"It's a depressing place to live," says Adam. "I'm stuck here. You don't have no privacy at all. People die around you all the time. It starts to really get depressing because all you're seeing is negative, negative, negative."
The number of under-65 residents in nursing homes has risen about 22 percent in the past eight years. The Centers for Medicare and Medicaid estimate about 203,000 people under the age of 65 are currently in nursing homes.
"Its lonely here," Adam says, as a single tear drips from his eye.