A prefectural governor, when it is determined that a manager of an integrated facility for medical and long-term care is inappropriate as a manager of an integrated facility for medical and long-term care, may order the establisher of said integrated facility for medical and long-term care, setting a due date, to change the manager of the integrated facility for medical and long-term care.
都道府県知事は、介護医療院の管理者が介護医療院の管理者として不適当であると認めるときは、当該介護医療院の開設者に対し、期限を定めて、介護医療院の管理者の変更を命ずることができる。
The Minister of Health, Labour and Welfare, with regard to the affairs belonging to the authority of a prefectural governor as prescribed in the preceding paragraph, when he or she determines there is an urgent necessity to ensure the life and the physical safety of persons admitted to an integrated facility for medical and long-term care, may instruct the prefectural governor to conduct the affairs set forth in the same paragraph.
Read this with the articles around it