Service innovation affects the individual's perception of service quality, the level of meeting the need, and the sense of satisfaction. This effect concerns the individual and the people they live with. The development of service innovation depends on the desires of the individual and the people they live with, technological and medical innovations, and innovative behaviors of the staff and the institution. The outcomes to be obtained as a result of the service innovation can provide the satisfaction and psychological strengthening of the elderly person who purchases the service. Therefore, it is important to innovate in the services and processes that will be offered to the elderly in home care services. In the realization of innovations, it is important to obtain some information about the elderly individual from the family and their close friends. The medical history, phobias, hobbies, expectations, fears of the individual have an impact on the quality perception of the service to be given. Therefore, obtaining detailed information about the elderly person is important for service innovation. Besides, it may not always be possible to reach real information about the individual's satisfaction and health problems. When the elderly individual has pain, s/he can hide it from the staff. In such a situation, significant health risks may arise. To prevent this situation, the social circle of the individual should be contacted and support should be obtained from them.