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:
http://nyti.ms/2bpKMAQ

Some Things Never Change - Social Cliques

I tried going with my Mom to functions at a local Senior Center, but there was a definite chill in the air.  We didn't 'belong' to anyone. 

Aggression and shunning persists past middle school. Read this excellent article, "Mean Girls in the Retirement Home" by Jennifer Weiner in the NYT, 1/18/15 - link below:

http://nyti.ms/1CkHVxV

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