Go because you can remove the handle with the push of a button, giving caregivers easy access to your loved one for therapy, treatments, or grooming.

This bed rail works best with mattresses 8 to 14 inches thick.

More bed rails we considered

6. Stander Prime Bed Rail: Best weight capacity

The Stander Prime Bed Rail supports up to 400 lb. and folds out of the way for easy caregiving or sheet changes. Neither the height nor the length is adjustable. It comes with an anchor strap and works best with mattresses 6 to 15 inches thick.

7. Able Life Bedside Mighty Rail: Runner-up travel pick

The Able Life Bedside Mighty Rail doesn’t fold up like the Stander Bed Rail Advantage Traveler. Instead, you’ll need to snap a few pieces together. In exchange for having to do a little extra work, you’ll enjoy how it only weighs 1.5 lb. It supports 300 lb. and works best with mattresses 8 to 16 inches thick.

8. Lunderg Bed Rail: Most innovative

The Lunderg Bed Rail offers a design with nighttime bathroom breaks in mind. It features a rechargeable motion-activated light to guide you to and from the bed, and the handle has a glow-in-the-dark tag to help you find it when you first wake up. However, the rail isn’t adjustable, and users consistently complain that it’s not as sturdy as expected.

9. Medokare Bed Rails for Elderly Adults

The Medokare Bed Rails for Elderly Adults feature a wide base that straps to bed slats. It doesn’t work with any other type of bed frame and has a lower weight capacity than our top picks.

10. Medical King Bed Assist Rail

The Medical King Bed Assist Rail is an ultra-affordable option that advertises a 350-pound weight capacity. But with multiple reviewers reporting that theirs broke or was difficult to put together, we chalk this one up to “you get what you pay for.”

Final word

The Stander EZ Adjust Bed Rail should do the trick for most people. Its adjustable length allows it to serve as a fall-prevention device in two ways: when rolling over and when getting in and out of bed. We also love that it folds out of the way when it’s not needed.

Here’s a quick summary of which bed rails we suggest for special circumstances:

FAQ

There is some risk involved with using bed rails. The biggest issue is entrapment, which means a body part gets stuck between the bed rail and the mattress. This accident can become deadly when someone’s head or neck gets trapped since they can suffocate or injure themselves trying to get free.

Over a ten-year period in the early 2000s, the US Consumer Product Safety Commission documented 143 deaths related to bed rail entrapment.2 The majority of the people who died from rail entrapment were at least 60 years old, and many experienced a physical limitation or suffered from Alzheimer’s, dementia, or “other mental limitation.” These factors could make it difficult for someone to understand how they got stuck or how to free themselves physically.

The FDA recommends bed rails with a gap of no more than 4.75 inches between bars, but it isn't mandatory. Confirm this measurement before buying a bed rail.3 

Some people may also panic and climb over the bed rail if they get confused about how to safely get out of bed or how to call for assistance. They may fall and injure themselves in the process. Another scary scenario happens when someone rolls out of bed and slides to the ground and gets their neck trapped between the bed rail and the mattress.

Here are some steps you can take to reduce the risk of bed rail entrapment:

  1. Measure the mattress’s thickness and buy a bed rail recommended for that measurement.
  2. Ensure the mattress is firm and the bed rail fits tightly against it. Pull the anchor strap as tight as possible to get a snug fit.
  3. Learn about entrapment zones so you install the bed rail a safe distance from the headboard and footboard. This information may be in the owner’s manual.
  4. Buy a bed rail with a bumper or purchase one separately. Most mesh bumpers double as organizational pockets.
  5. Add a bed rail mattress safety guard.
  6. Consider an alternative to bed rails, such as foam bumpers that strap to the mattress. Overhead pull straps can also assist with bed transitions.
  7. Consider movement alarms if there’s a chance your loved one will get confused and fall or climb out of bed, regardless of the rails or bumpers you install.

No, bed rails are not just for seniors. Anyone struggling to get in and out of bed—such as pregnant women or people recovering from an injury—can benefit from a grab bar bed rail.

If you’re shopping for a child, you’ll want to look for bed rails specifically made for kids. These bed rails will have slats that are closer together to avoid trapped arms or legs.

No, bed rails don’t work with all mattresses. Here’s how to make sure your mattress will work.

First, measure the height of your mattress—just the mattress itself, not the height from the floor to the mattress—and look for a bed rail that works with that measurement. We included the recommended mattress heights of all our top picks for easy comparison.

Next, make sure the mattress isn’t too soft. If you push down on the edge of the mattress, it shouldn’t depress more than 2 inches. If the mattress is too soft, body parts could slide between the mattress and the bed rail and get stuck after relieving the pressure.

Finally, if the mattress or bed frame is adjustable—meaning it can raise the upper body—you’ll need to get a special bed rail that remains stable at an angle and doesn’t interfere with the mattress’s motion.

Whether bed rail supports are comfortable under the mattress depends on the mattress itself, the bed rail, and the person. Some bed rails have flat pieces of metal that slide under the mattress and screw into place, but they don’t work on every bed frame.

How we reviewed bed rails for seniors

We looked for bed rails that supported at least 300 lb., fit twin- to king-sized mattresses, worked with most stationary bed frames, and included an anchor strap for the best fit. We also looked for bed rails that could accommodate a variety of situations with unique designs or adjustability.

To understand more about bed rail safety, we talked to Sally Russell MN, CMSRN, CNE, and read bed rail safety recommendations from government agencies like the FDA. To learn more about how we rank and review products, visit our methodology page.

Related articles


Sources

  1. Antoine Piau, MD, Ph.D., et al., The Journals of Gerontology, "The Five W's of Falls: Weekly Online Health Survey of Community-Dwelling Older Adults: Analysis of 4 Years Prospective Follow-up," May 2020. Accessed January 4, 2023.
  2. U.S. Food and Drug Administration, “Safety Concerns About Bed Rails,” July 2018. Accessed January 4, 2023.
  3. U.S. Department of Health and Human Services, “Guidance for Industry and FDA Staff, Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment,” March 2006. Accessed January 4, 2023.
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Cathy Habas
Written by
Cathy Habas
With over eight years of experience as a content writer, Cathy has a knack for untangling complex information. Her natural curiosity and ability to empathize help Cathy offer insightful, friendly advice. She believes in empowering readers who may not feel confident about a purchase, project, or topic. Cathy earned her Bachelor of Arts degree in English from Indiana University Southeast and began her professional writing career immediately after graduation. She is a certified Safe Sleep Ambassador and has contributed to sites like Safety.com, Reviews.com, Hunker, and Thumbtack. Cathy’s pride and joy is her Appaloosa “Chacos.” She also likes to crochet while watching stand-up comedy specials on Netflix.

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