I hope my getting into the fray isn't too late. I too play the nursing home and adult care facility circuit, if indeed it is a circuit as these things are. I also play in pubs, libraries, museums, private parties, and the like. We are moving to the Easton area, truth be told we're not jumping the river. I would welcome your insight into the Bucks County venues as well as tips to gain more work.
I'm staying out of the rest of this debate as I learned a long time ago that opinions are like noses and asses, we all have one and for the most part they all work just fine for ourselves.