It seemed highly likely to me because Medicaid's reimbursement rates are very low.

I understand that Medicaid rates are low, but why the male/female distinction?

There are a lot more older women than men, and a higher likelihood of getting stuck with a single occupied bed as you cannot bunk male/female.

Nursing homes are an awful, evil business.

In all fairness, when it comes to end-stage palliative care, there is no male/female distinction with respect to the bottom line. They both hit it pretty hard assuming they qualify.