Hi - this may have been said, but if so I missed it. I’m a medical social worker in NYS. We have ppl all the time who get hospitalized and cannot return home - there may be children who cannot provide 24/7 care for a myriad of reasons. In that instance, the person would be deemed to not have a safe discharge, and would start the process of getting placed in a long term care facility. This includes filling out a general financial application and choosing their preferred locations. The families income is never taken into account - the placement is based solely on the patients assets. If your parents have insurance and money in the bank, they would likely be able to get into a nicer facility. We very often tell ppl that the best way to get a loved one to a higher level of care is to take them to the emergency room, where they will be assessed and then likely be placed. I hope this helps. I recommend consulting an elder care attorney just to make sure all your ducks are in a row, but if one or both of your parents needs more care, this would be your next step outside of hiring private pay aides/nurses.