Lawsuits? Ridiculous!
This is the same problem as Florida nursing homes. There's a law in Florida about nursing home residents "rights".
Medicaid pays $68/day for three shifts, seven days a week.
What do you think you can provide for $68/day?
Back in the 1960s\1970s I was always seeing law suits rightly or wrongly against state mental hospitals. I also remember seeing newspaper accounts of the states continuing cutting the budgets of this institutions.
Of course maybe your experience was the exception!