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Nursing homes struggle with Donald Trump’s immigration crackdown

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Nearly one in five civilian workers in the U.S. is foreign born, according to the Bureau of Labor Statistics, but as in construction, agriculture and manufacturing, immigrants are overrepresented in caregiving roles. More than a quarter of an estimated 4 million nursing assistants, home health aides, personal care aides and other so-called direct care workers are foreign born, according to PHI, a nonprofit focused on the caregiving workforce.

The aging of the massive Baby Boom generation is poised to fuel even more demand for caregivers, both in institutional settings and in individuals’ homes. BLS projects more growth among home health and personal care aides than any other job, with some 820,000 new positions added by 2032.

Nursing homes, assisted living facilities, home health agencies and other such businesses were counting on immigrants to fill many of those roles, so Trump’s return to the White House and his administration’s attack on nearly all forms of immigration has sent a chill throughout the industry.

Katie Smith Sloan, CEO of LeadingAge, which represents nonprofit care facilities, says homes around the country have been affected by the immigration tumult. Some have reported employees who have stopped coming to work, fearful of a raid, even though they are legally in the country. Others have workers who are staying home with children they have kept out of school because they worry about roundups. Many others see a slowdown of job applicants.

“This is just like a punch in the gut,” she says.

Rachel Blumberg, CEO of the Toby and Leon Cooperman Sinai Residences in Boca Raton, Florida, has already lost 10 workers whose permission to stay in the U.S. came under a program known as humanitarian parole, which had been granted to people from Cuba, Haiti, Nicaragua and Venezuela. She is slated to lose 30 more in the coming weeks with the end of TPS for Haitians.

“I think it’s the tip of the iceberg,” says Blumberg, forecasting further departures of employees who may not themselves be deported, but whose spouse or parent is.

Blumberg got less than 24 hours’ notice when her employees lost their work authorization, setting off a scramble to fill shifts. She has already boosted salaries and referral bonuses but says it will be difficult to replace not just aides, but maintenance workers, dishwashers and servers.

“Unfortunately, Americans are not drawn to applying and working in the positions that we have available,” she says.

Front-line caregivers are overwhelmingly female and a majority are members of minority groups, according to PHI, earning an average of just $16.72 hourly in 2023.

Long-term care homes saw an exodus of workers as COVID made an already-challenging workplace even more so. Some facilities were beginning to see employment normalize to pre-pandemic levels just as the immigration crackdown hit, though industry-wide, there is still a massive shortage of workers.

Some in the industry have watched in frustration as Trump lamented how businesses including farming and hospitality could be hurt by his policies, wondering why those who clean hotel rooms or pick tomatoes deserve more attention than those who care for elders. Beyond rescinded work authorizations for people living in the U.S., care homes are having difficulty getting visas approved for registered nurses and licensed practical nurses they recruit abroad.

What used to be a simple process now stretches so long that candidates reconsider the U.S. altogether, says Mark Sanchez, chief operating officer of United Hebrew, a nursing home in New Rochelle, New York.

“There are lines upon lines upon lines,” says Sanchez, “and now they’re saying, ‘I’m going to go to Canada’ and ‘I’m going to go to Germany and they’re welcoming me with open arms.’”

Looking around a facility with a majority-immigrant staff, the son of Filipino immigrants wonders where his future recruits will come from.

“I don’t have ICE coming in my door and taking my people,” Sanchez says, “but the pipeline that was flowing before is now coming in dribs and drabs.”

Long-term care workers are routinely lured away not just by hospitals and doctors’ offices, but restaurants, stores and factories. Half of the average nursing home’s staff turns over each year, according to federal data, making the attraction and retention of every employee vital to their operation.

Robin Wolzenburg of LeadingAge in Wisconsin began working to place an influx of people from Afghanistan after the U.S. pulled out its final troops four years ago and thousands of refugees arrived in her state. Care homes began hiring the refugees and were so delighted with them, some facilities began hiring refugees who arrived from Ukraine, Somalia and Congo. Though many homes had employee retention rates around 30%, Wolzenburg said the figure was above 90% with refugees.

Trump has halted most refugee admissions, meaning Wolzenburg’s successful outreach program has no new arrivals to target.

“It’s been really devastating,” Wolzenburg says. “Our communities that were actively working with the resettlement agencies are not seeing those referrals to long-term care like we were. There’s no refugees coming in.”

Lynne Katman, the founder of Juniper Communities, which runs 21 facilities across five states, says it’s hard enough to find the right workers with a passion for older adults. Now, just as homes gird for an influx of residents brought on by the country’s demographic shift, they’re facing another challenge to a stable workforce.

“The work is hard. It’s not always been the highest paying job that one can get,” she says. “But many of the immigrants who actually have chosen this work consider caregiving a noble profession.”

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Republished with permission of The Associated Press.



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Last Call for 1.19.26 – A prime-time read of what’s going down in Florida

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Last Call – A prime-time read of what’s going down in Florida politics.

