Even though many facilities accept Medicare for the initial 100 day period, many do not accept state long term care. This is not a physical issue, but more of a monetary one.
I discovered that has long as I had the liquid assets (cash) to pay for Dad's care that anyone (everyone) would take him, including those who did not have the expertise to care for a Senior with Alzheimer's disease and a stroke. Dad could not stand for transfers, weighed 200 lbs and was 6'4". This has always been fully disclosed in writing, but has created ongoing care issues.
You are incorrect to state that the facilities "can not put an elder out in the streets". They do it every day. It'r referred to as "Dumping". When a facility can no longer care for an elder, or they do not want the family asking questions, or they simply need a power boost, they simply call for an ambulance to pick up the resident and send them to the local hospital without physical symptoms or complaints of their own, and without contacting the family!
The facility then refuses to accept the resident back, leaving the Elder abandoned in an emergency room without a representative. The family is ususally notified by the ER physician, who is unaware that he was just duped by the administrator of an Edler Care facility who used him for personal gain.
I know first hand. That happened to Dad, without as much as a courtesty call from the facility, which was a large corporate owned facility for the memory impaired. The ER report stated that they "could not care for the resident" that they were "NOT a Memory Care Facility". Funny the sign on the front of the building read "Hawthorne Court, a Memory Care Facility". Dad has just been released by HOSPICE that day back to the facility with the approval of the nurse at the facility. Dad lost his deposit, and his monthly fee that had just been paid the day before. I had a police report filed against me for "stalking" while I sat unaware in my home. The ombudsman's office could do nothing!
When will the "experts" begin to understand the real world of elder care; that Elder Care is the largest unregulated multi billion dollar industry in existance, and that the owners of these facilites do not want to be regulated for fear of losing their right to financially expolit the consumer, thereby increasing their profits exponentially.