It's really difficult choices, if you are talking about care for the elderly in their own homes, some, if not most older people would want to remain as independent as possible and not be institutionalised until they have to be.
It makes sense that to have carers, medicines, food provision, qualified staff in one place looking after a number of older people, but!!!
My sister is partaking at present and it's all very pleasant, but it's still a prison. And there are miserable old gits in there with her.