First Shot

Did Christina Pushaw break the law by asking gubernatorial candidate James Fishback to delete text messages the two exchanged in recent months?

Maybe.

Pushaw, who earns a $179,000 tax-funded salary as a senior management analyst for Gov. Ron DeSantis, all but confirmed the authenticity of texts between her and Fishback in which she appears to have written, “I need you to confirm that you deleted everything with my name on it.”

The exchange has raised questions about whether she solicited the destruction of public records, which would be illegal if the messages involved her government duties, but likely not if they were strictly campaign-related, as she says.

Fishback posted a screenshot of the exchange following a public blowup between the two after they, according to Pushaw, spoke “frequently” since October about Fishback’s campaign.

On X, Pushaw accused Fishback of deception, writing: “Thanks for proving my point that you have no qualms about lying and revealing private messages. I truly believed that we were friends, and I feel sickened and violated by this betrayal.”

Pushaw, who has worked for DeSantis as both a campaign and government staffer, says she was never paid for advising Fishback and never told the Governor about her communications with Fishback.

In a brief phone interview on Monday, she said none of her messages with Fishback touched her state job.

“I never talked to him about government business,” she said. She declined to explicitly confirm the authenticity of Fishback’s screenshots, including one that referenced her government position.

Read more on Florida Politics.

Evening Reads

—“Donald Trump ties Greenland takeover bid to Nobel Prize in text to Norway leader” via Ellen Francis and Steve Hendrix of The Washington Post

—”Trump’s letter to Norway should be the last straw” via Anne Applebaum of The Atlantic

—”Trump’s Greenland move is one of the dumbest political decisions I have ever seen” via Chris Cillizza of So What

—”The race to build the DeepSeek of Europe is on” via Joel Khalili of WIRED

—”Three maps tell a tale of the 2026 Midterms.” via Ashley Cai and Shane Goldmacher of The New York Times

—”Orlando Sentinel 150: Remembering MLK’s only visit to Orlando in 1964” via the Orlando Sentinel

—“Jeff Brandes: Six ideas Legislature can’t afford to ignore in 2026” via Jeff Brandes for Florida Politics

—”The Indiana-Miami CFP game is the Hollywood tangle we didn’t know we needed” via Steven Zeitchik of The Hollywood Reporter

—”‘It shaped my DNA’: The very Miami story of Mario Cristobal” via Andrea Adelson of ESPN

—”Two other Hoosiers from Miami are coming home, too — and could play a big role” via David J. Neal and Jordan McPherson of the Miami Herald

Quote of the Day

“I didn’t vote for this weather.”

Marc Caputo on a frigid morning in Miami.

Put it on the Tab

Look to your left, then look to your right. If you see one of these people at your happy hour haunt, flag down the bartender and put one of these on your tab. Recipes included, just in case the Cocktail Codex fell into the well.

Even though it’s booze-free, the Duval delegation could use a Cortisol Cocktail to calm their nerves after a bomb threat landed in their inboxes.

Disney and Universal are getting an Investigators Rite, courtesy of Central Florida Democrats, who are requesting they look into a company that operates independent restaurants on their properties.

Someone should’ve sent an Out of Office for Attorney General James Uthmeier, because he picked an odd day to drop his latest opinion.

Breakthrough Insights

Tune In

Miami plays for national title at home

The Miami Hurricanes try for the program’s first national championship since 2001 when they face top-seeded Indiana at Hard Rock Stadium tonight (7:30 p.m. ET, ESPN).

Miami entered the College Football Playoff as the 10th seed and knocked off Texas A&M, Ohio State, and Ole Miss to reach the finals. The Hurricanes (13-2) have benefitted from a defense that has limited opponents to 14 points per game this season. Defensive end Rueben Bain Jr. was named the ACC defensive player of the year and is a likely Top 10 pick in the NFL Draft.

Indiana (15-0) has enjoyed the greatest season in program history. In the second season under Curt Cignetti, the Hoosiers have not only won more games than they ever have in a season, but also more than the program ever did in two consecutive seasons combined before Cignetti’s arrival.

The Hoosiers are led by Heisman Trophy-winning quarterback Fernando Mendoza.

The two programs have met twice in history, with Indiana winning the first meeting in 1964 and the Hurricanes taking the return match in 1966. The two programs have not met since.

The last time a college football team won the national championship by winning a game on its home field was the Hurricanes, who won the Orange Bowl following the 1987 season to win the program’s second of five national championships.

___

Last Call is published by Peter Schorsch, assembled and edited by Phil Ammann and Drew Wilson, with contributions from the staff of Florida Politics.





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James Fishback ordered to turn over Azoria stock, luxury items to pay $229K court judgment

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Gubernatorial candidate James Fishback’s legal woes are deepening.

A federal magistrate Judge has ordered Fishback, the founder and CEO of Azoria Capital, to turn over company stock certificates and a slate of luxury purchases to the U.S. Marshals Service by the end of the month as payment on a $229,000 judgment to his former employer, Greenlight Capital.

