This chapter looks at rural homecare and how living and working in a rural community can pose certain challenges to the delivery and receipt of homecare services. It shows that in very small places, the home support workers don’t have the same anonymity that workers in larger places have. The discussion determines that it is not unusual for older rural residents to have a home support worker who is the child of a close friend, a neighbour or even a relative. This chapter concludes that while formal home support services may not be as readily available in rural areas as in urban areas, there are issues that are specific to working, living, and receiving services in a rural context. Nevertheless, it is determined that rural places can still be supportive to ageing in a place. The presence or absence of formal services is not the sole indicator of the social vitality of rural communities, nor is it the only indicator of whether rural areas are indeed good places in which to grow old.