I think from an outside perspective that might be how it appears but in many cases these companies default to operating with skeleton crews because it means better profits. Let's take an example of one wing of a nursing home with 26 residents on it. You can ball park gross revenue for the nursing home for that wing at about 260k per month. Only around 1400 of that will be spent on nursing staff for the residents per day. IN A NURSING HOME, and that expenditure assumes they're paying their staff decently.