Is long-term care evolving or devolving?

Is long-term care evolving or devolving? 
McKnights Long-Term Care News; by John O'Connor; 6/9/24
... Is long-term care evolving or devolving? First, let’s look at some of the positive ways operators in this field are changing with the times. In my view, here’s the first among equals: person-centered care models have emerged as never before. ... Here are some other ways the sector has made notable strides:

• Enhanced infection control protocols ...
• Reduced reliance on antipsychotics ...
• Harnessing technology-driven tools ...
• Better staff training and education ...
• Integration of palliative and end-of-life care ...
  

Here are some additional challenges where progress has moved at a snail’s pace, or worse:

• A lingering reputation for substandard care ...
• Physical and infrastructure deterioration ...
• Financial instability and funding challenges ...
• Continuing arrests of providers for fraud and abuse ...