Clinical and social background“The HR offers to dependent subjects, elderly and not,with an outcome of physical illnesses, mental or sensorymixed, not treatable at home, an average level of medi-cal, nursing and rehabilitation, accompanied by a highlevel of protect and hotel assistance, modulated accord-ing to the model of care adopted by the Regions andAutonomous Provinces (DPR 14.01.97). The HR areintended to subject self-sufficient, could not be treatedat home, affected by geriatric neurological and neurop-sychiatric stabilized diseases. Be expected: hospitalitypermanent relief to the family not exceeding 30 days, ofcompleting education and rehabilitation possible initia-tives in other principals of the NHS.” Essentially the HRare the practical response to the needs of actual society,more and more elderly, with various care needs that cannot be left solely to individual initiative resolvers house-hold. Depending on the provision of care to be paid,social workers and health board must ensure the ade-quacy of operation by the state of health of the subjectadmitted, in relation to “obligations of means” businessactivity, whereas the RSA however, is not a hospital or anursing home.ConclusionsSince the HR private structures, under the agreementwith the Regional Health Service, operating according tospecific rules, and receiving public money in respect ofservices rendered to citizens, thereby absolving - onbehalf of the State - constitutional requirements underArticle 32, can only portend a hypothesis of contractualliability in the event of default in the bonds due. Qualityfirst documented in Nursing, where the minimum per-formance level or base has now increased and qualifiedfor the presence in the so-called“modules” no longermere performers but by professionals who graduated inNursing. By providing the best qualified health RSA(medicalized HR) presence h24 nurses and the doctorworking in the daytime, with possible assistance at nightand weekend “on call” continuity of care or service orthe Emergency and Urgency 118 Service, it is clear howthe nursing care becomes - in these operational realities- an expression of the true guarantee of continuity ofcare and therapeutic. Remains decisive in achieving theoverall objectives, the operational integration of all theskills, both in health and social vocation, so that thequality of care may be considered appropriate to theneeds of users.