This paper examines the relationship between immigration enforcement and institutionalization rates of the elderly. Exploiting the staggered implementation of the Secure Communities (SC) immigration enforcement program across U.S. counties from 2008 until 2014, we show that SC increased the likelihood of living in an institution by 0.2 percentage points (5 percent) among Americans aged 65 and above. Suggestive of supply shocks in the household services market as a primary mechanism driving this result, we find that the elderly who are most likely to purchase domestic worker services are also those most likely to move into nursing homes following the implementation of SC. Additionally, we show that SC led to decreases in the hours of work among housekeepers, personal care aids, and home health workers, as well as to increases in their wages, pointing to negative supply shocks in occupations that facilitate aging in community.