The vast majority of seniors in this country would prefer to “Age in Place” rather than go to a nursing home. In most cases, this can be done with proper planning.  People who do not have close family members to rely on often put together a team of friends who are willing to implement long term care planning. At a minimum, such planning includes a healthcare proxy, living will and power of attorney. Long term care insurance can help cover the costs of care, but usually additional funds will need to be made available to caregivers. For some individuals, implementing a revocable living trust that names a successor trustee in case if incapacity is prudent. Others should explore a Medicaid asset protection trust. The best way to avoid a nursing home is to consult an elder law attorney well in advance.