This necessarily means that the majority, indeed all but a handful of personal care homes in the state, are old facilities in various states of disrepair. Many homes do not meet fire safety requirements. Besides problems with the building, what goes on inside can also be grim. Too often there are few activities for the people who live there and lack of access to medical and rehabilitative care. It also affects the number of staff who can be employed to care for the residents.
Nursing homes receive the greatest share of the reimbursement.
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