Why Do Aged Care Beds Go So Low? Lo-Lo & Floorline Beds Explained

cs8 low position lolo bed floorline

When people first see how low our beds go, the most common question is simply: “Why?”

CS8 Lo-Lo floorline aged care bed in its lowest position close to the floor

The short answer is falls. Falls — and especially falls from bed — have become a major safety issue in aged care, particularly since facilities have moved away from using safety rails. A resident who falls out of bed can suffer serious injury, and the higher the bed, the worse that fall tends to be.

How a lower bed reduces injury

By lowering the bed to its lowest position — close to the floor — the distance a person can fall is dramatically reduced, and so is the risk of injury. These low beds are usually called Lo-Lo beds (also known as floor beds or floorline beds). In their lowest setting they sit just above the floor, which is why they’ve become so popular in aged care and dementia settings.

Crucially, a Lo-Lo bed doesn’t only go low. Like a standard Hi-Lo (hospital) bed, it also raises to a comfortable working height when a carer needs to provide care, then lowers again for the resident’s safety. So you get the safety of a low bed and the practicality of an adjustable one.

Who benefits from a low bed?

Low beds are especially suited to:

  • Residents at high risk of falling out of bed
  • People living with dementia
  • Residents who are significantly agitated or restless
  • Anyone for whom safety rails are unsuitable or considered a restraint

Crash mats: an extra layer of protection

Crash mats are often used alongside low beds. A crash mat is a cushioned mat (essentially a mattress on the floor) placed beside the bed, so that if a resident does roll or slip out, they land on a soft surface — further reducing the risk of injury. Some setups also pair the bed or mat with a fall alarm to alert staff.

Why low beds replaced safety rails

Safety rails were traditionally used to stop people rolling out of bed. But over time it became clear they carried their own risks: some residents would try to climb over them and fall from an even greater height, and rails are increasingly viewed as a form of restraint. Lowering the bed instead manages the same risk — without restraining the resident — which is why low and floorline beds have become a preferred approach.

A note on bed height and comfort

Going low is about safety at night, but daytime usability still matters. Because Lo-Lo beds raise as well as lower, the resident (or their carer) can set a comfortable height for getting in and out, then drop the bed low again for sleeping. It’s worth discussing the right setup with your occupational therapist or care provider.

See our range of Hi-Lo and Lo-Lo beds: Hi-Lo and Lo-Lo beds. Or browse all aged care bedroom furniture: aged care bedroom furniture. To talk through the right bed for a resident or loved one, call 03 9408 9710 or email info@wentworthcare.com.au.

Frequently asked questions

Why do aged care beds go so low?

To reduce injury if a resident falls out of bed. The lower the bed, the shorter the fall — which is especially important now that safety rails are used far less. These low beds are called Lo-Lo or floorline beds.

What is a Lo-Lo or floorline bed?

A bed that lowers much closer to the floor than a standard hospital bed, while still raising to a comfortable height for care. It’s used to reduce fall injuries, particularly for residents with dementia or a high falls risk.

Are low beds safer than bed rails?

For many residents, yes. Bed rails can lead to injuries when people climb over them, and are increasingly considered a restraint. Lowering the bed manages falls risk without restraining the resident, which is why many facilities now prefer low beds.

What is a crash mat used for?

A crash mat is a cushioned mat placed beside a low bed so that if a resident rolls or slips out, they land on a soft surface. It’s a common, simple way to further reduce fall-related injuries.

Who should use a low bed?

Residents at high risk of falling from bed, people living with dementia, those who are agitated or restless, and anyone for whom bed rails aren’t suitable.

Tamlyn Carr
Tamlyn Carr is a furniture industry veteran with over 30 years of experience and two decades specialising in aged care, helping facilities create safe, welcoming spaces through a deeply consultative and detail-driven approach.

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