If by " elder care", you are suggesting a nursing home or similiar arrangement, I am here to tell you................many of them might as well be at home alone.
Yes, there ARE good homes, and there ARE good employees in poor homes. But 2 good people can not keep up with what 40 poor ones will not do.
I am the kitchen manager, ( in a poorly run one ) and every single day, ( I work 6 days a week) there are residents who come to ME with their needs........because, the aides, LPNS and charge Nurses, don't give a tinkers dammn about them, and they know it! They are some things that I simply am not qualified to do........give medication, prohibited by law, ( showering them or changing them)......I can't even by state law wipe their noses................I might transfer contaminated body fluids to the food.
But I can go to the DON ( she and I have become allies, because, she too, cares) to the Administrator, ( because, I am a trusted employee) and get these things done. I can also sit with them over a cup of coffee, or tea and visit. These are the things that I take time to do, and the residents trust me to do it again tomorrow.
The home that I work in, houses 90-95 residents. It would safe and fair to say, that in the ( 10 months) time I have been there, only 10 have had family visitors. Once most people are put into a " living facility", they are forgotten. At least in those homes that depend on Medicaid- Medicare.
Those homes that cator to the elite and financially independent payors, receive a much better quality of care, and social activities.
I FEAR the day will come, when my Dad can no longer live at home, or when my hubby can not!