There's definitely a negative vibe associated with long term care, for which there are numerous reasons, but I think the main one is: any time you hear about substandard care issues, it's almost always a nursing home/LTC. next in line are mental institutions/ however, I believe that the majority of care givers in these settings strive to give the best care possible. sadly, the funding and resources they need to accomplish this goal are not always in place, and if management isn't really good at operating on a shoestring budget, patients will come up on the short end of the deal.
I've seen so many occasions where low paid employees end up bringing things from home, or buying items in order to properly care for their patients, or nurses buying wound care supplies because those things couldn't be found, or were never provided to begin with.
In reality, anyone who has worked in ltc and managed to do a decent job should consider themselves head and shoulders above the rest.