Tony and Russ, I agree with both of your comments. I've had lots of first hand experience, and in my case, from both sides of the fence. Keep in mind that I have a fairly extensive medical background, and I witnessed, first hand, the best and the worst. And, like Deane, I have reported incidents taking place a couple facilities. It infuriates me smell urine and feces when I walk in the door of a NH or assisted living center, especially when they try to cover it the foul odor with heavily scented sprays. That smell translates to just one thing--NEGLECT! And, I concur about the dental hygiene issue, having witnessed this first hand as well. Ironically, the same problem occurs in most hospitals as well. No one thinks about dental hygiene at all, and no one checks on this issue other than a handful of concerned relatives.

Gary