Many others may have Medicaid but bring with them complicated medical, psychological and social needs that few other long-term-care facilities are now equipped to handle.

Unvaccinated workers in hospitals, offices, nursing homes, long-term-care facilities and other settings can be a major cause of outbreaks in health care settings, the foundation said.

Occupational therapists provide mental health services in a variety of settings including hospitals, day programs, and long-term-care facilities.

One day recently, Ms. Tanner, a nurse who spent more than two decades working in long-term-care facilities, was asked to approve a long rehabilitation program in a hospital for a stroke victim.

Another significant problem is the continuing lack of trained and dedicated nursing staffs in long-term-care facilities.

What you hear them called now is retirement homes or long-term-care facilities.

There's another one of those truly bloodless terms: long-term-care facility.

But it's hard to imagine one of them saying, "Whatever you do, don't put me in a long-term-care facility.

The solution is to remand the patient to a long-term-care facility (nursing home), which is not covered under the law.

But even there, recent surveys of long-term-care facilities have not identified TB as a problem, and there does not appear to be any increase in TB.