All long-term care and other healthcare facilities should have a proper Medical Equipment Management Program in place. With budgetary issues, staff cutbacks and decreasing reimbursements, many facilities choose to avoid this expenditure. But this is a failure to recognize that it is a matter of good risk management, as well as being both a regulatory and accreditation compliance requirement.
Of the most efficient countries for healthcare, the United States ranks second in healthcare costs per capita but 46th in efficiency (out of the 48 countries ranked!). The move from a biomedical to a biopsychosocial model of healthcare might be able to change that. Maybe you're already doing it without realizing it, in fact.