Medicare will pay a lot more for nursing home (skilled nursing facility) "care" than it will for in-home/community services. Which is perverse in general, but particularly ridiculous for often-young, brain injury patients who could make really good use of rehabilitative services/physical therapy/etc. that is often missing in warehouses that are focused on "activities of daily life" (i.e. diapering, feeding, medicating) than on supporting a life-worth-living.
Nursing homes didn't fight the suit. Deval Patrick didn't fight it. Why it took so long to work it's way through the process is one of those minor mysteries of public policy that area big chunk of why I, personally, am not cut out to be there for the day-in and day-out. But good news.