When I applied for a job at the nursing home right next to my high school the summer after my Junior year, I was doing so because I really needed a job. Now, after working there for a year and a half, I realize that working so closely with the residents has taught me so much about myself and helping others. The men and women that I work so closely with have taught me lessons that I constantly find myself applying to my daily life. This job, and all of my coworkers and residents, has changed my life in more ways than I can count, but some of the more important ways include:
 PHI, Raise the Floor: Quality Nursing Home Care Depends on Quality Jobs (April 2016) [hereafter Raise the Floor ] , http:///sites//files/research-report/phi-raisethefloor- .
 PHI’s mission is promoting quality care through quality jobs. http:///about .
 Raise the Floor , supra note 1, 4.
 Id. 6.
 Id. 7.
 Id. 7.
 Id. 8.
 Id. 3.
 Id. 13.
 Id. 17.
 42 . §§1395i-3(a)-(h), 1396r(a)-(h), Medicare and Medicaid, respectively.
 Raise the Floor, supra note 1, 19.
 Id. 19.
 Id. 20.
 Id. 19. CMS, Report to Congress: Appropriateness of Minimum Nurse Staffing Ratios in Nursing Homes: Phase II , Vol. II, (March 2002), http:///search/site/%22Report%20to%20Congress%3A%20Appropriateness%20of%20Minimum%20Nurse%20Staffing%20Ratios%20in%20Nursing%20Homes%22
 Raise the Floor, supra note 1, 19 .
 Id. 27.
 Id. 11 (70% of nursing facilities are operated on a for-profit basis).
 Id. 11 (more than half of nursing facilities are operated by chains).
 Id. 11. See “Nursing Facilities Owned by Private Equity Firms: Fewer Nurses, More Deficiencies,” (CMA Alert, Aug. 20, 2014), http:///nursing-facilities-owned-by-private-equity-firms-fewer-nurses-more-deficiencies/ .
 Raise the Floor, supra note 1 , 12. See Government Accountability Office, Private Investment Homes Sometimes Different from Others in Deficiencies, Staffing, and Financial Performance , GAO -1-571 (July 2011), http:///assets/330/ .
 Raise the Floor, supra note 1, 12, citing Medicare Payment Advisory Commission, Kate Bloniarz and Ariel Winter, “Assessing payment adequacy and updating payments: physicians and other health professional services” (slide 14) (Jan. 14, 2016), http:///documents/january-2016-meeting-presentation-assessing-payment-adequacy-and-updating-payments-physicians-and-other-health-professionals-ambulatory-surgical-centers-dialysis-facilities-skilled-nursing-?sfvrsn=0
 Raise the Floor, supra note 1, 12.
 Id. 21.
 Id. 21.
 Raise the Floor, supra note 1, 23. PHI cites legislation in Pennsylvania that would create a living wage certification program. See Center for Medicare Advocacy, The Public Cost of Low-Wage Nursing Home Jobs: Pennsylvania Proposals to Stop Hidden Public Subsidies to Nursing Home Injury” (CMA Alert, Dec. 23, 2015), http:///the-public-cost-of-low-wage-nursing-home-jobs-pennsylvania-proposals-to-stop-hidden-public-subsidies-to-nursing-home-industry/ .
 Raise the Floor, supra note 1, 23-26.
 The Center has written about many of the worker issues before. See “The Public Cost of Low-Wage Nursing Home Jobs: Pennsylvania Proposals to Stop Hidden Public Subsidies to Nursing Home Injury” (CMA Alert, Dec. 23, 2015), http:///the-public-cost-of-low-wage-nursing-home-jobs-pennsylvania-proposals-to-stop-hidden-public-subsidies-to-nursing-home-industry/ ; “Is the Movement for a Higher Minimum Wage Coming to Health Care?” (CMA Alert, Jun. 4, 2015), http:///is-the-movement-for-a-higher-minimum-wage-coming-to-health-care/#_edn7 .