Best Bedside Rails for the Elderly

Bedside rails can reduce the risk of falls from a bed. We help you to select the best one for your needs.

Old Person Injured After Falling

Bed rails are just for children though, aren’t they? Not quite. They can serve as a protective mechanism for you or your loved one, whatever the age.

We detail our five favourite ones. Before we do that, we’ll quickly tell you our winner, runner-up and one to avoid.


medline assist bedside bar
  • Lifetime warranty
  • Most popular
  • Fits most beds


Home Bed Assist Rail
  • Cheapest version
  • Easily assembled
  • No frills, easy to use


Stander Safety Adult Bed Rail
  • Up to 300 pounds
  • Covers big beds
  • Nice colour

Although they are used for protection, they are not intended to limit freedom of movement. Bedside rails for elderly family members – or anyone that may need them – can serve as a precaution for safety while in the bed.

How to Choose the Best Support Rails

A bed rail can make it easier and safer for your elderly family member to get in and out of the bed.

There are multiple styles available. For maximum safety, it is important to choose the best one for your family member.

When deciding on the type of bed rails to purchase consider the physical skills of your family member.

  • Can they sit up by themselves?
  • Do they have movement of their arms and legs?
  • Are they able to walk?

These are all questions to consider when choosing the best bed support rails.

Old Man Crossed Hands

Weight Consideration is Important

Other things to consider when choosing the right one is the height and weight of your family member.

You want the rails to safely accommodate the size of the user. This will ensure that the rails are not too large where someone can fall out of the bed, or too small where they don’t offer full protection.

The mattress size is another key feature to consider. Some bed rails are made for certain mattress sizes.

If your family member uses a mobility aid this will affect the type needed. Budget is another key factor to consider when selecting.

There some insurance companies that cover a small portion of the cost, but most insurance carriers do not cover bed rails.

Finally, you should consider your preference in the aesthetics and durability of the bed rails. These factors will you decide on bed rails that are best suited for the needs of your family members.

Page Contents

5. Medline Bed Assist Bar

medline bedside assist
Our Rating:

It is snugly secured and my husband is now sleeping better...

A really strong option, the rails on this one are made of steel and can slide under a mattress. This will add more security for your family member. There is also a strap included that allow for a more secure fit.

The bar can be placed on either side of the bed and you can use the bar to get in and out of the bed.

This product has easy installation and it does not require any tools. A storage pouch is also included and this is a great feature for storing medicine or other personal items.

The bars are latex-free, and they are designed to be sturdy. It has height adjustable legs and a grip bar. It can easily disassemble for easy storage and travel capability.


  • The clip-on strap can break easily
  • It is possible for the tubing on the bars to bend
  • Difficult to attach the storage pouch


  • Sturdy and strong for elderly users
  • It provides a safety strap
  • It's quite affordable

4. Vaunn Medical Bed Rail Assist

Vaunn Bed Assist Grab bar
Our Rating:

My husband likes to sit up by himself. It was simple for me to install...

The Vaunn Medical Adjustable Bed Assist Rail contains a secure and safe grip to help with mobility. It can help people with physical limitations to get out of bed unassisted.

The product is durable and is made with powder-coated steel that provides a sturdy frame. It has a maximum weight capacity of 250 pounds.

A great feature of this product is that there are slip-resistant foam pads on the handles. The design of the rails has horizontal bars that help with maximum stabilization.

Extra stability is added with the floor standing legs. The height and width can be adjusted.

This product works with a mattress that is greater than 5 inches in height. It will not work on low beds.

The product is easy to clean and there are no tools required for the assembly of this product, which is a bonus.


  • The bed must be at least 14 inches to use this
  • When fully inserted into the mattress, it can cause the mattress to lift


  • Very affordable
  • It is sturdy and can be used as an assist for getting up to walk

3. Drive Medical Guard Rail

Home Bed Assist Rail
Our Rating:

I purchased this for my Mother in Law after she broke her shoulder....

The Drive Medical has a simple to use handle. The handles are able to slide under the mattress and this provides a more secure and safe grip for assistance.

I like that this product as it does not require the assembly of intricate small parts i.e. It comes in three easy to assemble pieces. There are no tools needed to assemble this product.

You will not have to worry about a slippery surface, there is a no-slip foam on the baseboard. This makes the bed assist bar more stable. The bar has different height adjustments and you can fold the bar flat for storage or travel.

The weight capacity of this bar is 250 pounds.


  • In order for the bar to fit, from the floor to the box spring must be at least 16 inches. This may pose a problem if your bed is lower to the floor.


  • Affordable price
  • The bars are sturdy for helping to assist with getting in and out of the bed
  • It is easy to install

2. Stander 30" Safety Adult Bed Rail

Stander Safety Adult Bed Rail
Our Rating:

Bought it for my father of 76 years who slips off the bed when sleeping....

