Having my mother in a nursing home the past 3 years, another consideration is washing. Anything nice gets thrown in the washer with everything else with plenty of bleach. Even when you try to do the laundry for them, the staff will "help" when something gets dirty. So I refuse to get anything very expensive because I know how it will be treated.
Also, even though these people may be paying $5,000+ a month as private-pay residents, that doesn't mean there's lots of money for everything else. It's a matter of them having to spend all their own money for their care. Unless someone is giving them gifts, you tend to pinch the rest of the pennies for future care.