Almost everything else is a la cart and people are almost always better off paying for those services in their own home where they generally have a couple choices at various prices which may not be available at the assisted living (e.g. taking in full time health care provider).
Their sending people to the hospital at the drop of a hat is obviously nonsense since that is the worst option for chronic illnesses and common mishaps like falls. The hospital is much more interested in specialists and surgery, not getting well enough to function. The rehab hospitals are a lot better and most beat assisted living hands down. Their purpose is to get people functioning on their own.
The best choice for a given person is the choice that gives them the most control over their lives at their level of capability but to also aim at improving their capability.
The new rate for my mother’s assisted living has now been calculated at $177 a day with and additional $15 a day for med assistance. my daughter says that we should put her up at the local hotel and hire a caregiver.