This paper evaluates the social realities surrounding Old Age Homes in contemporary India, with focus on the difficulties and innovations required by these establishments. The increasing number of old age homes shows great changes that have occurred in organizational cultures, families and economic systems. Despite being so vital in the society, the old age homes go through social rejection and cultural barriers that are instilled in most traditional cultures that believe that the family has the sole responsibility of catering for the elderly. The research examines these issues with the help of the case descriptions and quantitative data with the focus on the impact of the social and cultural perceptions on the decisions to place the elderly family members in the old age homes. Moreover, the paper discusses new developments and types of arrangements in old age homes like activities within communities and interprofessional structures that are intended to address these issues. The implications of the study are on policy aspect as well as social culture and participation in order to bring improvement in acceptance of the old age homes. Positive and culturally sensitive surroundings of these homes with good health services will enhance the quality of life for elderlies in India.