The Colorado Department of Health and Environment periodically visits and surveys assisted living residences. Deficiencies may be identified for improvement, and the building management/administration writes a plan of correction. This must be approved and then the building will work during a specific amount of time to make the improvements. Then the health department returns to resurvey. If the situation is not improving as hoped, is more serious, or requires additional support, the Department will ask for a nurse monitor to be engaged, with specific topics and timing outlined. The facility contracts with the nurse monitor. The nurse monitor assists the facility to meet their goals and create durable processes to maintain the Plan of Correction.