When I was a teen I volunteered at a nursing home. It wasn't unusual for a resident to not have an un-expired ID card. Once they stop driving, they felt they had no reason to renew their drivers license. It really wasn't an issue since for most purposes an expired ID was fine.

It wasn't a problem for voting because the poll workers knew most of the nursing home residents socially. This was a small town and some of the poll workers even attended primary school over half a century ago with the nursing home residents. As our communities become looser and looser knit, this kind of informal identification system loses its integrity. Our identification card issuing system hasn't kept up with this change in society. Fix that problem and the rest fixes itself.