The number of adults aged 65 and older experiencing homelessness in the U.S. is expected to nearly triple by 2030. This group faces significantly higher rates of chronic and mental illnesses compared to the general population, with health conditions resembling those of individuals at least 20 years older. They also have a mean age of death that is earlier than that of their housed peers. A qualitative study examines the barriers to end-of-life care for this population, based on interviews with 16 service providers. Interviewees identified bureaucratic structures, medical systems, shelter rules, and a lack of understanding about homelessness as major obstacles to providing adequate end-of-life care. Despite these challenges, service providers have developed informal and flexible networks to support their clients, fostering trusting relationships. The findings underscore the urgent need for policy changes to improve end-of-life care for people experiencing homelessness.