Beach,
Sometimes when I read these things I really have to wonder, especially since I've spent the last month driving our 80+ year old neighbor around to look at various assisted living facilities, because our village is literally evicting her from her home. I would think that was awful, but I've been in her home and have seen houses in episodes of the TV show "Hoarders" that were far less of a health hazard. I'm pretty sure she is singlehanded supporting the entire newspaper industry with those 10 foot high piles of newspapers she's been collecting for the past century. I don't know how, but she's also managed to retain her full time job at the VA hospital, and every time they attempt to force her into retirement, she takes them to court, and wins. It's pretty bizarre.
But anyway, every single one of those facilities I visited with her was absolutely lovely. Even without any govt. assistance, the cost starts at about $900/month, and that's for a nice studio apt., with all utilities, 3 meals a day--which they will bring to residents to serve in their apts. Also includes weekly maid service, where they not only clean, but also do all the laundry and even change the bedding. There's also transport service, lots of activities, and even little offices for doctors, hairstylists, and other personal service providers. I talked to a number of residents, and they seem pretty content and well-cared for. Those in need of financial assistance were paying as little as $200-$300/month, with Medicare picking up the balance. Oh, she didn't like any of them. The last one she rejected because she said there was no "pink". Whatever.
My husband and I also volunteer at the county nursing home, which is also really nice. Even the maintenance and housekeeping staff is super friendly and helpful, and we transport the residents around to little parties, bingo and card and other types of activities and games. Or we just sit and read to them or take them to church services, doctors appointments, etc., and there are tons of volunteers who come and do all this with the residents, every single day! Yes, we do wheelchair races down the hallways. Everyone there is kept as active, engaged, and entertained as possible.
I don't doubt horrible facilities exist where residents are neglected and even abused, but thinking that's more the exception and not the rule, at least, I hope it is.
Of course, we also live in the Western suburbs, which is quite a bit different than certain other areas of Chicagoland....