Dear Bob, this is a great question and though I have heard of people saying they plan to start a high-end or quality such business here in Panama, for now there are no facilities except the ones for the underprivileged and middle class or well-to-do people in Panama opt for in-home care because it is inexpensive and culturally this is the norm. I hope this is not too disappointing to you and let us know if you have more questions. In-home care, nurses, assistants, physical therapists, all are way more affordable than in the US though! But countries like Mexico are more advanced in actual elder care businesses because it has more expats/is bigger/has a longer history with this type of need.
I hope this helps, all my best
IL Panama editor Jessica Ramesch