What can states NOT impose to compel facilities to correct class 1 deficiencies found during inspections?

States are generally limited in their ability to impose severe consequences like criminal penalties for class 1 deficiencies found during inspections, as these deficiencies often relate to regulatory compliance issues rather than criminal behavior. Class 1 deficiencies typically indicate serious problems that require immediate attention, but addressing them through civil or administrative penalties is more appropriate for regulatory frameworks.

By relying on civil or administrative penalties, states can encourage facilities to rectify deficiencies without entering the more serious realm of criminal law. This approach aligns with the principles of regulatory enforcement, which prioritize compliance and remediation over punitive actions. Therefore, criminal penalties are not a method that states can use in this context to compel facilities to make necessary corrections.