I speak as one who has lived in assisted living going on four years. After open heart surgery, etc. I was more than ready. But, the facility was too, but only for weak personalities, people who wanted sympathy and a soft voice.
In my case, it began with their refusal to cease operating the laundry next to my bedroom all night! It quickly degenerated to anger and my looking for other things to complain about. The state ombudsman was of no help, being a weak personality supported not by law but by weak regulations obviously written by the industry.
With at least half the residents being on Medicaid or some other form of assistance and many of the rest in early stages of dementia , it is impossible to get others taking action other than complaining to me as their "leader." The only practical alternative I see is the increased active involvement of family, which has the negative aspect of only furthering the resident's feelings of powerlessness.