A senior living facility owner and health care management consultant has been appointed through U.S. Bankruptcy Court to monitor patient care at Steward Health Care facilities in Massachusetts and report immediately to the court if she determines that the quality of care is “declining significantly or is otherwise being materially compromised” as the system goes through bankruptcy.

Suzanne Koenig is president and founder of SAK Management Services and “provides a highly specialized combination of skills in the areas of operations improvement, staff development and quality assurance,” according to her website.

She was appointed by Kevin Epstein, the U.S. Trustee for the Southern District of Texas, to serve as ombudsman monitoring Steward’s hospitals and health care facilities in Massachusetts, Ohio, Pennsylvania, and Miami-Dade County in Florida.

Epstein’s filing Monday said that Koenig is to “monitor the quality of patient care provided to patients of the debtor, to the extent necessary under the circumstances, including interviewing patients and physicians,”

Koenig is also directed to immediately inform the court if she “determines that the quality of patient care provided to patients of the debtor is declining significantly or is otherwise being materially compromised.”

The Department of Public Health has had monitors closely watching for staffing, capacity or other issues at Steward’s hospitals since the system’s financial situation attracted attention earlier this year.

In a filing to the bankruptcy case, DPH Commissioner Robbie Goldstein wrote,  “Based on the findings of the Department’s monitoring, it has become clear that Steward’s fiscal challenges have already presented patient safety and health challenges, which to date have been isolated, and DPH has been able to detect and remediate quickly.”

“For the most part, the cause of any issues the monitors have identified is lack of funding made available to the hospitals from the Steward corporate level,” he continued.