A 24/7 nurse presence meant residents were less likely to be left in medical limbo while an overworked or undertrained staff member tried to decide whether something was "urgent." It meant quicker intervention for strokes, sepsis, respiratory failure and the countless complications that define elder care. It meant accountability in facilities where staffing has been a chronic problem for decades.

RNs are also trained to identify subtle but serious signs of decline in patients, unlike licensed practical nurses who can juggle medication rounds and assessments with little support.

This was a straightforward, common-sense rule created under the Biden administration.

As of 2 Dec 2025, that requirement has been repealed by Dummkopf Trumpf and Secretary of Health and Human Suffering, Robert F. Kennedy Jr. They argue that deregulation will "free" the industry. What it will actually free is more time with no medical professional present. The people who will pay that price are the residents who cannot care for themselves.

The for-profit American healthcare sector again benefits the business owners, not the patients.