This bill mandates the procurement of management support and other services for nursing homes identified by the Department of Health as being in substantial violation of health, safety, and resident care standards. If a nursing home is found to have a pattern of habitual violations, the Department may appoint or direct the nursing home to hire a monitor or vendor at the nursing home's expense. The monitor or vendor will provide necessary support services to remedy violations, facilitate ownership transitions, ensure safe closures, or prevent operational cessation.

The bill outlines the qualifications and responsibilities of the appointed monitor or vendor, including the requirement for expertise in long-term care administration. They will report to the Commissioner of Health and oversee the nursing home's compliance with care standards. Additionally, the monitor or vendor will have the authority to attend various nursing home meetings, hire consultants, access records, and take necessary actions to protect residents' welfare. The Commissioner of Health is tasked with adopting regulations to implement the bill's provisions, which will take effect immediately upon passage.