I understand there is a lot of work still to do. A ton of work, in fact. But thank you for continuing to work towards a better way. In our rural area of Virginia, nursing homes are abysmal. We are slowly seeing some improvements but progress is incremental. They get dinged by licensure but very little changes. I'm talking about neglect. Insects. Rodents. Floors sticky with urine. Broken heat &/or air conditioning. Unchanged bandages, unaddressed fractures. You wouldn't put a stray dog in some of these places, but many times the choice is a lousy nursing home close by or a better one that you can't afford to visit. And unvisited people are prime candidates for the worst neglect. So, again, THANK YOU for tightening regs, decreasing backlogs, & increasing inspectors and please don't give up, just push harder & ask for more help. Those are people living in these places, and they don't deserve what they are getting.