Couldn’t a private nursing home charge whatever they want for room fees, recreation fees, meal fees etc? There are some very shitty nursing homes and some very fancy ones out there, and id bet the profit margins on the fancy ones are much higher.
There are private pay. And there are Medicare pay. Depends. Any will charge for anything: private room, tv, etc. Meals are mandated by regulation.
So yes, if they own private pay they could be wealthy. Which shows how shitty health insurance has become, if they can afford Luigi’s posh schooling and not afford their healthcare.
A long term care bed at a nursing home costs anywhere between $5500 to $20000 monthly. There are many rich, retired people who would have their finances depleted in a few years with a cost that high.
The average middle class individual would never be able to afford that so the fall back is usually medicaid.