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SAN JOSE, Calif. — After they amputated the second toe on John Trumbla’s right foot last summer, doctors sent him to a nursing home because he still needed medical care — but not necessarily a hospital bed.

The proud, burly Army veteran resisted at first, but he didn’t have a choice. Before his hospitalization at Santa Clara Valley Medical Center, Trumbla, 56, and his wife had been homeless, crashing in his boss’s construction shop or living out of their station wagon.

Trumbla spent six months at the nursing home, Skyline Healthcare Center, while social workers sought housing vouchers and scouted rental leads. But nothing panned out. When he finally left Skyline in

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