70 per cent of mental health facilities in Ireland are dirty, smelly and badly maintained.
The Mental Health Commission's annual report for 2018 shows nearly 8 in 10 centres are complying with the rules.
But some are being threatened with closure because they're falling so far short of standards.
81 per cent of centres that use physical restraint to deal with patients are also doing so against guidelines.
Dr Susan Finnerty, inspector of mental health services, says some patient's dignity isn't being respected: