This paper explores the historical evolution of age care homes globally, with a specific focus on India and Mangalore, examining their impact on commerce and management. Through archival research and observational data analysis, the study highlights challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations. This paper delves into the historical development of age care homes worldwide, with a specific focus on India and Mangalore, examining their impact on commerce and management. The study utilizes archival research and observational data analysis to highlight challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations.