Tony Soprano glorified "old days" of the Mafia. Tony leaves out the violence associated with his criminal career. Tony tells Dr. Melfi a story about ducks landing in his pool. He describes his mother Livia, a cold, mean-spirited woman with whom he has an openly hostile relationship. By the end of the first session Tony has admitted that he feels depressed, but storms out when Dr. Melfi presses him further about the relationship between his symptoms and the ducks. When the family visits Green Grove, a Nursing Home where Tony is trying to place his mother, Livia's derisive outburst prompts a second
Nursing home care in the United States and Human Services now publish the "Nursing Home Data Compendium" annually, which show various statistics related to nursing homes and residents, as well as health deficiencies and substandard care. The results of the 2015 edition were generally positive, showing a decrease of substandard care reports from 4.4% in 2008 to 3.2% in 2014, reversing a previously increasing trend. Intermediate care facilities (small) were developed by the state categorical systems (intellectual disabilities, mental health), back in the 1970s, as a reaction to exposés on institutional conditions resulting in required active treatment in institutions and the new building of community facilities recommended