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 community needs of the population group. In the U.S. Centers for Medicare and Medicaid Services ensures that every Medicare and Medicaid beneficiary receives health care, both within health care settings such as nursing homes, and among health care settings during care transitions. The states in the US have health departments also responsible for oversight of the facilities and regulation. Home and community services are new developments in the 1970s in the US for long-term services and supports (LTSS) populations and parallels the move to ambulatory versus facility care which was a US hospital and institutional (e.g., nursing facilities) to community