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 for the selected monitor or vendor, requiring expertise in long-term care administration and the ability to report to the Commissioner of Health. Additionally, the monitor or vendor is granted access to nursing home meetings, records, and the authority to take actions to protect resident welfare. The Commissioner of Health is tasked with adopting necessary rules and regulations to implement the bill, which will take effect immediately upon passage.