Purpose – The purpose of this paper is to assess quality of life in relation to wellbeing among Lebanese nursing home elderly residents. The study attempts to understand the impact of structures, processes and skills on elderly health status. Design/methodology/approach – In this paper, 220 normally functioning elderly respondents from 33 nursing homes were studied. A quasi‐experimental approach measured psychological and health‐related factors using the Geriatric Depression Scale, Activity of Daily Living, EuroQol EQ‐5D and the Mini‐Nutritional Assessment (MNA) instruments. Findings – ...