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Placing a loved one into a nursing home is an unbearably difficult decision for family members. That decision just got harder for Nevadans, in the wake of Tuesday’s report by the Review-Journal’s Paul Harasim and Yesenia Amaro: The state’s facilities rank among the worst in the nation overall (43rd), receiving a grade of F in a study conducted by Families for Better Care, a nationwide nursing home resident advocacy group.