The Stander 30” rail can fit from a twin size bed to a California king size bed. You can easily install this bed rail by following the instructions.

I like that you can slide the base tubes between the mattress to give your family member more safety and support.

As for the product itself, it can fit mattress heights from 10-19 inches and it weighs 12 pounds.

It’s slightly different from others in that it supports heavier weights i.e. the weight capacity is 300 pounds.

I think a great key feature about this product is that it can also be used as a standing handle to help get in and out of the bed. A pouch is available to cover the bed rails. This can add more padding to limit bodily injury.

A safety strap is included with the purchase.


  • The tie-down strap is not made from sturdy material and can easily break
  • It may be difficult for elderly family members to release the rails to go down


  • The product is durable and has great quality
  • It is affordable
  • It can be adjusted and there is optional padding available.

1. RMS Single Hand Bedside Rail

medline assist bedside bar
Our Rating:

It is great for reminding my mom not to get out of bed by herself...

This is versatile and can fit a twin, full, queen, or a king-size bed.

I like that you can adjust the height to fit the needs of your family member.

The bars and handles on this one is designed to help with mobility in and out of the bed.

If your family member needs a little extra assistance, this can help with lifting their body while giving them extra support.

If you live in a smaller space or do not like clutter, it can be retracted for storage.

No tools are necessary to assemble this product.

I am always excited when I purchase a product and receive bonuses, this product includes a free bed frame tie-down strap for extra safety.

The ultimate bonus is that there is a lifetime warranty included with your purchase.


  • The bed rails may not be as sturdy for larger sized beds.
  • The knobs for adjusting the height are sharp


  • This product is affordable, great for any size bed, and easy to travel with
  • Great for seniors

Conclusion: The Top Bed Side Rail Bar

Overall, the RMS Single Hand Bed Rail is my choice for the best adult bed railings from the list.

Compared to the other products it is the most sturdy and adaptable product. As stated earlier It provides extra safety measures for your loved one e.g. The bed straps are made of quality material and the bars are durable.

Out of the five listed, this is the only one that comes with a lifetime warranty.

This product is great for people that need extra assistance and also convenient if they use a mobility device.

So there you have it. I think this product is the best because it combines the features of durability, safety, and accessibility.

What Are The Different Types?

To further help you decide on the best one for your family, I will describe the different major types of bed rails and their uses.

There are versions with legs that usually have vertical legs that are able to be anchored on the floor.

Bed rails with legs allow the user to exert pressure on the rail without bending or breaking it. Usually, these have a board or rail that is able to go between the mattress, to further add stability. Onces that come with legs are great for users that can walk but need a little extra support.

Legless bedrails are better suited for users that have a mobility aid. These types of are best stabilized by a queen or king-sized mattress. If this type is used with a smaller sized mattress, it is possible for the rail to tilt forward if pressure is applied.

If you are looking for a more low-profile option, consider bed rail handles which can be used with standard beds. They are typically secured in place by a fixed point.

There are also models that have two extended legs that reach the floor to add more stability if needed. Additionally, there are handles that can attach to the bed frame or sturdy surface in the room.

A swing down bed guard rail can fold down to allow for easy access in and out of the bed. You will need adequate space in the room to accommodate this style because the rails swing outward. A second person may need to assist with this type. This could be a great option for users that need mobility aids. Once you wing the rails downward it is easier to position a mobility aid by the bed.

Features To Look For

When going through the process of choosing, there are certain features that have different benefits. If a bed rail has horizontal crossbars it can provide a handhold for the user. This feature is useful when getting in and out of bed. Crossbars can also prevent entrapment and the risk of getting stuck.

Ones that have the option to adjust the height are more versatile. This option will allow you to determine the best grip height for your loved one. Adjustable types usually mimic hospital bed guard rails in that there are multiple heights available to fit the needs of the user.

A pivotal handle on a rail can offer a mobility arm which is able to offer extra support and function as a cane. For example, a pivotal handle can help with transfers to a wheelchair or other mobility aid. It can also help your family member to easily stand up with support.

Another feature to look for when purchasing a bed guard rail is how travel-friendly, they are. You may want to travel or use them at another location. Some models are collapsible i.e. they are designed to be able to fold flat and transport.

Precautions When Using Bed Rails

Safety is always the first priority when using safety rails for seniors. Suffocation, strangling, or bodily injury are all risks of using these items. This can happen in between or a combination of the mattress and safety rails.

Precautions should be taken to make sure the type of mattress you have is best paired with the correct rail versions that can support it.

Please also note that they’re not intended to be used as restraints. If used in this manner, it can cause agitative behavior.

Consider keeping beds at a low height to further ensure safety when using bed rails for elderly peoole. There are resources and guides to bed safety rails that should be consulted for the proper use and care.

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