And I think one thing that would go a long way toward that is for families to be present OFTEN. And complain when they don’t like what they see.
Correct!
That is probably a major factor in preventing abuse: concerned and vigilant family members who look, ask, question, and demand. If needed, contact the state ombudsman office. And, it is not my nature to run to a lawyer, but the threat of a law suit has a way of getting someone’s attention.