But my wife worked in home care for disabled adults for many years, and that is a tough place to work and tough to staff. A recent story in the Fort Worth area suggests that more than 20 adults died due to abuse and lack of care. https://www.fox4news.com/news/loving-and-caring-for-people-llc-regla-su-beceur-arrest.amp

https://www.nbcdfw.com/news/local/arlington-pd-investigating-at-least-20-deaths-linked-to-unlicensed-assisted-living-company/3520056/?amp=1

Often the quality of service to the old people is lacking.

The system breaks down at the coalface - the government funding and intent for quality service is there, but the workers who do the actual work are often unmotivated and lowly paid.

And service providers often don't monitor the service to clients closely.
One Australian in home service provider was in a lot of trouble because the subcontractor who was providing the actual service to the client neglected the client who essentially sat in a chair and starved to death.
The subcontractor was also stealing from the client.

Some nursing homes have one staff member on duty at night, whose job it is essentially to look in on residents regularly during the night and ring for an ambulance if any residents do poorly during the shift.

So yeah, profit taking along the way, but actually doing the job . . .

But don't be surprised if very soon we start seeing stories about the closing of nursing homes.

the last 3 years weren't pretty, and we had her in a supposedly good place. Help is needed...

at home. And they themselves need help --they can't do the lifting that is needed and home health care aides have to come in and help. The situation is bad all over for the very elderly.

I feel so sad for the elderly who have to be in those homes and depend on help from the caregivers.
There is not enough staff, many that work there get paid minimum wage or close to it, so many don't feel like putting
too much effort into caring for the elderly.

All I can say, is any residents that don't have loved ones visiting on a regular basis and checking in on them are in much
more danger of being neglected or even abused.

They need much tougher regulations for the care provided in nursing homes.

My mom was in care in Minnesota at $8,000 per month. One night when visiting the aide told me they had 20 residents each to care for overnight. My mom waited 4 hours to be taken to the bathroom.
Mom loved Mexico and had spent her winters there for 22 years. She wanted to go back at 95. I found a place at Lake Chapala that had 2/1 resident to staff ratio, was bright and sunny with excellent home made meals and great docs on call. It was $2,000 per month and the staff treated her like their own mother. We are doing something terribly wrong in the U.S. My mom passed in comfort and love at 98.

I'm afraid they'll pass the increased cost onto the residents.

I really wish our country paid more respect to the elderly and disabled people.

I was hired and trained with 3 other nursing assistants. We were constantly short staffed. I was constantly told they couldn't find anyone to work even though when I was hired a few weeks before, they magically found 4 of us.

Low staff was not a bug, it was a feature. Two things I've learned is that nursing home owners and funeral home owners scavenge off their customers, who often have very little choice.

These costs will definitely be passed on. And there will always be excuses for being short staffed.

But if they can't take new residents because they don't have the staff, maybe the staff will be treated better and paid better and can focus on providing premium care for their residents.

I left that nursing home job, a job I really wanted to like, after 6 weeks. I couldn't stand to see staff and residents abused for profit. I refused to be part of it.

Wife is an RN of 40 years, recently retired. She spent the last 15 years as an RN case manager for elderly and disabled people in the community setting. Her main role was to authorize care in the client's home in order to keep them out of nursing homes. You would be amazed at how many adult children "forget" their elderly parents and basically leave them on their on to manage. She also visited nursing homes to assist people in returning to the community. Her colleagues in the nursing home reported that family seldom visited residents. This is a complicated issue that is about profits over people, lack of pay and training and apathy on many (not all) family members. We have had 3 elderly family members pass away and we(as a family) are proud that each one of them was cared for in homes by family members. There was never a discussion of nursing homes. It did not even cross our minds. Now we both come from large families so we had a fair amount of care giving assistance and sharing the care. Just saying.