Purpose – Identifying opportunities for adaptive reuse in a changing (increasing market driven) context for Dutch care accommodation. Design/methodology/approach – Combination of two student thesis, both based on case study and decision model development. Findings – Due to new courses in the Dutch care industry functions of care accommodation are shifting, which could result in additional vacancy, unless the buildings are adaptable for the new situation. It is expected that new programs will be defined for the new care accommodations. However, one of the first lessons of transformation is to seek functions close to the original. With focus on adaptive reuse the problematic accommodations can be dedicated to closely related functions. The decision should be supported by a LCC?based comparative assessment.