It totally can be different though.
I worked in an over 65 psychiatric unit when i lived in Ireland, the building was a total dump, but we had great staff quota's, our residents were loved, it was their home. I was able to give fantastic care and spoil them rotten.
They were brought out on trips, out for lunch, went shopping. We did groups, cooking groups, reminiscence therapy, had a hairdresser to come in.
If they didn't want to get up early then that was fine, would bring them a cuppa in bed, and make them breakfast when they wanted it. They were treated like people.
If someone was dying we had extra staff so someone could sit & hold their hand, no one died alone. Same if someone needed 1-1 care due to their mental health issues.
32 bed unit and we would have minimum of 7 staff on a day shift, (4nurses,3 carers) not including our CNM who was also there and would bath people , get them dressed etc, he was totally hands on not sitting in office. We would often have a couple of students as well, the unit was classed as a centre of excellence, it was run by health board.
Sadly I have never found anywhere like it since.