Explore the case of the Henrico Health and Rehabilitation Center, detailing the alarming findings from state inspections and the personal experiences of residents’ families. Discuss the role of regulatory bodies in overseeing nursing homes and how their enforcement actions can drive improvements in patient care. Highlight the systemic issues that contribute to underperformance in long-term care facilities and the importance of community advocacy in addressing these challenges. Conclude with a call to action for increased vigilance and accountability in the industry to ensure the safety and well-being of vulnerable residents. Reflect on potential reforms that could enhance the regulatory framework and improve the quality of care in nursing homes across the country.