operation? i ve worked in places like this where they don t have the operation, they lay at home, get bed sores, blood clots, pneumonia and maybe die from that. before the earthquake, hasan would have likely gotten his operation here in this hospital in southern turkey. it s still standing on the outside, yes, but completely wrecked inside, no longer functional. this hospital is destroyed. there s no other place to seek care. it s not just about the broken bones and crush injuries, it s about these hospitals as well. this is the team from samaritan s purse. elliott is an er doctor from north carolina. we have had aftershocks, 4, 5.0, it sways the tents back and forth and knocks things over, but nothing major. all the work you need to do can still be done? absolutely. reporter: over 36 hours, they put up all these tents, set up
where people like this don t have the operation and lay at home, languish. some of them would get bed sores, blood clots, thatpneumon and maybe die. reporter: before the earthquake he likely would have got this operation here in southern turkey. it s still standing on the outside, yes, but completely wrecked inside. no longer functional. this hospital is destroyed so there is no other place to seek care. not just about broken bones and crush and injuries. supply chain is a challenge. reporter: this is the team. elliott is an e.r. doctor from north carolina. we had after shots and sways the tents back and forth and knocks things over but nothing major. reporter: so all the work you need to do can still be done? absolutely. reporter: over just 36 hours, they put up all these tents, set up generators, communication dishes. even brought their own water
but a federal rating system does give them four out of five stars for medical care. though they receive well below the national average in other categories since hca took over. it s more than a job. reporter: hca s vp of quality for north carolina. external data seems to point to the fact that mission is not staffing at a level that others consider to be safe. i can t comment on specific staffing ratios, cynthia. we ve invested millions to make sure that our staffing is appropriate. reporter: hca told nbc news that they dispute the government staffing data, and have never reduced the number of bedside roles, though they declined to provide specific nurse to patient ratios. but the union said these forms filed by its nurses at mission point to significant problems, like waiting in stool and urine with bed sores forming. i can t comment on the forms because i have not seen any of them. but i can tell you that we have a very robust process for escalating care concerns.
specific nurse to patient ratios. but the union says these forms filed by the nurses at mission point to significant problems. like waiting in stool and urine, with bed sores forming. i can t comment on the forms because i have not seen any of them, but i can tell you that we have a very robust process for escalating care concerns. would you like to see them? i don t have any desire to see the forms. the disconnect from you, having spoken to you, to a number of nurses who do care, their level of upset is so pal palpable, are you saying they are lying? i wouldn t say anyone is lying, it is part perception. and a brooming note before we go, on tuesday, my colleague joe reid, chris hayes and trymanine