During a suspension of admissions pursuant to § 68-11-252, the executive director shall appoint one (1) or more special monitors, if the deficiency threatens serious bodily harm to the patients or residents of the facility. The executive director may appoint a special monitor or monitors at any other time, if the executive director has reason to believe that deficiencies exist in a facility that are detrimental to the direct care of the patients or residents. Whenever the appointment of monitors is utilized pursuant to this section, the executive director shall appoint a sufficient number of monitors to ensure their presence in the facility for a minimum of twenty (20) hours per week. The monitors shall observe the operation of the facility, and shall submit written reports periodically to the executive director on the operation of the facility. Persons appointed as monitors shall be duly qualified to discharge their responsibilities. While employed as monitors, they shall represent the commission with the power to observe and review all of the facility’s operation, with attention to those aspects for which the suspension of admission was imposed. When appointment of a monitor or monitors is mandated by this section, the facility shall be liable for the costs of the special monitors, until it has been determined that the deficiencies have been corrected. No part of such costs for which a facility is liable shall be recoverable by the facility, either directly or indirectly, from the medical assistance program administered pursuant to title 71, chapter 5, part 1. The executive director may retain a monitor in a facility after correction to evaluate the facility’s continued compliance, but it shall be at the expense of the commission. The costs of such monitors shall be recoverable as follows:

(1) Deduction of the amount of such costs from amounts otherwise due from the state to the facility and to remittance of such amounts to the commission;
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Terms Used In Tennessee Code 68-11-221

  • commission: means the health facilities commission created by §. See Tennessee Code 68-11-201
  • Executive director: means the executive director of the health facilities commission. See Tennessee Code 68-11-201
  • Facility: means any institution, place or building providing health care services that is required to be licensed under this chapter. See Tennessee Code 68-11-201
  • State: when applied to the different parts of the United States, includes the District of Columbia and the several territories of the United States. See Tennessee Code 1-3-105
  • written: includes printing, typewriting, engraving, lithography, and any other mode of representing words and letters. See Tennessee Code 1-3-105
(2) Addition of such costs to the facility’s licensing fee, the renewal of the facility’s license to be contingent upon the prior payment of such costs; or
(3) By suit of the commission in the circuit or chancery court to recover such costs.
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