This study aims to explore the relationship between living arrangements and the quality of life of older adults in India. Using open-ended and semi-structured interviews, data were collected from ten participants—five residing in multigenerational households and five in active adult communities. Thematic analysis was used to examine and interpret the data in depth. For those in multigenerational settings, three main themes emerged: perceptions of loneliness, causes of social disconnectedness, and the negative impact on quality of life. In contrast, older adults in active adult communities expressed themes such as feelings when alone, reasons for social connectedness, and the positive impact on quality of life. While most existing research on this topic has been conducted in Western contexts, studies from India remain limited. This study highlights the need to consider cultural and contextual factors in understanding ageing. Insights from this research have important practical and social implications. Healthcare providers can implement targeted mental health interventions to reduce loneliness and depression. Communities and families can foster intergenerational engagement and emotional support. Moreover, this understanding can inform the development of affordable assisted living options and supportive policies. A holistic approach is essential for improving the quality of life for older adults in varying living arrangements.