And that's the rub, Kathleen.
A nursing HOME has a nurse, no doctors, no operating rooms, etc., so there's no comparison to a hospital. The only difference from living at home is that there are qualified personnel who dispense meds and provide prescribed cares vs your spouse or kids doing it for you at home. It is 'where you live your life and go about your business as much as you are able.' The point being, that's as much as people are able.
I do what I'm told as far as reporting. My rant is that this is one where the government fubared. You'll not convince me otherwise so I'll just go back to pivoting my LAR now.