This study explores differences on health status transitions based on functional health and dead records among older population in Europe. We also study the influence of residence pattern on health changes over time. Method: Data used came from EU-SILC registers on individuals aged 50 + from 19 countries. Fixed and Mixed effect Cox Proportional Hazards Models are used to ascertain any country differences on health outcomes and then by co-residence pattern. Results: There are remarkable country heterogeneity among older people to experience changes on their health status, specially, for health improvements and mortality risk. As expected, Baltic and Eastern European countries have a higher propensity for health deterioration and Southern European countries for health improvements on their functional capacities. However, there are exceptions as Bulgaria and Romania, which have a lower risk of deterioration and death transition than average. Overall, living with partner and adult children-rather than living only with a couple shown positive effects for older European to experience health improvements with notably differences in Southern countries as in Italy and Spain. Discussion: country framework differences play a fundamental role to understand changes on health status at older ages, in particular, how health care support toward older people is managed by health systems within European countries and the availability of close relatives among older adult population.