normal activities for vent pt's?

HI Y'all. I've written here before that I have been a long time nurses aide, am currently a nursing student, and volunteer as an ombudsman at a nursing home. I am hoping that some LTC nurses can answer some questions I have about the nursing home I'm a volunteer ombudsman at.

Now, I'm not a stranger to nursing homes and have worked in them for years, but I've never worked with ventilator patients and this facility has a vent unit, one of the only ones in the state. My question is, is it normal that these people NEVER get out of bed? Every time I visit, they are in bed alone, no matter the time of day, and enver get out. I am told as activities they get between 50- 100 minutes of stimulatino therapy a week! They are not all Comatose either. With the help of the speech therapist I have learned that about half of them can communicate, most of them coherently, I'm learning. I'm not seeing a lot of family, either. Like I said, I'm not new to nursing homes, but I feel like this place is the most depressing place I've ever seen.

And even thought I find the staff dismissive and completely unattentive to the residents, and even though the place smells like urine like I've never smelled it before, and even though the cost of nurses, aides, RT's and PT's miust far exceed medicaid payments, I still want to give them something of a benifit of the doubt before I make any complaint that they are not doing enough for their residents. I have one family member making complaints with me, and am conisdering making it a gerneral complaint.

What would normal activites be for someone tied to a ventilator? I know some can get out of bed, and some do every day- I've worked for them. But would some of them be really bed BOUND? If so, why? What about activites? How would you suggest I approach the staff about this? What kind of questions should I ask? Most of all, what are realisic expectations?

Thank YOU