Premise: and then if things deteriorate they can go to a second level which is you know like where they prepare their meals for them and and they still live somewhat independently but they have people checking on them and making sure they have hot meals and then where the same community a lot of times will also have the third level which is full care
Hypothesis: Though they could not make meals for themselves anymore they rejected the caretakers food they prepped on their behalf. 
Label: contradiction