This research examines the relationship between older parents' health issues and (i) their relocations closer to their faraway adult children, (ii) their relocations into institutionalised care facilities, or (iii) having distant children move closer. Additionally, we investigate how these relocations are structured by children's gender and location. We focused on parents aged 80 years and older and their distant children. Multinomial logistic regression models were employed for older men and women based on data from administrative registers of Sweden. Whereas severe health problems were associated with an increased likelihood of parent relocations closer to their children or into institutions, they were not associated with the likelihood of children's moves towards parents. Mothers were more likely to move towards daughters or towards distant children who had at least one sibling living nearby. Children moved closer to their parents when there was at least one sibling living near the parent or in response to their own life circumstances.