Rural communities across the nation face significant challenges providing long-term care: nursing homes struggle to recruit and retain skilled workers, home care workers fight for dignity and fair pay, county-owned nursing homes face immense financial and political pressure to privatize. As the cohort of Baby Boomers moves further into retirement and closer to needing long-term care options, the loss of affordable publicly owned nursing homes will exacerbate a looming social and economic disaster. With on-the-ground reporting, this Barn Raiser Special Report examines how rural communities are coming together to address the crisis in long-term care.