If regulators only use pyramids of sanctions—a regulatory approach that focuses primarily on escalating penalties for non-compliance—then they risk only focusing on the poor performers and missing opportunities to support a positive trend in compliance [ 26 ].
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What Gets Measured Gets Counted: Food, Nutrition, and Hydration Non-Compliance in Ontario Long-Term Care Homes and the Role of Proactive Compliance Inspections, 2024.
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