To implement person-centred care, healthcare practitioners and leaders need to understand the experience of those who are recipients of care. The COVID-19 pandemic worked across multiple levels to impact the patient experience as healthcare systems adapted to provide safe care. Older adults represent an important demographic to understand healthcare experiences, especially in the context of the COVID-19 pandemic. Not only were older adults extremely vulnerable to COVID-19 but they represent a demographic with high exposure and use of healthcare. To understand older adults’ experience of healthcare during the COVID-19 pandemic we conducted a mixed methods systematic review using a convergent integrated approach and thematic synthesis. Qualitative, quantitative, and mixed methods studies (2019-2024) of older adults who lived in the community and accessed healthcare services during the COVID-19 pandemic were included. Experiences of those in facilities or residential care were excluded, as were studies not conducted in a peer country to Canada. The 16 included studies described the impact of COVID-19 on community-dwelling people of old age across three themes. Three main themes reflected the experiences of 1) accessing healthcare services and providers, 2) shifting to virtual care, and 3) receiving care, specifically the associated emotional and physical distress, as well as how healthcare providers offered care and support. These findings are discussed in the context of person-centred care with relevant recommendations for health system leaders and care providers. Some older adults’ descriptions of care during the pandemic arguably depict person-centred outcomes of well-being and flourishing, while others depict very difficult care experiences where the delivery of person-centred care was challenged. These experiences can be used to point to areas where person-centred can be enhanced and barriers reduced.