Hi Jane, as mentioned in my article above, these are not care homes or "renter" care homes as you stated. The clients that I place in the aging in place facilities have signed rental agreements and they consider the facilities their home. Home care services are initiated upon the request of the client and/or family if the resident is unable to care for himself/herself. This might surprise you, but I do have clients who just want to live in a group setting and are able to handle any/all care themselves. If home care services are started, an R.N. is overseeing the home care services. All of the aging in place facilities that I work in have oversight and every client is seeing a nurse monthly and as needed.  I know that elder abuse happens, and I appreciate your concern, but abuse can even happen in a person's own home (and oftentimes does). We all (as a community) need to watch out for signs of abuse. Maile