The United State (U.S.) admission to nursing homes is based on health status, insurance and family preferences. Nigeria’s admission to nursing homes is based on lack of guardianship and poverty. U.S. has more health resources and can accommodate more than 100 seniors in the nursing home.U.S. nursing homes are government funding; in Nigeria it is by donations. Nigeria encourages community care. High life expectancy in U.S is 78.7 years, while Nigeria is 52 years. Nigeria needs to improve life expectations. Specialties Geriatric Article