Not necessarily. A lot of people feel that a nursing home is inevitable if you live long enough. What they may not know is that home care is a viable option to meet long term care needs. There are many ways to meet a loved ones needs at home and avoid nursing home placement. One way may include having a home health aide to help with personal care. Another may be to attend an adult day care program. There are devices used through the Internet (assistive technology) which allow caregivers to monitor their loved ones from a distance. These are just a few of the choice available to meet care needs and allow seniors to age in place. Very often seniors do not have the financial means to allow them to access these resources. Medicaid can pay for some of these care needs. This allows your loved one to remain at home and maintain the highest possible quality of life. It allows the caregivers to continue to enjoy their lives and feel good about keeping their loved one at home.