Even if a resident is given rehabilitation to ambulate better, it still does not impact the distance they would have to walk as described above. Many elderly prefer to be in a wheelchair for such distances and do very well ambulating in their room and about a particular room once they get there. I don't see rampant overuse or misuse of wheelchairs, or many elders sitting around in wheelchairs for extended periods of time unless they need to be in them and can self propel, but that is just my experience.
One issue that I see more problematic is the fact that reimbursement for proper seating is not available to NH residents as it is to elders in the home. When you can't get the proper adaptive equipment for little Mary Jones who weighs 80 pounds who is in a small, but still ill-adapted wheelchair, it poses quite a problem not only for the resident, but for facilities who are really trying to do the best they can for those they care for.
Also, the chairs that are available to sit in in NHs are not necessarily the greatest alternatives to wheelchairs either. Many have too high a seat height, no arms, rigid backs, or they are too low, too soft and difficult to rise from. So I wouldn't necessarily consider many of them proper alternatives either.
I also see the lack of offering regular exercise and light strength training (if tolerated) as problematic. There are many factors that feed into functional physical mobility - four major areas we tend to focus on in NHs are bed mobility, transfers, wheelchair mobility and ambulation. Physical factors such as ROM, strength, balance, endurance, tone, proprioception, etc. all play into the complexity of movement for any one of these issues. It's not just as simple as giving someone a little rehabilitation, a cane, and taking away their wheelchair. It's much more complex.