U.S. Magistrate Judge Martin Fitzpatrick of the Northern District of Florida granted two unopposed motions by Greenlight after Fishback failed to respond by a court-ordered deadline.

It’s the latest escalation in a dispute between Greenlight and Fishback, a former analyst for the hedge fund who has made more headlines recently for his race-baiting rhetoric in the Governor’s race, allegations of grooming, multistate voter registration and public blowup with Gov. Ron DeSantis adviser Christina Pushaw.

Greenlight told the court that Fishback still owes it money under a June 2025 court order. The firm asked the court in late November to compel Fishback to surrender his stock or share certificates in Azoria Capital, Inc., a Delaware corporation Greenlight described as founded by Fishback and controlled by him at “75% or more.”

Because Fishback did not oppose the request, the court granted it and directed him to “locate, obtain, and turn over” all Azoria stock and/or share certificates to the U.S. Marshals Service by Jan. 30.

The Marshals Service, in turn, is ordered to sell the stock for the benefit of Greenlight as the judgment creditor. Fitzpatrick warned Fishback that federal courts have inherent authority to enforce orders and cautioned that ignoring the directive could place him “in danger of being held in contempt of court.”

Fitzpatrick also granted a second motion by Greenlight seeking the turnover of personal property belonging to Fishback. The firm alleged that Fishback claimed he lacked means to pay the $229,000 judgment while making more than $37,000 in debit card purchases over 16 months through a previously undisclosed JPMorgan Chase account.

The court summarized transactions at retailers including eBay, Nordstrom, Burberry, Bucherer and others, but noted it did not know what exactly Fishback purchased. Still, Fitzpatrick described the spending as “extravagant” and found that Fishback, by not responding by the deadline, waived his chance to argue the items were exempt or not personal property.

Under the order, Fishback must turn over 43 items listed in the motion paper, along with a list, to the Marshals Service by Jan. 30. The Marshals must hold the items for 30 days, allowing Greenlight’s lawyers to retrieve and sell them as partial satisfaction of the judgment.

Fishback worked at Greenlight from 2021 to 2023, after which he and the company became embroiled in a very public dispute over how he described his role there. He said he was “head of macro” for Greenlight, while the New York hedge fund insisted no such title ever existed and that the loftiest role Fishback held was as a research analyst.

Greenlight alleged that Fishback misrepresented his position to boost credibility and attract investors for Azoria. Fishback, meanwhile, argued Greenlight’s denial harmed him with potential backers and pointed to internal communications he says support his version of events.

He did, however, admit to sharing confidential Greenlight portfolio information and agreed to pay costs to resolve a separate lawsuit.

Trustees of a white-label exchange-traded fund (ETF) under Tidal Financial Group also voted in October to liquidate two Azoria ETFs — SPXM and TSLV, which together held about $40 million in assets — after Fishback admitted to sharing the information.

Between when he launched his campaign on Nov. 24 and Dec. 31, when fourth-quarter bookkeeping closed, Fishback reported raising less than $19,000 through his campaign account and nothing through an affiliated political committee.

Fishback is seeking the Republican nomination for Governor. The race’s poll-tested front-runner, U.S. Rep. Byron Donalds, amassed $45 million last quarter.



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Anna Eskamani hits $1M fundraising milestone for Orlando Mayor race

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Rep. Anna Eskamani says she has raised more than $1 million so far as she tries to become the next Orlando Mayor.

The Orlando Democrat says she hit the milestone last week as lawmakers returned to Tallahassee for the start of the 2026 Legislative Session.

Term-limited in the House, Eskamani is running in 2027 to replace Orlando Mayor Buddy Dyer, who is not running for re-election.

“This campaign is powered by everyday Orlandoans who believe our city can be more affordable, more connected, and safer for everyone,” Eskamani said in a statement.

“Raising over one million dollars from thousands of grassroots donors sends a clear message: people are ready for leadership that listens, leads with integrity, solves problems, and puts community first. Together, we’re building a movement that reflects the heart of Orlando and delivers real results for working families.”

Her campaign has given out 900 yard signs and knocked on more than 33,000 doors in the city, according to a press release.

So far, no other established candidates have filed to run against Eskamani, although she has drawn her first competitor on the ballot: Abdelnasser Lutfi.

Lutfi, who filed to run for Mayor in late December, was not immediately available when reached for comment Monday afternoon.

Eskamani and Lutfi are running to replace Dyer, the longest-serving Mayor in Orlando’s history. Dyer was first elected in 2003.

Eskamani also said she is launching a podcast called “Twinning with Anna and Ida” with her twin sister. 

Every episode will unpack economic public policy issues that are critically important to everyone, but aren’t always well understood by the vast majority of people — often because they have been made intentionally opaque by politicians and the corporations who fund them to benefit from the complex system,” a press release said.

“But they will also have some fun along the way, from exposing a ‘grift of the month’ in Florida politics to exploring the punk rock scene in Orlando.”



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