I'll add that the nursing home operator went above and beyond to hire quality folks to care for my grandmother.Everytime Medicare would change a rule the operator was quick to respond and make sure that Medicare would have to provide rule changes in writing and she wasn't afraid to use her lawyer. My Pops asked her why she was such a total bulldog towards the Government and she stated "I've made my money these SOB's will NOT drain you dry." They didn't either.
