OK! And I often see them advertising job openings...... http://www.toledoblade.com/Medical/2...ed-in-U-S.html

Toledo’s HCR ManorCare Inc. said yesterday it has begun laying off “several hundred” of its employees nationwide, including in Toledo, as the nursing-home chain copes with cutbacks in Medicare and Medicaid reimbursements.

The firm, owned by the Carlyle Group, would not give specifics on how many layoffs will take place or where. But spokesman Rick Rump said the cuts were occurring at its skilled-nursing locations and among its corporate support staff. ManorCare has nearly 60,000 employees nationwide at its 510 skilled-nursing centers, assisted living facilities, hospice and home-care agencies, and rehabilitation clinics.

Mr. Rump said the firm’s primary funding source is the federal Medicare program, which is cutting its reimbursement rate to all skilled nursing and rehabilitation firms by 11.1 percent starting Oct. 1. With Ohio cutting its Medicaid reimbursement by more than 5 percent, the firm had to cut costs, he said.