>...somehow our administration always knows about it in advance...

Regulators need to stop announcing their visits. I used to work for a facility (non-healthcare) that always knew when the Fire Marshal or Health Inspector was coming. Managers would have us rushing around to correct the deficits, like flammables in the electrical room or rat feces in the consumables, that were considered totally fine the other 364 days per year.

If you want to know what places are really like, show up unannounced and get a tour from either the lowest ranking employee or the one that appears the most pissed off.