Home is a place where our identity constantly develops through connections with the past and is defined by cultural, socio-demographic, psychological, political, and economic factors. Many older adults, near the end of their life, are calling long term care facilities their home. Long term care has experienced rapid growth over the past several decades. Currently, assisted living represents one of the most abundant institutional care settings for older adults. An estimated 36,000 assisted living facilities exist in the United States (National Center for Health Statistics, 2016) compared with an estimated 15,600 nursing homes (National Center for Health Statistics, 2016). With long term care facilities rapidly growing, there have been several different models composed, including medical model, person-centered care, Eden Alternative, and Green House model. These models were developed in order to improve one’s quality of life as well as making these facilities appealing to older adults to move into. While making long term care facilities appealing to older adults, artifacts of culture change have regulated care practices, environment, family and community, and workplace practices. While this has influenced long term care facilities, there is still room for improvements in order to improve the quality of life in older adults.