“The East Harlem project came about when a long-term care facility was slated to be closed. Many of the patients no longer needed full-time care. They could live independently if they had the right services, but they had few housing options, says Sydelle Marin Knepper, CEO of developer SKA Marin.”  http://www.housingfinance.com/developments/ny-housing-development-seeks-to-reduce-medicaid-costs_o