Article: NURSING HOMES IN CRISIS AFTER PAYMENT-PLAN SHIFT.(FRONT)

Nursing homes throughout Hampton Roads are facing serious new financial pressures at the same time their increasingly frail residents need more expensive care.

Other types of housing for the elderly - such as assisted living facilities - have siphoned off clients who needed the least amount of care, leaving nursing homes to deal with the tougher cases.

In addition, managed care has prompted hospitals to release patients ``quicker and sicker,'' which means more people are using nursing homes as a stopgap measure.

``Ten years ago, you'd see people walking around and mobile,'' said Steve Morrisette, president of the Virginia Health Care ...

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