The majority of us will require long-term care services and supports at some point during our later years, many in residential care settings. Historically, residential long-term care in North American and many Western European countries has included a range of options such as nursing homes and assisted living facilities. Considerable consumer, policy, and research efforts have focused on how to improve the quality of care that someone receives in such settings, as well as how to move from more medicalized and institutionalized approaches, to more person-centered and empowering approaches and home-like environments.