OBJECTIVE. The purpose of this study was to explore women with disabilities� perceptions of their lived experiences in nursing homes.   METHOD. This 16-month ethnography used multiple qualitative methods, including participant observations, thematic qualitative interviews, and focus groups, to examine the perceptions of life in nursing home for 6 women with disabilities who had returned to community living and their significant others (n = 13).   RESULTS. Nursing homes were living situations of last resort for women with disabilities. Life in the nursing home was characterized by lost choice, control, and occupational engagement, social isolation, social control, the political economy of the nursing home, and active resistance.   DISCUSSION. Occupational therapy practitioners practicing from a social justice paradigm have a responsibility to ensure that client goals to live in the least restrictive environments possible are realized. Implications for long-term-care referral practices, advocacy-based interventions, and partnership with the disability community are discussed