An article related to the subject of Joan's blog appears on www.bostonglobe.com this morning. The article suggests that ALFs keep residents who need nursing home care until the money runs out, and then transfer them to nursing homes. Although the regulatory issues are specific to Massachusetts, I think the the financial and health care issues have broader application.
Rather than demonstrating my technical incompetence by trying to post the link, I'm providing this info:
bostonglobe.com, "Elder advovates raise concerns on assisted living," By Kay Lazar.