It is common for individuals who are well advanced in age to come to the point in life where they have to make a crucial decision with regards to their living arrangements. Older adults, along with their families, must thoughtfully decide which option to opt for: whether to stay at home or transition to a health facility. In this short essay, we explore basic factors that are to be considered when choosing between the two options, taking note of the merits and demerits of each. The health of the senior is a factor that must be considered. Personal preferences, family support, financial implications, and the happiness of seniors are other factors that must be considered.