On April 7, 2025, a federal court struck down a long-anticipated mandate establishing minimum staffing levels for nursing homes nationwide. The rule required nursing homes to provide at least 3.48 hours of nursing care per resident per day, including registered nurses and nurse aides, with the intent to ensure round-the-clock care for residents. This national standard aimed to combat the growing neglect and abuse in nursing homes and improve safety for vulnerable patients.
The nursing home industry, largely controlled by private equity ownership, opposed the mandate — citing concerns over costs and facility closures. But let’s ask ourselves: What care are we really at risk of losing? Every person deserves competent, compassionate healthcare as they age. Yet this basic expectation is often met with resistance when it threatens profit margins.
At Pellettieri Rabstein & Altman, we represent nursing home patients and their families — and we see the consequences of systemic failure every day. Abuse, neglect, and avoidable harm are not isolated incidents; they are symptoms of an industry that often places profit above people. Many nursing home owners are not medical professionals — yet they collect guaranteed taxpayer dollars through Medicare and Medicaid, and in some cases, private payments as well. The resources exist to operate these facilities safely and humanely. Some do. But too many don’t — and without the mandate, there is even less accountability.
This ruling sends a message that nursing homes can continue operating without the most basic staffing standards. As a result, care may continue to deteriorate — even as patients and families pay the price, both financially and emotionally.
Our firm stands as the last line of defense. We work tirelessly to hold these institutions accountable for the harm they cause. If you or a loved one has been affected by understaffing, negligence, or abuse in a nursing home, we’re here to help.
📞 Call 609-520-0900 or visit PRALaw.com to schedule a free consultation.
