Good points , Paula. I know of one -- Presbyterian Homes in New Hartford, NY (near Utica) offers comprehensive services and care in their Parkinson's Residence. The program was created, and designed in consultation with and supported by the local PD community there, led by the Central NY Parkinson's Support Group -- a group of forward- thinking and proactive people.
See the website at:
http://www.presbyterianhome.com/parkinsons/
We know some of the folks in this group, and have heard the NH director speak at a conference
People from many other areas have visited and spoken with the staff and director, but don't know if any new projects have resulted.