Long-term care today : turbulent times --The Affordable Care Act -- Toward an ideal system -- Nursing facilities -- Subacute and post-acute care -- Assisted living -- Senior housing -- Community-based services -- Competition, cooperation, and integration -- External control of long-term care -- Long-term care reimbursement -- Long-term care quality -- Ethical issues in long-term care -- Governance and administration -- Leadership in long-term care -- Culture change in long-term care -- Technology in long-term care -- Marketing and community relations -- Into the future : trends to watch -- Managing for the future.