There are requirements for residents of skilled nursing facilities to provide a safe and healthy environment for the residents of a a nursing home. Rampant COVID-19 is not permissible as it is frequently a death sentence for medically fragile individuals. There are reasonable metrics that are necessary to implement and nursing homes should adhere to basic guidelines. These include actions such as setting up a COVID wing, quarantining those who test positive, requiring masks, and routine testing of COVID among the residents, staff, and visitors. Failure to adhere to these basic criteria may indicate that the nursing home is negligent.