As adequate sleep is an indicator of healthy aging, it is of concern that in India, the prevalence of sleep disorders is significant among older women. Using a qualitative approach, we aimed to understand how older Indian women perceive, engage in, and experience sleep and the factors influencing their sleep. Eight urban-residing older women from a southern Indian district were interviewed. Three main themes emerged: perceptions about sleep and sleep disturbances, causes and consequences of disturbed sleep, and sleep practices. Results may guide contextually relevant occupational assessments and interventions to support good sleep and healthy aging of this vulnerable population.