I had a friend call me today with an interesting dilema.  She knows an administrator who is in bedlock.  What this means is the administrator has a building that is dually certified – Medicare & Medicaid – and has so many long term Medicaid and private pay residents that she has no beds to admit a Medicare resident.  That’s great, right?  A full house; every bed is full.  Not so fast.  The Medicaid rate is...