By MyFM's Rick Michaels - The Vice-President of Patient Care Services at Milford Regional Medical Center says the quality of care and patient safety will be impacted and community hospitals, like Milford Regional will struggle to stay open. Judy Kelly with over 25 years in the nursing profession says the unintended consequences of Question 1on the November ballot would reverse all of the progress made in patient care in the last decade. Milford Regional announcing yesterday the negative impacts of mandated nurse staffing ratios, on the hospital’s viability and their capability, to provide safe, quality care to patients across the region. The rigid nurse staffing ratios will devastate community hospitals and behavioral health facilities across Massachusetts. Milford Regional says the cost of these ratios will set the hospital back almost five million dollars, resulting in bed closures, reduced patient services, delayed upgrades in medical/diagnostic technologies, longer wait times and threaten the viability of the Medical Center.