This study assesses the effects of institutional care on the life of older persons in MekedoniarnHumanitarian Association (MHA). Effects of institutional care on economic, social, spiritual,rnpsychological and health conditions of care recipients are examined. Older persons and staffs ofrnMekedonia Humanitarian Association (MHA) were participated in the study. The total number ofrnparticipants in the in-depth interview was 10 from those who receive care and 5 from staffs of MHA.rnQualitative method with case study design was employed. The researcher used in-depth interview,rnobservation and document analysis as tools to collect data. In analyzing data, the researcher used threernprocedures that are organizing, summarizing and interpreting the data. The collected data were organizedrnand analyzed through qualitative research approach. Out of the ten care recipients, eight of them arernsatisfied by the services given in MHA whereas two of them are not .They feel as if they are dependent onrnothers to satisfy their needs and wants and this leads them to a feeling of depression. The study has a greatrnimplication for social work practice in the area of policy formulation, advocacy, community mobilization,rnempowerment, service provision, assessment and research in the areas of institutional care for olderrnpersons