This paper presents ethnographic data on a migrant-specific nursing home ward in Switzerland. It shows that the structurally pre-defined segregation of residents sharing a common characteristic affects care practices along three dimensions: performances of sameness/ otherness, informalisation of relationships and language/understanding. Yet, 'death work' showed little difference to nonsegregated wards. However, relatives' practices in dying trajectories were less congruent with nursing home 'doing death', and collisions may evolve. The need for negotiations associated with running a segregated ward seems to elicit enhanced institutional reflexivity with potential to increase the ability of institutions to provide diversity-sensitive services to all residents.Nursing home; end-of-life care; doing death; migration; diversity; ethnography This paper describes a nursing home ward offering specific care services to former 'guestworkers' of Mediterranean migrant origin within a mainstream nursing home in Switzerland. Based on ethnographic data from a research project on nursing home end-of-life care in a pluralised society 1 , it focuses on the issue of how 'Mediterranean' end-of-life care is 'done' compared to general end-of-life care in Swiss nursing homes. In Switzerland, migrant-specific nursing home wards are a new and rare form of longterm care that is debated in policy and practice with reference to integration/segregation issues. If considered as a field of experimental social practice regarding new forms of diversity-sensitive end-oflife care, the study of this practice can provide insight into care issues, institutional dying and the provision of palliative care in old age. Thus, the aim of this paper is to describe the everyday care practices observed on a 'Mediterranean' ward, to compare them to the practices on other wards in the same institution and to explore if 'Mediterranean' care practices bring about different modes of dealing with dying trajectories at the very end of a resident's life. It concludes with reflections on how the practices on segregated wards may inform end-of-life care in nursing homes more broadly.