Plans to build six new residential homes in Cumbria are to be considered over the next three months.
The plans, subject to a public consultation, are part of the county council's plan to modernise care for the elderly in north and west Cumbria.
The new homes would go on the six cottage hospital sites and offer physiotherapy and respite support.
A recent investigation of care homes found rooms were too small and that often seven people shared a bathroom.
Age Concern helped the council and primary health care chiefs come up with the plans for elderly care in the county over the next 10 years.
The new homes would be built over the next five years at Wigton, Keswick, Millom, Alston, Penrith and Brampton.