In this paper, we develop a sociodemographic profile of the most vulnerable African American older adult households. To do so, we draw data from the 2011–15 American Community Survey, which contains linked housing and person records for a 5 percent sample of U.S. population. This dataset literally allows us to peer inside of African American older adult households and in the process identify the major barriers or obstacles to aging in place. A host of policy prescriptions, specific interventions and recommendations emanate from this investigation, which are worthy of Sigma Pi Phi’s consideration for advocacy, social impact investing and social action.