In December of 07, Kaiser Family Foundation published results of a national survey on nursing homes and long-term care. Following are several topline findings, which aren’t surprising . . . we found similar thoughts in our age wave survey of baby boomers, but they point to a need to ask new questions as we face a U.S. silver tsunami:- 63% of Americans feel that nursing home quality has either stayed the same or gotten worse.- 86% say they are either very concerned or somewhat concerned about the quality of U.S. nursing home care.- 53% say they would prefer to receive care in their home if they are unable to care for themselves for an extended period of time, while 21% wanted to move in with family. Only 4% said a nursing home, while 17% said assisted living.It would be interesting to see if what people think when additional questions are asked, such as:– Would you like a high-quality place to rehabilitate from hip surgery if you didn’t have care available at home?- Would you like specialized memory care for a loved one if she or he had Alzheimer’s?- Would you like an aging services provider who served as your ‘coordinator’ and could help you navigate a variety of services based on your needs, rather than having to make 20 different calls for 5 different services? – Would you like technology that helps you maintain independence and social connections?When it comes to aging services in America, we need to ask new questions to get new answers.