The World Health Organization encourages health systems to be modified to ensure affordable access to evidence-based medical care to meet older adults’ healthcare needs. Most older adults want to age in place in the community but need constellations of paid and unpaid care to manage such a feat. Aging in place and maintaining or improving one’s health require instrumental and affective support of and access to health promotion supports such as rehabilitative services, exercise, high-quality food, and social support. The essential role of direct care workers (DCWs) in helping older adults across long-term care services and supports (LTSS) in practicing various health promotional activities is already evidenced. In order for DCWs to support health promotion, systemic issues related to staffing, recruitment, retention, workload, consistent assignment, and career advancement need to be put in place. Recruitment, retention, and training of individuals in staff roles are vital to providing good quality care to residents. Services and support organizations have been experiencing widespread shortages and instability in the direct care workforce and this issue was exacerbated by the COVID-19 pandemic. This chapter discusses the current outlook and how increasing the number, capacity (e.g., through technologies), and the availability of DCWs to support high-quality person-centered care which includes health promotion, meaningful engagement, and person-directed activities is vital.