For-profit companies are getting in the adult day-care business. Time will tell if they will be able to sustain quality services. A Medicare program, PACE, reimburses providers for keeping people out of nursing homes through medical and social offerings. Here is a link to a NYT article:
Some Things Never Change - Social Cliques
The Fair Housing Act applies to facilities. This NYT article by Paula Span documents how the federal government is enforcing individual rights to reasonable accommodations. Long-term care facilities can create barriers to socialization, depending on the status of the residents - independent living vs. nursing units. It is suspected that, in an effort to market to the 'young-old', certain areas were not welcoming residents needing more care. Facilities should not underestimate the power of educated residents and their families!
Here is the link to the housing article: http://nyti.ms/1dqnA3O