Aims: To (i) assess the adherence of long-term care (LTC) facilities to the COVID-19 prevention and control recommendations, (ii) identify predictors of this adherence and (iii) examine the association between the adherence level and the impact of the pandemic on selected unfavourable conditions. Design: Cross-sectional survey. Methods: Managers (n = 212) and staff (n = 2143) of LTC facilities (n = 223) in 13 c...