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The themes reflect three categories, labeled as \u201cpushing\u201d factors, \u201cpulling\u201d factors, and \u201coverlapping\u201d factors. Pushing factors included own or spouse's failing health, getting rid of responsibilities, not helped, facility closed out, and loneliness. Pulling factors were location, familiarity and reputation of the facility, security, and joining friends. The third category reflected both pushing and pulling factors, which overlapped and constituted their reason for moving. 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