This study examines the relationship between vision impairment, defined as best corrected distance acuity, and disruptive behaviors among nursing home residents (N = 89). All data were collected from nursing home records. Vision impairment was significantly related on the bivariate level to the disruptive behavior index (r = .21; p < .05). Hierarchical regression analyses, with disruptive behaviors as the criterion and age and comorbid conditions as covariates, indicate that vision status is a significant independent contributor to disruptive behaviors among long-term care residents. Several interpretations for this observed relationship are discussed, as are implications for nursing home services and future research.