> The quality of care is garbage... Less than 10% of nursing homes in my area provide the care I'd want for my relatives.

As a paramedic who delivered probably thousands of patients to (and picked up patients from) nursing homes, I'd unfortunately absolutely agree. Not always to the point of filing complaints, but not great.

> Oddly enough, even homes that advertise RNs and a high number of staff still don't provide the care I'd want for me relatives.

As that same paramedic, absolutely, you know why?

Many of those homes have ONE RN as the supervisor for a bunch of LPNs and CNAs. And they have policies/insurance/whatever that say "anything larger than a bandaid, call 911 and have them deal with it", which leads to ridiculous situations where you have two nurses standing around while my partner and I bandage a straightforward laceration.

Those are usually the ones advertising out front "Round the clock nursing care" (and absolutely charging for it).