ArticleInternational journal of environmental research and public health2025
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.
Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Food and nutrition services are critical to the health of long-term care home (LTCH) residents, yet little is known about how regulatory inspections detect non-compliance with Food, Nutrition, and Hydration (FNH) standards. We conducted a cross-sectional study of administrative inspection data from all licensed LTCHs in Ontario, Canada. One inspection report was randomly selected per LTCH, yielding a sample of 623 LTCHs. The data were collected for the period spanning 1 January 2024 to 31 December 2024. The primary exposure was use of the FNH inspection protocol, and the outcome was FNH non-compliance, defined as at least one Written Notification or Compliance Order. Statistical analyses included chi-square tests for categorical variables and independent samples t-tests (including Welch's t-tests where appropriate) for continuous variables, with effect sizes (Φ, Cramer's V, Cohen's d) reported to complement
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