Sorry to chime in late...my perspective is as a consumer of services (my parents are in Assisted Living)...and oh boy, am I frustrated with the facility today...but that's another story...

I encourage you to outline your own thoughts in writing (for your own purposes...to get organized) and speak with the administrator with a constructive attitude

It sounds to me like he/she is taking a "do this or do nothing" approach. If so, it might be best to do nothing for now (but, by this point, I would personally consider documenting your rationale/reservations in writing).

AND, don't focus on the marble countertops, etc...there's nothing you can do about it and it will only make you mad.

Personally, I'm encouraged that you are expressing your reservation about this. My guess is that the administrator is viewing the therapy as a commodity and not a skill...something that they can bill with no consideration for quality of service. But, on a contract basis, I presume that they're not "spending money" since the cost is variable and a pass through to the patient (or their payor)...so I view their reservation as irrational.