Fourteen care homes will close but seven will be kept open under proposals put forward by a county council.
Rallies have been held against the original plans
Staffordshire County Council initially looked at shutting all its 22 homes but now it has put forward a revised proposal for approval next week.
The council says it wants more people to be cared for in their own homes or through the independent sector.
Residents and relatives staged protests over the original plans but failed in an attempt to secure a judicial review.
The council says it has 310 residents in care homes, of which 75 need nursing care, which councils are not allowed to provide.
In addition, another 110 will have the option to stay in their current county council care home.
Recommended for closure
Billbrook House, Codsall
Greenwood House, Burntwood
Horace Pritchard House, Burton
Kniveden Hall, Leek
Lea House, Madeley
Nearfield House, Lichfield
The Homestead, Newcastle
The Laurels, Stafford
Thomas Hardy Court, Tamworth
Councillor Susan Woodward, portfolio holder for older people, said the historic model of institutional care is simply not working any more.
She said the council would provide at least eight new care schemes, one for each district, and new residential premises for those with disabilities will be built.
"Between 2007 and 2010, £19m has been promised to identify new and localised services for older people and those with disabilities," she said.
"It's also important to recognise this is not the end of residential care.
Homes staying open
Bracken House, Burntwood
Brighton House, Newcastle
Great Wyrley, South Staffs
Hillport House, Newcastle
"We already buy in around 3,000 residential places for individuals in Staffordshire and of the 310 county council residents affected some of these actually need the service of a nursing home, which councils are not allowed to run."
Rallies have been held in Stafford and Cannock against the original proposals to close all 21 care homes.
The council's cabinet will vote on the recommendations on 14 November.