Much has been written about theories of aging in premodern times, but much less is known about theories of residential care. This article describes a handbook prescribing the building, staffing, and running of residences for seniors: The Gerontocomos, published in Italy in 1489 by Gabrielle Zerbi. The handbook describes in detail the physical environment and architecture, the qualifications of the administrator, and the hiring and training of assistants for what is essentially an Assisted Living Facility. Although ancient-to-Renaissance theories of aging differ widely from contemporary theories, some of the practical suggestions are not so different.