As of November 2016, some revisions have been finalized to better the safety and health of residents in these facilities. They include properly trained staff members to have the right skill set and competencies to care for those with dementia and preventing elder abuse, updating facilities infection prevention and control program, and improving care planning. On the other hand, the changes that have been declined is to allow residents to have visitation at any time from whomever they would like if it does not disturb the others living there. Allowing the residents to choose their own roommates if both people agree to offer for easier friendships, same-sex, and siblings comfortability. Requiring registered nurses available on site 24/7 instead of just 8 hours a day. Instead of being fed only during the allotted scheduled times the residents can have food and snacks whenever they would like to eat. How are these some of the regulations that have been turned down? The freedom to live their lives with dignity, accommodation to psychological and social needs. The same rights that are given to them in the Bill of Rights and to anyone else who does not impose a threat to another human being. The answer to this is the lack of funds. According to Robyn Grant who is a public policy director at the National Consumer Voice for Quality Long-Term Care it is worried by this institute that the new regulations they are trying to implement will be turned down by Republican Congress, because there are those like Nicholas Castle who is a health policy researcher who says nurses need to be paid more for the residents to be treated