Unfortunately it's been going on for decades.  A lot of the 'care' centers, presumably, started in Waipahu.  Some were licensed and some not.  I remember going to visit a friend and the owner of the house, who lived upstairs, was cooking fish.  The elderly occupants, living downstairs, was getting ready to eat oatmeal (or something resembling it).  I asked her if the fish was for them and she stated, "No they get theirs, this for my family."  Funny how you remember certain things.  btw, this was back in the late 70's.  It's an on going problem and no doubly getting worse.