More and more families in rural America face a heartbreaking decision: sell family land to pay for nursing home care or lose access to necessary healthcare. The story of farmers being forced to relinquish valuable property to cover nursing home costs has become all too familiar. In areas where land holds not only economic value but also cultural and familial importance, these choices carry profound consequences. However, in-home care services provide a meaningful alternative—one that allows seniors to stay at home and retain their assets.