diff --git a/app/Http/Controllers/Care/CareUnitController.php b/app/Http/Controllers/Care/CareUnitController.php
index 5d16cf0..5bcef28 100644
--- a/app/Http/Controllers/Care/CareUnitController.php
+++ b/app/Http/Controllers/Care/CareUnitController.php
@@ -20,9 +20,11 @@ class CareUnitController extends Controller
 
     public function index(Request $request): View
     {
-        $this->authorizeCareUnitView($request);
+        $this->authorizeAbility($request, 'admin.departments.view');
         $organization = $this->organization($request);
         $owner = $this->ownerRef($request);
+        $member = $this->member($request);
+        $permissions = app(CarePermissions::class);
 
         $units = CareUnit::owned($owner)
             ->where('organization_id', $organization->id)
@@ -43,6 +45,7 @@ class CareUnitController extends Controller
             'organization' => $organization,
             'kinds' => config('care.care_unit_kinds'),
             'heroStats' => $heroStats,
+            'canManage' => $permissions->can($member, 'admin.departments.manage'),
         ]);
     }
 
diff --git a/app/Http/Controllers/Care/DepartmentController.php b/app/Http/Controllers/Care/DepartmentController.php
index 0409961..a6eafc6 100644
--- a/app/Http/Controllers/Care/DepartmentController.php
+++ b/app/Http/Controllers/Care/DepartmentController.php
@@ -7,6 +7,7 @@ use App\Http\Controllers\Care\Concerns\ScopesToAccount;
 use App\Models\Branch;
 use App\Models\Department;
 use App\Services\Care\AuditLogger;
+use App\Services\Care\CarePermissions;
 use Illuminate\Http\RedirectResponse;
 use Illuminate\Http\Request;
 use Illuminate\View\View;
@@ -20,6 +21,8 @@ class DepartmentController extends Controller
         $this->authorizeAbility($request, 'admin.departments.view');
         $organization = $this->organization($request);
         $owner = $this->ownerRef($request);
+        $member = $this->member($request);
+        $permissions = app(CarePermissions::class);
 
         $departments = Department::owned($owner)
             ->whereHas('branch', fn ($q) => $q->where('organization_id', $organization->id))
@@ -38,6 +41,7 @@ class DepartmentController extends Controller
             'organization' => $organization,
             'types' => config('care.department_types'),
             'heroStats' => $heroStats,
+            'canManage' => $permissions->can($member, 'admin.departments.manage'),
         ]);
     }
 
diff --git a/resources/views/care/admin/care-units/index.blade.php b/resources/views/care/admin/care-units/index.blade.php
index 6bff097..5dedc10 100644
--- a/resources/views/care/admin/care-units/index.blade.php
+++ b/resources/views/care/admin/care-units/index.blade.php
@@ -11,7 +11,9 @@
                 ['value' => number_format($heroStats['active']), 'label' => 'Active'],
             ]">
             <x-slot name="actions">
-                <a href="{{ route('care.care-units.create') }}" class="btn-primary">Add care unit</a>
+                @if ($canManage ?? false)
+                    <a href="{{ route('care.care-units.create') }}" class="btn-primary">Add care unit</a>
+                @endif
             </x-slot>
         </x-care.page-hero>
 
diff --git a/resources/views/care/admin/departments/index.blade.php b/resources/views/care/admin/departments/index.blade.php
index 3729cb8..ab5df91 100644
--- a/resources/views/care/admin/departments/index.blade.php
+++ b/resources/views/care/admin/departments/index.blade.php
@@ -11,7 +11,9 @@
             ]">
             <x-slot name="actions">
                 <a href="{{ route('care.care-units.index') }}" class="btn-secondary">Care units</a>
-                <a href="{{ route('care.departments.create') }}" class="btn-primary">Add department</a>
+                @if ($canManage ?? false)
+                    <a href="{{ route('care.departments.create') }}" class="btn-primary">Add department</a>
+                @endif
             </x-slot>
         </x-care.page-hero>
 
