Fourteen care homes will close but seven will be kept open under proposals put forward by a county council.
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.
Recommended for closure
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.
Homes staying open
"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.
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