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In this photo taken Dec. 13, 2010, quadriplegic Adam Martin, right, works with physical therapist Wes Bower at the Sarasota Health and Rehabilitation Center, the nursing home where he lives. It's no longer unusual to find a nursing home resident who is decades younger than his neighbor: About one in seven people now living in such facilities in the U.S. is under 65. (AP Photo/Chris O'Meara)

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