We are getting the same story here in the Dallas, Ft. Worth area.   It seems part of the problem is medicare payments have been reduced a lot to these places since the new health care law went into effect.    I too, like Gary, have lost some gigs at places I have played for nearly 8 years on a steady basis.    I currently have in the works a major Promo I am about to launch to just about every facility in our area.   Time will tell if it does any good.
Deane