Nursing Homes Face Staffing Challenges Amid Immigration Policies
Nursing homes across the country are feeling the pressure as they struggle to maintain adequate staff levels. This issue comes into sharper focus with the ongoing immigration policy changes initiated by former President Donald Trump, which have affected many hardworking individuals who have contributed significantly to the caregiving workforce.
Facilities that cater to the elderly and disabled are grappling with employee losses, particularly those who have had their legal work status revoked. Leaders in the industry are concerned that the slowdown in legal immigration will further reduce the pool of potential caregivers.
Deke Cateau, CEO of A.G. Rhodes, which runs several nursing homes in Atlanta, expressed his concerns, stating, “The pipeline is getting smaller and smaller.” He noted that the removal of Temporary Protected Status (TPS) for some of his employees has put additional strain on staffing, making it “very difficult, if not impossible, to replace” these vital workers.
Currently, approximately 20% of U.S. civilian workers are foreign-born, with a significant portion serving in caregiving roles. As our population ages, the demand for caregivers is projected to grow, yet these facilities have relied heavily on immigrants to fill many of these critical positions. Trump’s administration’s hard stance on immigration has caused uncertainty and fear within the industry.
Katie Smith Sloan, CEO of LeadingAge, remarked that many nursing homes are experiencing disruptions as employees become fearful of potential raids, even if they are legally allowed to stay. This anxiety has led some workers to stay home to care for their children, further depleting staffing levels.
Rachel Blumberg, CEO of the Sinai Residences in Florida, has experienced staff losses due to shifting immigration policies. She anticipates more departures as TPS statuses expire for other workers. This unpredictability not only complicates staffing but also impacts the care provided to residents.
Industry leaders have pointed out that while many sectors are affected by immigration policies, the caregiving profession has not received the same level of attention. As the process for visa approvals has become increasingly lengthy, potential recruits from abroad are looking elsewhere for opportunities, with some considering Canada or Germany instead.
The challenge of attracting American workers to these roles further complicates the situation. Long-term care facilities often face competitive turnover rates, making it essential for them to retain the staff they do have. Unfortunately, these caregiving positions are not appealing to many potential applicants.
Some organizations have tried hiring refugees in the past, successfully integrating individuals from countries like Afghanistan and Ukraine into their teams. However, recent immigration halts have made it impossible for these programs to continue.
As our country grapples with its demographic shifts, the need for dedicated caregivers will only heighten. It is crucial for policymakers to consider the implications of immigration policies on industries like healthcare that rely on a diverse workforce committed to serving our communities.
The significance of caregivers cannot be overstated. Many take on this challenging work because they see it as a noble profession. As the landscape evolves, it’s essential to acknowledge and support these vital roles within our society.


