Ideas become rules and regulations when they are first presented to a government body. This group then evaluates the suggestions and decides if or not it is worth implementing. Guidelines are then created as regulations and rules if they have been approved. The regulations and rules are meant to guide nursing homes on the best way to care for patients and employees.
These regulations will need to be reviewed at several different levels before they become law or policy. The process starts at the local level, where local officials review them to ensure they comply with current laws. After a thorough review by local officials, the documents are then sent on to officials at state governments for further assessment before being finally approved by federal officials.
Therefore, while it may take some time—depending on the complexity of what is being proposed—ideas can ultimately become policy or law if passed through all necessary levels of review with satisfactory results.