A Paris nursing home, Ehpad Anselme Payen, faced challenges protecting its 108 residents during a recent historic heatwave. The facility adapted daily routines to mitigate the effects of the extreme temperatures on vulnerable elderly individuals. Staff focused on providing enhanced care while navigating difficulties in altering residents’ established habits. The heat was intensely felt, requiring a room-by-room approach to ensure adequate vigilance and protection. The report highlights the complexities of safeguarding the elderly population during increasingly frequent and severe heat events. The situation underscores the need for tailored strategies to address the specific needs of nursing home residents during extreme weather.