She is located in the facility she worked in as a poor laborer before becoming a resident. The facility is over an hour from the nearest metro area.
The care she receives there is pretty good. The staff are mostly locals in the rural town and are comfortable being poor and living that life.
We considered moving her into the city to be close to family who have to drive almost 3 hours to see her but the care is so bad in the city it isn’t worth it.
We have had family members in city nursing homes and they’re abysmal. Which to some level I get. The people there like you stated are underpaid and overworked. They live in bad neighborhoods because of systemic poverty. They bring all the stress of being poor in a metro city with them to work. Quality of care plummets but there’s nothing that can be done because no one is going to pay more than bare minimum to reach mandatory staff minimums.