I'm very glad to hear about the many positive aspects of your BIL'ss nursing home. You're right that those factors can (to often are) be quite different.

My mother (almost 100) is quite disabled (blind deaf, pretty advanced Alzheimer's) and she is in a memory care center where she too can only get around in a wheelchair. (As you probably know, by law so as not to "restrict" the patients, she isn't strapped in either there or in bed (I find this incredible).

She is constantly falling also mostly when she is trying to get to the bathroom (despite her diapers). Since my SIL is trying to avoid getting her moved to a nursing home because of the hugely increased cost (not counting medical care and special attention, her present facility costs close to $100K/year - can't imagine what a nursing home would be in her area.

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Forgot to add that they also would put bed rails on her bed (I have them!) - also legal issue, but at least they finally thought to lower the bed with mattresses and pillows around it.

Don't know why I didn't think of that right away in connection to your BIL maybe because of the age difference and because she's in a facility with a different name ("memory care").
Her quality of life is pretty much nonexistent not even counting the constant falls, including fractures.

Private (often franchised) care facilities are big business these days, however poor their care is. Often they escape fines, and when they are found out, they just change the name and re-open it as a different place.

Apart from all the other negative features of this system (her place is quite nice too as far as these things go), her care has almost completely bankrupted what remained of her estate which was to have been bequeathed to her children and grandchildren. (Earlier housing was quite luxurious for decades - assisted living in a large apartment with TWO bathrooms!).

I'm sure she would never have wanted any of this to happen.

Many thanks for your kind words. They are very appreciated.