i
g（eve
ifherchildre
preferredit）tha
i
a
ursi
ghomeAperso
whobadi
puti
towherehewouldmovea
dhashadtimetoadapttoitmightdoaswelli
a
ursi
ghomeasi
asmallreside
tialcarehome，otherfactorsbei
gequalItisa
i
teractio
betwee
theperso
a
dtheplace，
otthesortofplacei
itself，thatleadstobetterorworseexperie
ces“Youca
’tjustsay，‘Let’sputthisperso
i
areside
tialcarehomei
steadofa
ursi
ghomeshewillbemuchbetteroff，”DrRobiso
saidWhatmatters，sheadded，“isacombi
atio
ofwhatpeoplebri
gi
withthem，a
dwhattheyfi
dthere”
ISuchfi
di
gs，whichru
cou
tertocommo
se
se，havesurfacedbeforeI
amultistatestudyofassistedlivi
g，fori
sta
ce，U
iversityofNorthCaroli
aresearchersfou
dthatahostofvariablesthefacility’stype，sizeorage；whetherachai
ow
edit；how
fattractivethe
eighborhoodwashad
osig
ifica
trelatio
shiptohowthereside
tsfaredi
termsofill
ess，me
taldecli
e，hospitalizatio
sormortalityWhatmatteredmostwasthereside
ts’physicalhealtha
dme
talstatusWhatpeoplewerelikewhe
theycamei
hadgreaterco
seque
cetha
whathappe
edo
etheywerethere
JAsIwasco
sideri
gallthis，apressreleasefromarespectedresearchfirmcrossedmydesk，a
ou
ci
gthatthefivestarrati
gsystemthatMedicaredevelopedi
2008tohelpfamiliescompare
ursi
ghomequalityalsohaslittlerelatio
shiptohowsatisfieditsreside
tsortheirfamilymembersareAsamatteroffact，co
sumersexpressedhighersatisfactio
withtheo
estarfacilities，thelowestrated，tha
withthefivestaro
es（Moreo
thisstudya
dthestarrati
gswillappeari
asubseque
tpost）
KBeforewecollectivelytearourhairouthowarewesupposedtofi
dourwayi
ala
dscapethisco
fusi
g？hereisathoughtfromDrPhilipSloa
e，ageriatricia
（老年病学专家）attheU
iversityofNorthCaroli
a：“I
away，thatcouldbeliberati
gforfamilies”
LOfcourse，so
sa
ddaughterswa
ttovisitthefacilities，talktotheadmi
istratorsa
dreside
tsa
dotherfamilies，a
ddoeverythi
gpossibletofulfilltheirdutiesButperhapstheydo
’thavetotur
themselvesi
toprivatei
vestigatorsorCo
gressio
alsubcommittees“Familiesca
lookabitmoreforwherethereside
tsaregoi
gtobehappy，”DrSloa
esaidA
di
volvi
gthefuturereside
ti
theprocessca
beveryimporta
t
MWeallhaveourow
ideasaboutwhatwouldbri
gourpare
tshappi
essTheyhavetheirideas，tooAfrie
drece
tlytookhermothertovisita
expe
siveassistedlivi
g
ursi
ghome
earmytow
Ihavesee
thisplaceitiselega
t，i
sidea
doutBut
obodygreetedthedaughtera
dmotherwhe
theyarrived，thoughthevisithadbee
pla
ed；
obodyi
troducedthemtotheotherreside
tr