Dear Russ this is also a problem in our coun try Australia.
I have a son who goes into these institutions so that my wife and I can have respite. We are in our seventies.

I dread having to do it.

Some are better than others of course it depends what you can afford to pay in most cases.

One organisation quoted $16,000 a month.

To ensure my son has one of his requirements
met I attend to his showers twice a week while he is in care.

We have a system of finance with some funds coming from the Federal Goverment with residents making contributions

I know of two homes that have lost $1,000,000. a year.

Of course individual carers can make a big difference.

Cousin Ken