I think that there are individuals working in the nursing home industry and in state governments who should go to prison over this. (I am not confident that it will happen, though.)
Yes, and the political donations from nursing homes are huge as a result.
Government does a lousy job at just about everything. Regulating and inspecting are no different.
That said, why were so many of these facilities waiting for government, any government, to tell them what to do? Especially when so many knew from long and bitter experience that their safety and needs aren’t a blip on government’s, any government’s, radar screen when the **** hits the fan.