The majority of nursing homes in Florida receive the bulk of their funding from state and federal coffers. One of the ways regulators can ensure these facilities abide by basic care standards is to reduce or revoke Medicaid and/or Medicare reimbursements to providers who fail those standards.
This has historically proven a very effective tool.
Unfortunately, a recent case out of Florida indicates some troubled facilities may have an easy way out: Bankruptcy. Specifically, Chapter 11 bankruptcy, which allows for business reorganization.