The purpose of this case report was to describe the implementation of an in-home therapeutic recreation (TR) program with a 91-year old female living in a naturally occurring retirement community (NORC) by a fourth-year TR student. The purpose of the in-home TR program was to meet the physical, social, and cognitive needs of Mrs. P (pseudonym) and re-stimulate her interests. This case report discusses implications for implementing the TR process in order to develop an individualized program plan, and the benefits gained by providing individualized service at the participant’s home.