Section 488.422 - State monitoring(a) A State monitor-(1) Oversees the correction of deficiencies specified by CMS or the State survey agency at the facility site and protects the facility's residents from harm;(2) Is an employee or a contractor of the survey agency;(3) Is identified by the State as an appropriate professional to monitor cited deficiencies;(4) Is not an employee of the facility;(5) Does not function as a consultant to the facility; and(6) Does not have an immediate family member who is a resident of the facility to be monitored.(b) A State monitor must be used when a survey agency has cited a facility with substandard quality of care deficiencies on the last 3 consecutive standard surveys.(c) State monitoring is discontinued when- (1) The facility has demonstrated that it is in substantial compliance with the requirements, and, if imposed for repeated instances of substandard quality of care, will remain in compliance for a period of time specified by CMS or the State; or(2) Termination procedures are completed.59 FR 56243, Nov. 10, 1994; 60 FR 50119, Sept. 28, 1995