Although on hold, study the CMS's Reform of Requirements for LTC Phase 3 before it is required. Originally set for Nov. of 2019, CMS predicted its implementation to be 2nd quarter of 2020 so obviously it is still coming.
Unfortunately, the language of long-term care can be institutional. Even CMS notes this by encouraging the elimination of labels at Tag F550.
Change - some people love it, some don't.