Harrison SL, et al. - Researchers here examined associations between psychotropic medications and quality of life in older adults living in residential care facilities with a high prevalence of cognitive impairment and dementia. They also determined if there was a difference in prevalence of psychotropic medications in facilities which provide a small group home-like model of residential care compared to a ‘standard model’ of care. They identified an association of an increased number of psychotropic medications with lower quality of life scores. Many adverse effects were recognized in association with these medications. The need for psychotropic medications could be reduced with home-like models of residential care.