The Accountability Gap: Key Metrics
Federal inspection data reveals a system where accountability mechanisms consistently fall short of the scale of the problem. Nearly 7 in 10 abuse citations are only uncovered after a resident or family member files a formal complaint, routine government oversight is catching a minority of violations, and nearly 1 in 11 cited facilities accumulates multiple abuse violations within a single inspection cycle despite having penalties already on record.
Chart: The Schiller Kessler Group