This article analyses the consequences of government regulations in the care home sector, in particular for the 29.3% of care homes that are part of the social and solidarity economy (SSE). The article is based on a survey conducted in the Loire region and a review of government and independent reports. Founded on market principles, government regulations have introduced competition among care homes and the standardisation of their practices as they increasingly provide medicalised health care. These developments undermine the finances of SSE care homes and run counter to their traditional practices and values. SSE organisations have been driven to incorporate strategies from the private sector and even private finance. As a result, they have been forced into a process of consolidation and financialization.