Although there is substantial literature available on a variety of aspects of nursing home placement, relatively little is known about the experiences of family members confronted with this challenge. This study involved in-depth interviews with nine adult family members within 2 weeks of the relocation of the older adult relative. Factors related to recognition of the need for placement, selection of a facility, managing the relocation, and effects of placement on the family decision-makers were explored. Results have significant implications for nursing practice related to the lack of advanced planning, needs for time and information, and supportive interventions.