About this game
The developer's description, from the game's Steam store page.
Manage Care. Pass Meds. Maximize Profits.
Welcome to the grim and highly regulated world of corporate healthcare. Nursing Home Simulator is a top-down management tycoon game where every decision impacts the post-surgery recovery of your vulnerable residents... and your facility's bottom line. Can you balance compassionate skilled nursing with the terrifying realities of Medicare payouts, chronic understaffing, and the relentless chorus of unanswered call lights?
Core Gameplay
- State-Compliant Construction: Design your facility from the ground up. Lay foundations, pave parking lots, paint specialized zones, and place furniture. But watch out—forget a mandatory bedside table or mess up hallway clearances, and State Inspectors will hit you with citations.
- Advanced Patient Care: Your residents' biological needs are fully simulated. Manage scheduled med passes with rolling Med Carts, chart vitals, and answer call lights. Ignore them, and watch their condition crash until you're forced to call an ambulance and lose your daily grant money.
- Dystopian Staffing Logistics: Hire Nurses, CNAs, Maintenance, and EVS staff. Juggle complex contracts and build a grueling 24/7 Master Schedule. Watch your staff physically commute to work, handle shift-change reports, and take mandated smoke breaks. Push them too hard, and they'll suffer from severe burnout and quit on the spot.
- Sanitation & Facility Upkeep: A facility is a living thing, and it is constantly degrading. Beds and computers break down, requiring your Maintenance crew to fulfill work orders. Meanwhile, your EVS team must desperately battle accumulating dirt, load the dumpsters, and manage the endless cycle of washing and drying soiled linens before the rooms become unlivable biohazards.
- Supply Chain Nightmares: Rehab requires supplies. Build Loading Zones to receive delivery trucks, physically unpack boxes into Storage, and distribute stock to your supply closets. Run out of bedpans on a Tuesday? Prepare to pay a 400% markup for overnight rush delivery.
- Balance the Books: Review admissions from the local hospital and choose your residents based on their insurance—Medicare, Medicaid, or Private Pay. Scrap and sell depreciated furniture to scrape together extra cash, juggle the Friday payroll, and keep the lights on before the system collapses!

System requirements
As Steam lists them.
Windows
Minimum
- Requires a 64-bit processor and operating system
- OS
- Windows 10 (64-bit)
- Processor
- 2.0 GHz Dual Core Processor or better
- Memory
- 4 GB RAM
- Graphics
- Intel HD Graphics 4000 or equivalent (Must support OpenGL 3.3)
- Storage
- 500 MB available space
- Additional Notes
- Designed to run on most standard laptops. 1080p resolution recommended.
Recommended
- Requires a 64-bit processor and operating system
- OS
- Windows 10 or Windows 11 (64-bit)
- Processor
- 3.0 GHz Quad Core Processor or better
- Memory
- 8 GB RAM
- Graphics
- Dedicated GPU (NVIDIA GeForce GTX 1050 / AMD Radeon RX 560 or better)
- Storage
- 500 MB available space
- Additional Notes
- A stronger CPU is recommended for massive facilities with high staff and resident counts.
macOS
Minimum
- OS
- macOS 10.13 High Sierra
- Processor
- Intel Core i3 or Apple Silicon M1
- Memory
- 4 GB RAM
- Graphics
- OpenGL 3.3 compatible GPU (Intel HD 5000 or better)
- Storage
- 500 MB available space
- Additional Notes
- Requires a 64-bit processor and operating system.
Recommended
- OS
- macOS 12.0 Monterey or newer
- Processor
- Intel Core i5 or Apple Silicon M1/M2/M3
- Memory
- 8 GB RAM
- Graphics
- Dedicated GPU or Apple M-Series integrated graphics
- Storage
- 500 MB available space
News
What Nursing Home Simulator's studio and the outlets Valve syndicates on Steam have said recently.
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