One salient hazard, clean room, good light, original base rooms.
How it works
HealthDojo asks a narrow question: when a vision model sees a synthetic home scene, does it identify a hazard deliberately placed there? HomeBench focuses on falls after joint replacement. DementiaBench focuses on home safety for a person living with dementia.
From guidance to a test
Section titled “From guidance to a test”- 01Guideline
Published home-safety guidance: CDC STEADI for falls; Alzheimer's Association and NIA for dementia.
- 02Draft rubricreview pending
Guidance is summarized into hazard rows with a source reference. OT/PT review pending.
- 03Labeled synthetic imageautomated check
An image model edits one target hazard into a synthetic room. A vision model checks it is visible.
- 043D splat world
Selected scenes are rebuilt as walkable Gaussian-splat worlds (World Labs Marble).
- 05Model test
Models list hazard IDs on photos, or walk a 360-degree room with a step budget. Saved responses are scored.
Published home-safety guidance is summarized into draft hazard rubric rows. Each row records a source reference. The displayed guidance is a summary or paraphrase unless expressly marked as a verified quotation. The rubric awaits occupational and physical therapist review.
The photo benchmark starts with a synthetic room and an edit designed to add a target hazard. A vision model checks whether the target is visible; an image difference estimates its location where appropriate. Some accepted edits contain other material changes. This is an automated check, not independent human ground truth. A separate curriculum also includes stacked hazards and safe look-alikes.
Models receive the scene, a patient context, and the benchmark’s allowed hazard IDs. Their saved responses are scored against the seeded IDs. Recall is the share of seeded targets found in scenes that model ran. The false alarm rate counts flags on a defined set of hazard IDs expected to be absent, drawn from related scene edits; it does not count every possible incorrect prediction. The composite score averages recall with the share of those IDs left unflagged. Localization is reported separately. Read each score with its scene coverage.
Explore the results beside the source-linked rubric and scene records. The code and data are open for inspection.
Rubric browser
Section titled “Rubric browser”Draft rows: 35 for falls and 14 for dementia. Open a row for its source summary, the patient-specific rationale, and a link to its source document. No row has been marked as a verified quotation.
BATH-01No grab bar at tub/shower
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Walker cannot enter tub; transfer needs fixed support
- low
- Walk-in shower with bench and fixed support elsewhere within reach
- medium
- Walk-in shower, no bar, occupant ambulatory without device
- high
- Tub-shower combo requiring step-over with no bar, or any occupant using walker
Cross-walk: HOME FAST item 13
BATH-02No support at toilet
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Walker is not a stable push-off for sit-to-stand on toilet
- low
- Sturdy vanity edge within reach and occupant independent
- medium
- No support, occupant independent
- high
- No support and occupant post-op, uses walker, or has hip precautions
Cross-walk: HOME FAST item 10
BATH-03Non-load-rated fixture positioned as support
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Walker users reach for nearest fixed object
- low
- Fixture present but a proper grab bar also within reach
- medium
- Fixture is only thing within reach, occupant independent
- high
- Fixture is only support and occupant uses walker / post-op
Cross-walk: HOME FAST item 13
BATH-04Slippery tub/shower floor
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Cannot use walker inside wet area
- low
- Textured base, no strips
- medium
- Smooth base, no strips, walk-in shower
- high
- Smooth tub base with step-over, no strips
Cross-walk: HOME FAST item 14
BATH-05High tub step-over without transfer aid
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Walker cannot be used across tub wall
- low
- Walk-in shower also available
- medium
- Tub is only bathing option, occupant independent
- high
- Tub is only bathing option and occupant post-op (hip/knee) or uses walker
Cross-walk: HOME FAST item 11
BATH-06Low toilet seat
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Sit-to-stand from low seat is hardest transfer with walker
- low
- Comfort-height (17-19 in) toilet
- medium
- Standard low toilet, occupant not post-op
- high
- Low toilet and occupant has hip precautions or post-TKA limited knee flexion
Cross-walk: HOME FAST item 10
BATH-07Loose bath mat or rug on bathroom floor
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Walker legs catch mat edges
- low
- Rubber-backed flat mat outside wet zone
- medium
- Unbacked mat outside shower
- high
- Curled/bunched mat in walker path or at shower exit
Cross-walk: HOME FAST item 4, 14
BATH-08No shower seat or handheld shower
Bathrooms: put a non-slip rubber mat or self-stick strips on the floor of the tub or shower; have grab bars put in next to and inside the tub and next to the toilet.
