In this chapter the lessons learnt from the build-up and integration of the USEFIL are demonstrated. First an introduction to Ambient Assisted Living (AAL) platforms, the infrastructure for eHomes of any purpose eHome is presented, in the context of their emergence as a viable way for managing healthcare costs in an aging first world population. Then technical and sustainability issues that are present after several years of maturation are touched upon. The USEFIL project's aim at an AAL platform that utilizes low cost “off-the-shelf” technologies in order to develop immediately applicable services, to assist elderly people in maintaining an independent, healthy lifestyle and program of daily activities is then briefly discussed. Afterwards, the methodological framework as well as principal results of the preparation and running of the pre-piloting phase of that platform are presented. Closing, current trends are explored in conjunction with future directions as triggered by this project in the context of cognitive impaired elderly support.