This is more to do with the for-profit management companies that oversee their facilities.

They set the budgets, occupancy rate, and pay for staff while saying the on-site management have the freedom to run the facility as they see fit since "they know their facility the best".

Meanwhile the executives at the management companies are paying themselves ridiculous salaries and benefits that the facility staff don't get.

The on-site management is incentivized to keep costs as low as possible by tying their bonuses to certain metrics like occupancy and operating costs. They in many ways are simply a buffer between the staff and management company that really runs the show.

If a facility is no longer profitable they'll simply sell it to another management company who will infuse a small amount of funds into the facility at first and then after the grift starts again. These fund address superficial issues like replacing old computers but not systemic problems like failing AC units requiring daily maintenance to work.

I cannot stress this enough the people running these companies are GRIFTERS that live lavish lives at the expense of the vulnerable residents and staff. They will pinch pennies and minimize costs at facilities as much as possible while at the same time get weekly catered lunches and have grand company parties for the management company saff.

Some of the management company staff, such as those overseeing the health services, do have to go on site and see first hand the atrocious state of their facilities, but most never step foot in a facility. Those have plausible deniability of what they are perpetuating allowing them to sleep at night.

I know this because I worked as outsourced IT for a few of these management companies and I couldn't continue to be part of such an awful system.