What is the single biggest misconception about long-term care?
The single biggest misconception about long-term care is that nursing homes are just stinky, horrible old places. Back in the 1980's, there was legislation, the OBRA legislation, that created sweeping changes in the way nursing homes are run. On the one hand, it made them far more regulated. Next to the nuclear industry, it is the most regulated industry in the United States. Nursing homes have become a lot nicer. They've also become almost like the hospitals of fifteen years ago, so nursing homes can take care of sick people. We put people on IV antibiotics, we do complex wound care, and so you have to get even sicker now to be in the hospital, and you can be mighty sick and still be in a nursing facility. The Assisted Livings of today are like nursing homes were fifteen or twenty years ago, so there has been a shift of people to basically lower the levels of care.