Russ, the vast majority of nursing homes here are clean and well-staffed. Some are older, but many are sparkling new. I've been playing in them around the state for the past seven years, and have seen very little in the way of bad treatment or neglect. And I have yet to see a dirty floor in one.
Louisiana falls short in many categories, such as honest politicians, but they have a strong department when it comes to inspecting nursing homes.
I know it's not that way everywhere though.
What you are doing is a great and admirable thing. Keep up the good work!
DonM