Yet, in New Hampshire at least, the evidence is slightly more than just good fortune: in nursing homes, companies and schools, Mr Bradley seems to be clicking with his listeners, an alarming number of whom, from Mr Gore's point of view, have already met the vice-president.

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"We have good cash flow coverage on our skilled nursing portfolio, " Ms. Cafaro said.

WSJ: Health-Care Owners Shun Nursing Homes

Junuzagic made a good living cleaning houses and working in a nursing home but was forced to leave because she was living there illegally.

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Health Minister Edwin Poots has defended staff working in Northern Ireland's nursing homes, saying the majority provide good quality care.

BBC: Edwin Poots defends Northern Ireland care workers

She also said his nursing notes did not follow set guidelines and were not good enough.

BBC: Paul Ridd inquest: NHS neglect 'contributed to death'

Beverly Malone, general secretary of the Royal College of Nursing, warned that the ratings could do more damage than good.

BBC: NHS star ratings spark row

The care provided by staff was generally good, the report found, but morale "was not great in some areas" and some nursing teams had high (6.75%) levels of staff illness.

BBC: Ysbyty Glan Clwyd A&E ambulance queue criticised by HIW