State Monitoring

3006.4 - State Monitoring (Rev. 1, 05-21-04) 3006.4A - Purpose (Rev. 1, 05-21-04) A State monitor oversees the correction of cited deficiencies in the facility as a safeguard against further noncompliance when a situation with a potential for jeopardizing health and safety has occurred, but has not risen to the level of immediate jeopardy. 3006.4B - Qualifications (Rev. 1, 05-21-04) The SA identifies state monitors as appropriate professionals to monitor cited deficiencies. A State monitor: • Is an employee or contractor of the SA; • Is not an employee, designee or contractor of the monitored facility; • Does not have an immediate family member who is a client of the facility; • Is not a person who has been terminated for cause by the facility; and • Is not a former contractor who had a contract canceled for cause by the facility. 3006.4C - When to Impose State Monitoring (Rev. 1, 05-21-04) When considering whether or not to impose State monitoring for current noncompliance, the State may want to consider whether: • The facility has a history of noncompliance which may suggest that it would benefit from external surveillance during corrections; • The facility has had numerous complaints; or • The State is concerned that the situation in the facility has the potential to worsen. States are not limited to considering only these factors and are free to consider any others that would assist them in making remedy determinations. 3006.4D - Frequency (Rev. 1, 05-21-04) When State monitoring is imposed, the SA appoints a monitor or monitors. Monitoring may occur anytime in a facility; e.g., 24 hours a day, 7 days a week, if necessary or less often such as once a week to monitor specific areas. In all instances, monitors have complete access to all areas of the facility, as necessary, for performance of the monitoring activity. Factors used to decide how often a facility is monitored may include, but are not limited to, the following: • The nature and seriousness of the deficiency(ies) as specified by the SA; and • The timing and frequency of when the problems occurred; e.g., mealtimes, evening shifts, daily, etc. Monitors may be assigned to the facility at these specific times for a specified number of days, as determined by the SA, to ensure corrective action. 3006.4E - Duration (Rev. 1, 05-21-04) The sanction is discontinued when the facility’s provider agreement is terminated or when the facility has demonstrated to the satisfaction of the SA that it is in substantial compliance with the Conditions of Participation. 3006.4F - Notice of Imposition of State Monitoring (Rev. 1, 05-21-04) Notice requirements for this sanction state that it may be imposed immediately. No notice is required because the sanction imposes no hardship or expense on the facility. 3006.4G - Payment for and Obligation of Funds by a State Monitor (Rev. 1, 05-21-04) The facility will not be required to pay the salary of the State monitor; nor will the State monitor have managerial authority to obligate facility funds.