This study explores how rural, low-income mothers use family-based nature activities to promote the health of themselves and their families. Data were collected through in-person interviews with a sub-sample of mothers (n = 85) who participated in a larger multistate, mixed-methods longitudinal project. Grounded theory analysis techniques were used to depict the social process of how mothers engage in family-based nature activities to promote physical, psychological, and social health of each family member, as well as the health of the entire family within the context of rural poverty.