Nothing, but nothing makes me angrier than hearing these two things; "I told my kids they had better never put me in a nursing home" and "I would never put my parent in a nursing home". Being someone who like millions of others, had to make that awful decision, it is insulting, unrealistic, and frankly cruel. You're exactly right. Some folks have life situations that don't afford the luxury of staying home or paying someone to privately care for their loved one. Pretty sure that the only folks that make such inane statements, have never faced it head-on, or never will have to.
*rant ended*