CDC STEADI ↗Cannot stand unsupported for bathing
- low
- Occupant can stand long periods and has grab bars
- medium
- No seat, occupant has balance/endurance limits
- high
- No seat and occupant post-op / uses walker
Cross-walk: HOME FAST item 12
BED-01Bed height inappropriate
Bedrooms: place a lamp close to the bed where it's easy to reach; put in a night-light so you can see where you're walking.
CDC STEADI ↗Walker needs level stand-up from bed edge
- low
- Slightly low, firm edge
- medium
- Clearly low or high, occupant not post-op
- high
- Low bed with hip precautions, or high bed requiring hop-down
Cross-walk: HOME FAST item 5
BED-02No reachable bedside light
Bedrooms: place a lamp close to the bed where it's easy to reach; put in a night-light so you can see where you're walking.
CDC STEADI ↗Getting up in dark while positioning walker
- low
- Lamp present but awkward to reach
- medium
- No bedside light, room has nightlight
- high
- No bedside light and path to bathroom dark
Cross-walk: HOME FAST item 8
BED-03Dark bed-to-bathroom path
Make sure there is a light over the stairway and good lighting everywhere you walk; put night-lights in bedroom, hall and bathroom.
CDC STEADI ↗Night trips with walker
- low
- Short route with partial ambient light
- medium
- Unlit route, no obstacles
- high
- Unlit route with obstacles, level change, or rug
Cross-walk: HOME FAST item 7, 15
BED-04Floor clutter around bed
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Walker legs snag
- low
- Small items against wall, not in path
- medium
- Items near bed edge
- high
- Items directly in stand-up zone or walker path
Cross-walk: HOME FAST item 1
BED-05Insufficient walker clearance around bed
Bedrooms: place a lamp close to the bed where it's easy to reach; put in a night-light so you can see where you're walking.
CDC STEADI ↗Walker (24-26 in) plus feet needs ~30-36 in
- low
- Gap tight but occupant not using device
- medium
- Gap <36 in, device user can still pass
- high
- Gap narrower than walker width
Cross-walk: HOME FAST item 1, 5
STAIR-01Missing handrail or rail on one side only
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗Walker cannot be used on stairs; rail + cane/crutch technique required
- low
- One rail, 1-2 steps
- medium
- One rail on full flight
- high
- No rail, or one rail on the side opposite the stronger hand/unoperated leg for a post-op user
Cross-walk: HOME FAST item 18
STAIR-02Handrail loose, short, or not graspable
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗-
- low
- Minor gap at end
- medium
- Rail short by one or more steps
- high
- Loose/broken or ungraspable rail on only rail
Cross-walk: HOME FAST item 18, 19
STAIR-03Objects on stairs
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗-
- low
- Item against wall on wide stair
- medium
- Item on a tread
- high
- Items on multiple treads or at top step
Cross-walk: HOME FAST item 1
STAIR-04Poor stair lighting
Make sure there is a light over the stairway and good lighting everywhere you walk; put night-lights in bedroom, hall and bathroom.
CDC STEADI ↗-
- low
- Lit but dim
- medium
- Switch at one end only
- high
- No working light on regularly used stairs
Cross-walk: HOME FAST item 7
STAIR-05Undefined step edges / loose stair covering
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗-
- low
- Low contrast only
- medium
- Worn carpet or no edge marking on full flight
- high
- Loose/torn carpet on tread
Cross-walk: HOME FAST item 21
STAIR-06Broken or uneven steps
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗-
- low
- Cosmetic damage
- medium
- Noticeable unevenness
- high
- Broken/missing tread or large riser variation
Cross-walk: HOME FAST item 20, 23
KIT-01Frequently used items stored high
Kitchen: move items in cabinets you use often to lower shelves (about waist level); if you must use a step stool, get one with a bar to hold on to - never use a chair as a step stool.
CDC STEADI ↗Reaching overhead while holding walker destabilizes
- low
- Occasional items high
- medium
- Daily items high
- high
- Daily items high and step stool/chair used to reach
Cross-walk: HOME FAST item 16
KIT-02Frequently used items stored low
Kitchen: move items in cabinets you use often to lower shelves (about waist level); if you must use a step stool, get one with a bar to hold on to - never use a chair as a step stool.
CDC STEADI ↗-
- low
- Occasional items low
- medium
- Daily items low, not post-op
- high
- Daily items low and hip precautions active
Cross-walk: HOME FAST item 16
KIT-03Unstable step stool or chair used for reaching
Kitchen: move items in cabinets you use often to lower shelves (about waist level); if you must use a step stool, get one with a bar to hold on to - never use a chair as a step stool.
