In the early 1970s, aging Issei (first-generation Japanese Americans) had nowhere to go to receive culturally sensitive nursing care. In response to this need, seven Nisei (second-generation Japanese Americans) mobilized the Japanese community to develop a nursing home to meet the cultural, social, language, and dietary needs of elderly Nikkei (a Japanese emigrant or a descendant who is not a citizen of Japan). In 1975, these visionaries created the organization now known as Keiro Northwest. Seattle’s largest and oldest Asian Pacific Islander senior care program, Keiro Northwest closed its main nursing facility and other programs in 2019 after a decade of declining revenues and changes in the nation’s healthcare system.