Introduction There is a profound comfort in returning to a house you have lived in for decades. You know where the loose floorboard is and how the sunlight hits the kitchen table at noon. Leaving that environment feels like losing a part of yourself. Many older adults feel a deep pull to remain in their familiar surroundings. They want to stay connected to neighbors, friends, and memories rather than starting over in an unfamiliar facility. This desire has created a massive shift in how society approaches elder care. Instead of assuming institutional care is the only option, families are looking…