CDC STEADI ↗Any climbing contraindicated early post-op
- low
- Sturdy stool with rail, stored away
- medium
- Stool without rail
- high
- Chair or wobbly stool used as ladder
Cross-walk: HOME FAST item 16
KIT-04Slippery floor / loose mat at sink or stove
Kitchen: move items in cabinets you use often to lower shelves (about waist level); if you must use a step stool, get one with a bar to hold on to - never use a chair as a step stool.
CDC STEADI ↗Walker wheels/glides skid or catch
- low
- Backed flat mat
- medium
- Unbacked mat or glossy floor
- high
- Curled mat or visible wet floor in walker path
Cross-walk: HOME FAST item 3, 4
LIV-01Throw rug / loose mat on walkway
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Walker legs/wheels catch rug edges
- low
- Large flat rug under furniture
- medium
- Small unsecured rug off main path
- high
- Curled/bunched rug on main route or at doorway
Cross-walk: HOME FAST item 4
LIV-02Cords or wires across walkway
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Wheels/legs catch cords
- low
- Cord along wall edge
- medium
- Cord crossing low-traffic area
- high
- Cord crossing main route or doorway
Cross-walk: HOME FAST item 1
LIV-03Cluttered or narrowed walking path
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Walker requires straight, clear path ~30-36 in
- low
- Minor clutter, path >36 in
- medium
- Must walk around furniture
- high
- Path narrower than walker or objects underfoot
Cross-walk: HOME FAST item 1
LIV-04Low or soft seating without armrests
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Hard sit-to-stand with walker
- low
- Firm armchair available too
- medium
- Only low/soft seating
- high
- Only low/soft seating and hip precautions or post-TKA
Cross-walk: HOME FAST item 6
LIV-05Poor lighting or glare
Make sure there is a light over the stairway and good lighting everywhere you walk; put night-lights in bedroom, hall and bathroom.
CDC STEADI ↗-
- low
- Dim corners only
- medium
- Room generally dim
- high
- Main route dark or glare obscures floor edges/level changes
Cross-walk: HOME FAST item 7
LIV-06Unmarked level change / step-down between rooms
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Walker must be lifted over step; front wheels catch
- low
- Small (<0.5 in) beveled transition
- medium
- Single marked step
- high
- Single unmarked step on main route
Cross-walk: HOME FAST item 21
LIV-07Pets and pet items underfoot
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Pets tangle in walker
- low
- Items against wall
- medium
- Items in secondary path
- high
- Items on main route or large active dog
Cross-walk: HOME FAST item 25
ENT-01Exterior steps without handrail
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗Walker unusable on steps; entry is required at discharge
- low
- Single low step with door frame support
- medium
- 2-3 steps, no rail
- high
- 3+ steps, no rail, or occupant post-op
Cross-walk: HOME FAST item 19
ENT-02Raised threshold or door sill
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗Front wheels/legs catch
- low
- Beveled low threshold
- medium
- Raised sill 0.5-1 in
- high
- Sill >1 in or sliding track on required route
Cross-walk: HOME FAST item 22
ENT-03Uneven or damaged outdoor path
Floors: move furniture so your path is clear; remove throw rugs or use double-sided tape so they don't slip; pick up papers, books, towels, shoes and other objects on the floor; coil or tape cords and wires next to the wall.
CDC STEADI ↗Walker wheels stick in gravel/cracks
- low
- Minor cracks
- medium
- Uneven pavers or gravel
- high
- Heaves/trip lips or slippery surface on only access route
Cross-walk: HOME FAST item 23
ENT-04Poor exterior lighting
Make sure there is a light over the stairway and good lighting everywhere you walk; put night-lights in bedroom, hall and bathroom.
CDC STEADI ↗-
- low
- Porch light only
- medium
- Steps unlit
- high
- Steps and path unlit on regular route
Cross-walk: HOME FAST item 9
ENT-05Doorway too narrow for walker
Stairs and steps: keep objects off the stairs; fix loose or uneven steps; make sure carpet is firmly attached to every step, or remove it and put non-slip rubber treads on the stairs; handrails on both sides, as long as the stairs; fix loose handrails.
CDC STEADI ↗Core walker clearance check (24-26 in walker; 32 in ADA door)
- low
- Clear width >= 32 in
- medium
- Clear width 28-32 in with walker 24-26 in
- high
- Clear width < walker width + 2 in on required route (bathroom/bedroom/entry)
Cross-walk: HOME FAST item 22
DEM-K01Stove burner left on, knobs freely usablehigh
Use stove knob covers or remove knobs, shut off gas when not cooking, prefer appliances with automatic shut-off.
Alzheimer's Association ↗Forgetting a lit burner and misjudging heat are core dementia fire/burn risks; a person may turn knobs on repeatedly. Fix: knob covers, automatic shut-off device, or disconnect the stove.
