To your knowledge, has one of these nuts ever actually failed? That thing looks substantial.
All aircraft in the US have a manufacturer-decided, and FAA-approved max amount of time between overhauls, and such overhauls are so thorough as to make the aircraft new again. (Sometimes, they even change enough things that the aircraft has to go through airworthiness tests again.)
These overhauls would definitely replace the Jesus nut if there's any hint of problems.
https://en.wikipedia.org/wiki/CHC_Helikopter_Service_Flight_...