As adults, we all hope to age in place and exit the world as gracefully and painlessly as possible. As children, we all vow to care for our parents lovingly in our own homes as they weaken and lose their independence. Unfortunately, these beautiful scenarios are not always possible. Medical realities, insurance considerations, and family dynamics often preclude being able to fulfill these dreams. Indeed, the current norm is that about one in ten older people will spend their ebbing time in a nursing home.