Same here Russ. A decade ago the majority of the nursing homes were deplorable at best. Two things changed this dramatically--unannounced state inspections and competition.

I have a nephew who is part of the state inspection team, and so is his ex wife. They carefully inspect about three facilities a week, and no inspection is announced. They'll show up after dinner, before breakfast, times when no one is expecting them, and in some instances they've shut down sections of a facility until the problem is solved. That can be real expensive to the owners.

Also during the past decade, huge, new facilities have opened everywhere you look. Each is competing for the almighty dollar, and the competition is keen. I personally know people that have been in some of the NHs and rehab centers near where I live and they all raved about the care they received and how quickly they were being rehabilitated.

I don't know about Kentucky, but things have really taken a turn for the better in Maryland's extended care facilities.

Gary