@@ -27,7 +29,9 @@
                             <td class="px-4 py-3">{{ $types[$department->type] ?? $department->type }}</td>
                             <td class="px-4 py-3">{{ $department->branch?->name }}</td>
                             <td class="px-4 py-3 text-right">
-                                <a href="{{ route('care.departments.edit', $department) }}" class="text-sky-600">Edit</a>
+                                @if ($canManage ?? false)
+                                    <a href="{{ route('care.departments.edit', $department) }}" class="text-sky-600">Edit</a>
+                                @endif
                             </td>
                         </tr>
                     @empty
diff --git a/resources/views/care/nursing/services-hub.blade.php b/resources/views/care/nursing/services-hub.blade.php
index ce39bb2..5c68c01 100644
--- a/resources/views/care/nursing/services-hub.blade.php
+++ b/resources/views/care/nursing/services-hub.blade.php
@@ -127,7 +127,7 @@
                         </div>
                     </div>
                 @empty
-                    <p class="text-sm text-slate-500 sm:col-span-2 lg:col-span-3">No care units yet — create units under Care units.</p>
+                    <p class="text-sm text-slate-500 sm:col-span-2 lg:col-span-3">No care units yet — ask an administrator to set them up.</p>
                 @endforelse
             </div>
         </div>
diff --git a/resources/views/partials/sidebar.blade.php b/resources/views/partials/sidebar.blade.php
index 75b2d7a..7b8bf8c 100644
--- a/resources/views/partials/sidebar.blade.php
+++ b/resources/views/partials/sidebar.blade.php
@@ -132,9 +132,6 @@
         if ($permissions->can($member, 'admin.departments.view')) {
             $adminNav[] = ['name' => 'Care units', 'route' => route('care.care-units.index'), 'active' => request()->routeIs('care.care-units.*'),
              'icon' => '<path stroke-linecap="round" stroke-linejoin="round" d="M2.25 21h19.5m-18-18v18m10.5-18v18m6-13.5V21M6.75 6.75h.75m-.75 3h.75m-.75 3h.75m3-6h.75m-.75 3h.75m-.75 3h.75M6.75 21v-3.375c0-.621.504-1.125 1.125-1.125h2.25c.621 0 1.125.504 1.125 1.125V21M3 3h12m-.75 4.5H21m-3.75 3h.008v.008h-.008v-.008Zm0 3h.008v.008h-.008v-.008Zm0 3h.008v.008h-.008v-.008Z" />'];
-        } elseif ($permissions->can($member, 'nursing.services.view') && $permissions->can($member, 'inpatient.placement.view')) {
-            $adminNav[] = ['name' => 'Care units', 'route' => route('care.care-units.index'), 'active' => request()->routeIs('care.care-units.*'),
-             'icon' => '<path stroke-linecap="round" stroke-linejoin="round" d="M2.25 21h19.5m-18-18v18m10.5-18v18m6-13.5V21M6.75 6.75h.75m-.75 3h.75m-.75 3h.75m3-6h.75m-.75 3h.75m-.75 3h.75M6.75 21v-3.375c0-.621.504-1.125 1.125-1.125h2.25c.621 0 1.125.504 1.125 1.125V21M3 3h12m-.75 4.5H21m-3.75 3h.008v.008h-.008v-.008Zm0 3h.008v.008h-.008v-.008Zm0 3h.008v.008h-.008v-.008Z" />'];
         }
         if ($permissions->can($member, 'nursing.services.view')) {
             $adminNav[] = ['name' => 'Nursing Services', 'route' => route('care.nursing.services'), 'active' => request()->routeIs('care.nursing.*') || request()->routeIs('care.shifts.*'),
diff --git a/tests/Feature/CareMyShiftsAndNavPermissionsTest.php b/tests/Feature/CareMyShiftsAndNavPermissionsTest.php
index 9a71027..2c0a076 100644
--- a/tests/Feature/CareMyShiftsAndNavPermissionsTest.php
+++ b/tests/Feature/CareMyShiftsAndNavPermissionsTest.php
@@ -156,15 +156,50 @@ class CareMyShiftsAndNavPermissionsTest extends TestCase
 
     public function test_nurse_still_gets_nursing_services_access(): void
     {
+        $user = User::create([
+            'public_id' => 'nurse-hub',
+            'name' => 'Ward Nurse',
+            'email' => 'nurse-hub@example.com',
+        ]);
         $member = Member::create([
             'owner_ref' => $this->owner->public_id,
             'organization_id' => $this->organization->id,
-            'user_ref' => 'nurse-hub',
+            'user_ref' => $user->public_id,
             'role' => 'nurse',
+            'branch_id' => $this->branch->id,
         ]);
 
         $permissions = app(CarePermissions::class);
         $this->assertTrue($permissions->can($member, 'nursing.services.view'));
         $this->assertTrue($permissions->can($member, 'inpatient.placement.view'));
+        $this->assertFalse($permissions->can($member, 'admin.departments.view'));
+        $this->assertFalse($permissions->can($member, 'admin.departments.manage'));
+
+        $this->actingAs($user)
+            ->get(route('care.care-units.index'))
+            ->assertForbidden();
+
+        $this->actingAs($user)
+            ->get(route('care.care-units.create'))
+            ->assertForbidden();
+
+        $this->actingAs($user)
+            ->get(route('care.departments.index'))
+            ->assertForbidden();
+
+        $this->actingAs($user)
+            ->get(route('care.departments.create'))
+            ->assertForbidden();
+
+        $this->actingAs($user)
+            ->get(route('care.nursing.services'))
+            ->assertOk();
+
+        $this->actingAs($user)
+            ->get(route('care.dashboard'))
+            ->assertOk()
+            ->assertDontSee('>Care units<', false)
+            ->assertDontSee('>Departments<', false)
+            ->assertSee('>Nursing Services<', false);
     }
 }