Exploring a service too often viewed as a necessary evil best left invisible, this study takes on the sensitive topic of long-term residential care. Based on an understanding of what exists today, this breakthrough survey takes a different approach by theorizing about developing alternative forms for the future. Taking into account the fact that the overwhelming majority of residents and providers are women, this overview makes gender a central concern in planning for care that treats both workers and residents with dignity and respect. Presented through a collection of thought-provoking essays, this discussion is intended to stimulate a start in designing a form of long-term care that can comfortably be called home.