Admit it, your first thought was, why would anyone care if a health-care facility was built in their neighborhood? But you were thinking of a nice, quiet nursing home, where the most activity that might take place would be family members gently pushing their elders in wheelchairs around a lush green lawn. A well- manicured lawn, surrounding a tastefully designed Colonial building.

If that is your vision, you are seriously behind the times. There are not likely to be many, perhaps any, new “nursing homes” in Connecticut for the foreseeable future. But there is very likely to be a continuation of the exponential growth of health-related facilities, and they do present challenges to land use planners, developers and neighbors.