July 14, 2025

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Nursing homes face 2 threats: Trump's Medicaid cuts and his immigration crackdown

Nursing homes face 2 threats: Trump's Medicaid cuts and his immigration crackdown

Summary

Nursing homes in the U.S. are facing challenges due to proposed Medicaid cuts and stricter immigration measures under the Trump administration. The industry relies heavily on immigrant workers, and a reduction in this workforce could worsen existing staffing shortages and care quality issues.

Key Facts

  • Nursing homes depend on immigrant workers, making up 28% of the direct care workforce.
  • The Trump administration lifted protections against immigration raids at health care facilities, affecting worker availability.
  • Proposed federal Medicaid cuts could reduce funding for nursing homes, which rely on Medicaid to pay for care for 60% of residents.
  • Nursing homes are already struggling with staff shortages after COVID-19, where over 200,000 long-term care residents and staff died.
  • Quality of care issues in nursing homes have increased, with more facilities cited for endangering residents.
  • Congress may oppose a rule that requires minimum staffing levels in nursing homes, further affecting care standards.

Source Information