DEM-K02Knives and sharps out on the counterhigh
Judgment about sharp objects declines; knives should be locked away rather than left in the open.
DEM-K03Cleaning chemicals out and unlockedhigh
Keep bleach and laundry pods out of sight, secured, in original containers so they are not swallowed.
Alzheimer's Association ↗Colorful pods and bottles can be mistaken for food or drink by a person with dementia (ingestion/poisoning).
DEM-K04Medication bottles left outhigh
Clear prescription drugs and vitamins off counters and tables; lock medications away.
Alzheimer's Association ↗Unsupervised access risks double-dosing or skipped doses; medications should be locked and dispensed by a caregiver.
DEM-B01Razor and medications out on the sinkhigh
Sharps and medications in the bathroom are a common unsupervised-access point.
DEM-B02White toilet seat on white toilet and floor (low contrast)medium
Choose a toilet seat and fittings that contrast with wall and floor so they can be found.
Alzheimer's Society (UK) ↗Reduced contrast sensitivity makes a white-on-white toilet hard to locate; a colored seat helps with toileting and sitting safely.
DEM-B03Dark bath mat on a light floormedium
Dark rugs and mats can look like obstacles or holes in the floor.
Alzheimer's Society (UK) ↗A dark mat can be perceived as a hole or step by someone with dementia, causing freezing, stepping over, or falls.
DEM-B04Plugged-in hair dryer by the sinkhigh
Remove small electrical appliances from the bathroom and cover outlets.
NIA ↗Electrical appliances near water are a shock risk when judgment is impaired.
DEM-R01Large mirror facing the bedmedium
Use fewer, smaller, carefully placed mirrors; reflections can confuse (Alzheimer's Society: remove or cover them).
NIA ↗A person with dementia may not recognize their own reflection and think a stranger is in the room, causing fear or agitation.
DEM-R02Bold high-contrast patterned rugmedium
Avoid busy patterns; a change in floor pattern can be mistaken for a step because depth perception changes.
NIA ↗Busy patterns can be misread as steps, objects or holes, causing hesitation, reaching for things that are not there, or falls.
DEM-R04Space heater next to beddinghigh
Portable heaters near fabric are a fire and burn risk that a person with dementia may not recognize.
DEM-E01Car keys hanging by the front doorhigh
Remove access to car keys once the person no longer drives.
Alzheimer's Association ↗Visible car keys invite unsafe driving once driving has stopped; keys should be kept out of sight.
DEM-E02Front door left open to the outsidehigh
Most people with dementia will wander; secure exterior doors (deadbolts out of eye line), disguise exits or add door alerts.
Alzheimer's Association ↗Six in ten people with dementia will wander; an unsecured, open exit is the main wandering pathway.
DEM-E03Clutter piles in the walkwaymedium
Remove throw rugs, cords and extra clutter; keep floors clear.
Alzheimer's Association ↗Clutter increases falls and confusion; visual crowding makes navigation harder for people with dementia.
Five difficulty levels
Section titled “Five difficulty levels”The curriculum is designed in five levels. Each card shows how many generated images passed the automated check; the harder levels have few so far.
One hazard that requires judging adequacy (towel bar used as grab bar, short handrail, low-contrast mat) or is small / partially occluded.
Two hazards stacked in one room plus one safe look-alike distractor (e.g. a proper anchored grab bar, a flat non-slip mat) that must not be flagged.
3-4 hazards (some subtle) plus 2 distractors, with realism degradations: dim or night lighting, soft focus/noise, new base homes.
~40% safe-but-scary rooms (0 hazards, only look-alikes: negatives) and ~60% rooms with 4+ hazards, several subtle adequacy/measurement ones, in poor light.
One salient hazard, clean room, good light, original base rooms.
One hazard that requires judging adequacy (towel bar used as grab bar, short handrail, low-contrast mat) or is small / partially occluded.
Two hazards stacked in one room plus one safe look-alike distractor (e.g. a proper anchored grab bar, a flat non-slip mat) that must not be flagged.
3-4 hazards (some subtle) plus 2 distractors, with realism degradations: dim or night lighting, soft focus/noise, new base homes.
~40% safe-but-scary rooms (0 hazards, only look-alikes: negatives) and ~60% rooms with 4+ hazards, several subtle adequacy/measurement ones, in poor light.
Limits
Section titled “Limits”Scenes and walkable worlds are synthetic. Rubric rows await clinician review, and performance in real homes or patient care has not been established. Automated acceptance can miss changes beyond the target hazard. Samples are small, model coverage differs, and rankings are directional. Recorded walkthroughs use selected worlds and should be read separately from the photo leaderboard.