First,  small  is a relative term.Next, you d have to be qualified, have certification in Health Care, (probably a Master s Degree in Health Care Management)Then come the  fun  things:The Federal, State and County licensing boards.......Those are a TON of fun, you have to have background checks, standards checks, facility licensing fees, a facility that s going to have to be inspected by the Federal Government, State Government, and local govt.  Then you re going to have to  post  that you re opening a nursing home, a certain time from the actual  opening , once you get all the necessary  permits  and  authorization  for doing so in your locale.You ll also need:A doctor 24/7 (law here in California)A nursing staff, 1 nurse for every 5 patientsCertified/Currently Licensed Registered NursesCertified Nursing AssistantsCaregiversJanitorial staffingNutritional Panel/Food ServiceCertified/Currently Licensed Pharmacist, 24/7Social Workers/Master s Social ScienceXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX��Then, there s the Administrative side of things:AdmissionDirector of NursingOh, and the MOST fun thing of all:  A legal department, with RETAINED lawyers.  Nursing homes get sued MORE THAN ANY OTHER INDUSTRY.  Want me to keep going??  Opening a nursing home is not just something you  do on a whim .......Takes a LOT of planning, money and time and permits........Christopher K.
Extremely.
hard 10/10
yes