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Dual Threats From Trump and GOP Imperil Nursing Homes and Their Foreign-Born Workers - KFF Health News

KFF Health News
Summary
Nutrition label

81% Informative

The long-term health care industry is facing a double whammy from President Trump ’s crackdown on immigrants and GOP proposals to reduce Medicaid spending.

The industry is highly dependent on foreign workers: More than 800,000 immigrants and naturalized citizens comprise 28% of direct care employees at home care agencies and nursing homes.

At the Goodwin House nursing home in Alexandria , at least 72 people were born in the United States .

At least 72 of 102 employees in the building, broken up into eight residential wings called “small houses” and a wing for memory care.

Donald Goodness grew up in Rochester , New York , and spent 25 years as rector of The Church of the Ascension in New York City .

VR Score

82

Informative language

80

Neutral language

59

Article tone

informal

Language

English

Language complexity

50

Offensive language

not offensive

Hate speech

not hateful

Attention-grabbing headline

not detected

Known propaganda techniques

not detected

Time-value

short-lived

External references

16

https://www.kff.org/medicaid/issue-brief/5-key-facts-about-medicaid-and-provider-taxes/https://www.uscis.gov/humanitarian/temporary-protected-statushttps://www.sinairesidences.com/https://www.kff.org/policy-watch/over-200000-residents-and-staff-in-long-term-care-facilities-have-died-from-covid-19/https://www.dhs.gov/news/2025/06/12/dhs-issues-notices-termination-chnv-parole-program-encourages-parolees-self-deporthttps://www.kff.org/medicaid/issue-brief/a-look-at-nursing-facility-characteristics/https://ldi.upenn.edu/fellows/fellows-directory/eric-t-roberts-phd/https://www.kff.org/other/state-indicator/distribution-of-certified-nursing-facilities-by-primary-payer-source/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7Dhttps://www.ice.gov/about-ice/ero/protected-areashttps://ccf.georgetown.edu/2025/05/27/medicaid-and-chip-cuts-in-the-house-passed-reconciliation-bill-explained/#heading-3https://www.kff.org/medicaid/issue-brief/a-closer-look-at-the-final-nursing-facility-rule-and-which-facilities-might-meet-new-staffing-requirements/https://www.linkedin.com/posts/rachel-blumberg-417b49b4_deportation-chnv-tps-activity-7339324408601235457-0EEO?utm_source=share&utm_medium=member_desktop&rcm=ACoAAADTpKwBJxtDRCPg_SJSZvGkoK2BB5zpRhAhttps://www.medicare.gov/care-compare/details/nursing-home/495057?city=Alexandria&state=VA&zipcode=&measure=nursing-home-staffinghttp://www.npr.org/sections/news/https://www.ice.gov/doclib/news/guidelines-civilimmigrationlaw10272021.pdfhttps://www.kff.org/medicaid/issue-brief/what-role-do-immigrants-play-in-the-direct-long-term-care-workforce/

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