For most people it's a pretty dark present. I've seen enough elder care facilities to know that the "good" ones are super expensive and frankly people still aren't always treated that great. The "bad" ones (and this is most of them) are pretty damn awful. I have pretty strict language favoring death over these places in my living will for good reason. A robot that can offer consistent, non-biased, round the clock care would be a big win. Most of the people that work in these places are at or below poverty line and doing care tasks that are highly undesirable. They don't specifically higher assholes, but with this much home and life stressors people do not function at their best, and they will take this stress out on easy targets like the elderly. Freeing people up from routine care tasks should actually allow them to focus on more human and compassionate interactions with residents.