As a black American (ooopsss...) who has a mother in a nursing home who was absolutely forbidden to return to my no job having home town by my mother, for us the decision was mutual. After having tried in home care, live ins, etc. it finally came down to the point where she needed 24/7 care. She no longer falls and lays in the floor all night alone, she has some one checking on her continually and she is comfortable. She can care for herself on the basic levels now and I'm glad to knwo she has the care she needs.I help pay for her facility and keep her in spending money.