answer:My mother has Alzheimers and has been in several homes, ranging from assisted living to a dementia care unit. I think that, like day care for children, there is a wide range of facilities out there, and you have to do due diligence in selecting a facility. There are more regulations in place with regards to oversight of facilities. However, as facilities get larger, cost reduction takes the form of staff reduction, and that affects care levels. The one that we’ve been happiest with is part of a family owned chain, located in a small rural community. The facility was lovely, the staff who worked there had all been there for 5— 10 years or more. Working at the nursing home was considered a good job in the local community. Staff turnover rate is a good indicator of quality for daycare centers as well. The center that my mother’s currently in is a two floor facility, with the lower level being a walk-out level at the back. I would lean towards a single floor facility rather than a high rise for the reasons you stated.