Facing a disability through an intensely life-changing obstacle such as a stroke can change a person’s ability to care for themselves, and alter their quality of life. An acute stroke will often result in disabilities requiring assistance in the continuation of daily activities. An occupational therapist designed and operated assisted care home can create a quality environment through the pursuit of evidence-based leisure interventions that return an individual’s satisfaction with living. In order to enable a satisfying quality of life for residents in this environment, occupational therapy will pursue participation in leisure activities, such as socialization, music therapy, animal-assisted therapy, and physical activities.