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 are now subject to the US Supreme Court's Olmstead Decision on the "most integrated setting". Regarding "nursing homes", hospitals may require placement for discharge, and decides also if the patient can stay in the hospital. This is called hospital administration. The hospital may call the ambulance, and may not inform relatives of the location of the patient. Once a patient has "been moved" (transported by ambulance) into the nursing home on the hospital's approved list, the nursing home claims all rights to decision making regarding the person' care, including relative contact. By 2008, however, nursing home emancipation with elders back