Baseline Systems Assessment. Within 60 days after the Monitor is retained by Extendicare or 120 days after the Effective Date of the CIA, whichever is later, the Monitor shall:
a. complete an assessment of the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.E.1;
b. in conducting this assessment, visit Extendicare’s facilities (selected by the Monitor) and, at a minimum, observe care planning meetings, interview key employees, review relevant documents, observe resident care; and observe corporate level committee meetings such as: Compliance Committee, Staffing Committee, and Board of Directors Committee meetings; and
c. submit a written report to Extendicare and OIG that sets forth, at a minimum:
i. a summary of the Monitor’s activities in conducting the assessment;
ii. the Monitor’s findings regarding the effectiveness, reliability, scope, and thoroughness of each of the systems described in Section III.E.1; and
iii. the Monitor’s recommendations to Extendicare as to how to improve the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.E.1.
Baseline Systems Assessment. Within six months after the Effective Date of the CIA, the Monitor shall:
a. complete an assessment of the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1;
b. in conducting this assessment, visit Vanguard's facilities (selected by the Monitor) and, at a minimum, observe quality assurance meetings, observe corporate compliance meetings, observe care planning meetings, observe LLC Members meetings, interview key employees, review relevant documents, and observe resident care and
c. submit a written report to Vanguard and OIG that sets forth, at a minimum:
i. a summary of the Monitor's activities in conducting the assessment;
ii. the Monitor's findings regarding the effectiveness, reliability, scope, and thoroughness of each of the systems described in Section III.D.1; and
iii. the Monitor's recommendations to Vanguard as to how to improve the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1.
Baseline Systems Assessment. Within 60 days after the Monitor is retained by Spring Gate or 120 days after the Effective Date of the CIA, whichever is later, the Monitor shall:
a. complete an assessment of the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1;
b. in conducting this assessment, visit Spring Gate’s facility and, at a minimum, observe quality assurance meetings, observe corporate compliance meetings, observe care planning meetings, observe Board meetings, interview key employees, review relevant documents, and observe resident care; and
c. submit a written report to Spring Gate and OIG that sets forth, at a minimum:
i. a summary of the Monitor’s activities in conducting the assessment;
ii. the Monitor’s findings regarding the effectiveness, reliability, scope, and thoroughness of each of the systems described in Section III.D.1; and
iii. the Monitor’s recommendations to Spring Gate as to how to improve the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1.
Baseline Systems Assessment. Within 60 days after the Monitor is retained by GGNSC or 120 days after the Effective Date of the CIA, whichever is later, the Monitor shall, with respect to District 63:
a. complete an assessment of the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1;
b. in conducting this assessment, visit at least two of District 63’s facilities (selected by the Monitor) and, at a minimum, observe quality assurance meetings, observe corporate compliance meetings, observe care planning meetings, interview key employees, review relevant documents, and observe resident care; observe one District quality of care meeting, one Regional quality of care meeting, and a Board of Directors Committee meeting; and
c. submit a written report to GGNSC and OIG that sets forth, at a minimum:
i. a summary of the Monitor’s activities in conducting the assessment;
ii. the Monitor’s findings regarding the effectiveness, reliability, scope, and thoroughness of each of the systems described in Section III.D.1; and
iii. the Monitor’s recommendations to GGNSC as to how to improve the effectiveness, reliability, scope, and thoroughness of the systems described in Section III.D.1.
