What if you chose a nursing home that was the only one in your area? or the one you could afford? Or the one that specialized in caring for a particular illness? The government (WE THE PEOPLE) certifies and inspects nursing homes for safety - staff washing hands, sterilizing surfaces, providing proper nutrition, and FUCKING TAKING ALL VACCINATIONS THAT PROTECT CLIENTS FROM POTENTIALLY LETHAL DISEASES. There's no special loophole where we only inspect and enforce in half the nursing homes and the others can do whatever the fuck they want, fuck your grandma she's gonna die anyway.