In these most vulnerable hospitals, these cuts will not only close much needed skilled nursing facilities (DP/SNFs) and cause residents to be moved far from home, family, and friends, it will likely cause the closure of the hospitals that support them. SNF and hospital closures in these rural, isolated areas will mean the end to local health care, including essential emergency services. Also, as these hospitals are often the largest community employer, it will likely mean the beginning of the end of many communities these hospitals serve.