Several barriers exist that impact the availability of nursing home beds. One of the primary challenges is funding. Many nursing homes operate on tight budgets, relying heavily on Medicaid and Medicare reimbursements. However, these payments often do not cover the full cost of care, leading to financial strain and limiting the ability to hire adequate staff or maintain facilities. Additionally, the perception of nursing homes as a last resort can deter families from considering this option, leading to delays in seeking necessary care.