Stage 6

AREF Enforcement Decision Engine

Maps inspection findings and risk assessment results to the AREF Regulatory Enforcement Pyramid.

Total Decisions

Support and Engage

0% of total decisions

Educate and Assist

0% of total decisions

Deter and Correct

0% of total decisions

Actively Pursue

0% of total decisions

Section 1 — Enforcement Pyramid Visualization

The AREF Regulatory Enforcement Pyramid defines the strategic enforcement level. Select a facility to highlight its enforcement level.

ENFORCE— Strategic Pillar

Levels 3 & 4

Actively Pursue

Use formal enforcement action to protect public safety and uphold regulations.

Suspension · Revocation · Legal Referral · Formal Action

Deter and Correct

Use stronger regulatory action to deter noncompliance and correct violations.

Written Warning · Notice of Violation · Compliance Order · Follow-up Inspection

EDUCATE— Strategic Pillar

Level 2

Educate and Assist

Provide guidance, training, and assistance to help facilities comply.

Corrective Action Plan · Training · Written Guidance · Compliance Coaching

ENGAGE— Strategic Pillar

Level 1

Support and Engage

Build awareness and support voluntary compliance.

Orientation · Advisory · Coaching · Technical Assistance

Progressive enforcement: lowest appropriate level applied first

Actively Pursue

Use formal enforcement action to protect public safety and uphold regulations.

Suspension Recommendation

Revocation Recommendation

Legal Referral

Formal Enforcement Action

Deter and Correct

Use stronger regulatory action to deter noncompliance and correct violations.

Written Warning

Notice of Violation

Compliance Order

Follow-up Inspection

Educate and Assist

Provide guidance, training, and assistance to help facilities comply.

Corrective Action Plan

Training

Written Guidance

Compliance Coaching

Support and Engage

Build awareness and support voluntary compliance.

Orientation

Advisory

Coaching

Technical Assistance

Section 2 — Decision Workflow

Every enforcement decision follows this deterministic workflow. The AREF Rule Engine is the core decision step.

Inspection Findings

Risk Assessment

AREF Rule EngineCurrent Step

Enforcement Pyramid Level

Recommended Regulatory Actions

Compliance Monitoring

Architecture

arefRulesConfig.ts— Rule definitions

arefRuleEngine.ts— Decision engine

enforcementPyramidConfig.ts— Pyramid mapping

Progressive Enforcement Philosophy

Support and Engage

Educate and Assist

Deter and Correct

Actively Pursue

Section 3 — Risk-to-Pyramid Mapping

How risk level determines enforcement pyramid level

Risk Level	Risk Score Range	Typical Criteria	Enforcement Pyramid Level	Pyramid Level Number
Low	0 – 29	Minor issues, good compliance history, low impact	Support and Engage	1 Level 1
Moderate	30 – 59	Moderate violations, partial compliance, first or second occurrence	Educate and Assist	2 Level 2
High	60 – 84	Major violations, patient safety risk, repeat noncompliance	Deter and Correct	3 Level 3
Critical	85 – 100	Immediate threat, severe violations, repeated high-impact noncompliance	Actively Pursue	4 Level 4

Risk Assessment Selection

0 completed assessments

Assessment ID	Inspection No.	Facility	Facility Type	Overall Risk	Status	Action