Okay, we MUST pretend that a) there are no regulations, b) all of the families are sane and reasonable, and c) everyone does their job willingly and happily and well. This is pretend.
My ideal facility:
Carpeting on all of the floors with padding underneath so people don't slip on the shiny tile in their slippery socks and break hips.
All of the low beds we need. Delicious, high-tech hospital beds. Beds that can automatically inflate and deflate for wounds.
The facility is built around a huge, self-contained courtyard with a flower garden, bird feeders, and smooth paths that anyone can use, from those in geri-chairs to the independent ambulators.
If someone doesn't wnt to get up they don't have to. Old, exhausted people don't need to be gotten into geri-chairs (beds on wheels) just so we can report that they're not bed-bound.
We have enough activities people that we can have dances and games and fun. I can get my people in geri-chairs moving, for crying out loud.
PT will let that old woman who is 92 and just broke her hip the heck alone.
If someone wants a salt-shaker so what. She's 112. She doesn't have to live as long as Methuselah.
People can get baths as often as they want them.
The hairdresser is there everyday.
We have enough personnel that everyone gets a back rub every day. They are so starved for tuch, and the more demented esp. are very tactile.
Now you go!