Omega's nursing home/long term care acquisitions: can nursing homes plead poverty?

A recent REPORT about an Omega nursing home acquisition "spree" raises a question about the true profitability of the nursing home business. This report cites this nursing home chain's purchase of long term care facilities in 19 states (not sure about North Carolina)  at a cost of over $200 million. Why get into this business on this scale if the business is not profitable? And, if we assume the kind of profits Omega expects from this deal -- and the nursing home business generally -- then might we not assume that there is no excuse for the understaffing that so often leads to nursing home abuse and neglect claims?