An intimate, long-term exploration of grandfamilies in West Virginia: households where children are being raised by their grandparents. Spanning all four seasons, the work moves beyond the usual narratives around the opioid crisis to examine the many reasons grandparents step into a caregiving role, including incarceration, death, unpreparedness, or neglect. Through photographs made over several years, everyday life is woven together, from birthdays and play to exhaustion and resilience, showing both the triumphs and the struggles of these families. At the heart of it all are the grandmothers themselves, who keep these children fed, happy, and most importantly, deeply loved.