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A stroke victim, he moved to a convalescent home on the lake’s shore two years ago and credits the staff with helping him recover his speech and ability to walk.Many expatriates are Americans or Europeans who retired here years ago and are now becoming more frail. “As long as the economies of the United States and Europe continue to be strong, we’re going to see people coming here to Latin America to pass their final days,” said Oscar Cano, manager of Apoyo a los Miguelenses Ancianos, a non-profit group that runs a nursing home in San Miguel de Allende.“I don’t think they’re for everyone,” said Thomas Kessler, whose mother suffers from manic depression and lives at a home in Ajijic.

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Some residents said they miss home and find it hard to make friends with Mexican residents.

Managers such as Beverly Ward of Casa Nostra and Maura Funes of El Paraiso, both in Ajijic, said that Mexican officials inspect them only once a year, unlike U. inspectors, who may visit a home several times a year.

Some Mexican managers also underestimate the costs and difficulty of running a retirement home.

As millions of baby boomers reach retirement age and U. health care costs soar, Mexican nursing home managers expect more American seniors to head south in coming years.

Mexico’s proximity to the USA, low labor costs and warm climate make it attractive, although residents caution that quality of care varies greatly in an industry that is just getting off the ground here.

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