Falls are an important barrier to living independently among older persons. This study examines the use of assistive devices and safety changes among persons responding to National Survey of Self-Care and Aging.  Analyses are based on 833 persons who experienced at least one fall and 2652 persons who had not fallen in the previous year.  Assistive devises and various home improvements were assessed in both groups. The percent who had fallen in the past year increased with age, reaching 35.1% of those ages 85+ (p<.001).  Only 25.6 percent of those who had fallen reported having 2 or more assistive devices.  The most common devices among those who had fallen were: non-slip strips in bath (56.2%), cane (47.5%), walker (31.0%), and grab bars (30.7%). Home changes were significantly more likely among those who had fallen and included: re-arranging furniture (7.9 vs. 2.8%), keeping things within reach (33.7 vs. 14.8%), installing more phones (11.7 vs. 5.2%), removing/securing rugs (13.3 vs. 5.3%), and putting things on lower shelves (19.9 vs. 8.6%).  Overall, home safety changes and assistive devices appear to be underutilized in this population.  These findings have important practice and policy implications for gerontological health.  As the elderly population continues to increase, so too will the importance of assistive technology as a vital strategy to enable continued independence in daily functioning.  Social workers and other health professionals need to include in their assessments the need for assistive technologies and home changes, especially for those who have experienced a fall.