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There are Minimum Standards that each facility has to follow.
You can review a facilities rating on the Medicare website.
But there are a number of residents, all needing different levels of care. And there is a limited number of staff to care for them.
You will often read responses on this site responding to a question urging the poster to “pick your battles” this is also true when you are an advocate for someone living in a facility. Does not matter if it is IL, AL, MC or SNF. Obviously if it is a safety matter, a matter of dignity you need to voice concerns. If it is a matter that they have cut back on activities or once in a while mom has on someone else’s pants or shirt I would not be as concerned.
If they are not changing a resident, the resident is soiled for an extended period of time, the staff is not changing mom’s position often enough so she is getting some skin breakdown these are critical and I would be complaining.
If complaints are not addressed by the facility and ignored file a complaint with the State Ombudsman.
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Adequate at best
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Just about everyone at the SN facility my mother is in is in a wheelchair if not in bed all the time. Before my mother's accident they had taught her to wheel up to the sink to brush her teeth and they even said blow dry her hair which if true is astounding because I doubt she ever did that at her height of competency although she was born in 1930 and don't know when hair dryers became a household item. Now about all she can do physically is attempt to feed herself and drink with a straw if she can reach the drink.

Sometimes when looking at old pictures I become sad because I feel I look so slovenly. It's just very different from how I raised our 3 children (of course my husband was involved but not that much in the wardrobe department). Anyway that's my description of level of care.
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What care aren't they receiving?
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Just remember that your loved one is not the only resident they are caring for. Most likely they are understaffed. LO will have to wait their turn, often times.
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