under this Act. (II) Entity The on-site consultation and educational programming described in subclause (I) shall be carried out by quality improvement organizations under part B of title XI or other independent organizations of a similar type that do not have conflicts of interest and are deemed appropriate by the Secretary. (III) Required participation A nursing facility participating in the low-rated facility program shall participate in any consultations and educational programming described in subclause (I) conducted at the facility. (ii) Consultation independent of enforcement (I) In general Subject to subclause (II), on-site consultations and educational programming described in clause (i) shall be conducted independently of any enforcement activity. (II) Exception Subclause (I) shall not apply in the case where a triggering event at the nursing facility is observed in the course of providing on-site consultations and educational programming described in clause (i). In establishing such on-site consultations and educational programming, the Secretary shall determine the triggering events for which the use of necessary enforcement actions is permitted notwithstanding the limitation under subclause (I). Such triggering events shall include events that are required to be reported under State and Federal law and a pattern of deficiencies or problems that the quality improvement organization or other organization has identified for correction but which are consistently not corrected. (I) Public availability (i) In general The Secretary shall ensure that a nursing facility’s participation in the low-rated facility program is publicly announced, including to— (I) resident family councils