Data were collected from inmates' files and interviews with elderly inmates (aged 50 and older) and institutional staff. There were 87 elderly inmates (6.2 percent of the total institutional population) distributed throughout the various dorms and units. Compared to the younger group of inmates, the elderly group had committed less serious offenses and had been involved in less serious institutional violations. Most of the elderly inmates reported that prison was 'not that bad,' although they indicated difficulty in adjusting to the regimentation and isolation from families. Some concerns of the elderly inmates were the tendency of prison officials to ignore them, uncomfortable physical conditions (inadequate heating and cooling, etc.), medical problems, and noninvolvement in prison programs. Staff perceptions of elderly inmates' problems were similar to those expressed by the inmates themselves. The pros and cons of four policy alternatives are discussed: maintaining the current status of facilities and programs, building independent institutions to house elderly inmates, renovating existing facilities to meet the needs of elderly inmates, and locating a geriatrics unit at an existing nursing home or mental health complex. 3 tables, 30-item bibliography. (Author abstract modified)