Ensuring care and appropriate standard of living to elderly people constitute highly significant aspects of both the state and local social policy. However, the practice shows clearly that the issue of old age has never been a strength of the social policy in our country. One could even get the impression that in old age quality of life does not need to be increased, while it can even be decreased. Such approach to the issue of old age should be highly objectionable. Old age, as the last stage of one’s life, should be lived in dignity, while maintaining the sense of security. Special care and attention should be paid to single people, chronic patients and those with poor financial situation. An appropriately managed nursing home is a place that could protect a senior citizen from social exclusion, while providing professional care and good quality of life. The issue is of high significance as in Poland the public nursing services have not been yet developed well and their quality often remains a matter of concern, also in the moral aspect. This paper enters the discourse about the need of institutional support for the senior citizens and points out to the quality of life of residents of nursing homes.