Falling Short: Rebuilding elderly care in rural America Rural nursing homes across the country, already understaffed, face significant new federal staffing requirements. With on-the-ground reporting from INN’s Rural News Network and data analysis assistance from USA TODAY and Big Local News at Stanford University, eight newsrooms, including New Mexico In Depth, explore what the rule change would look like for residents in communities across America. Support from The National Institute for Health Care Management (NIHCM) Foundation made the project possible. New federal staffing standards meant to improve the care of millions of Americans in nursing homes could go into effect in as soon as two years. New Mexico’s nursing homes aren’t ready.