2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle B - Licensing of Health Facilities › Chapter 247 - Assisted Living Facilities › Subchapter C. General Enforcement › Section 247.0451. Administrative Penalty

Sec. 247.0451.  ADMINISTRATIVE PENALTY.  (a)  The commission may assess an administrative penalty against a person who:
(1)  violates this chapter or a rule, standard, or order adopted under this chapter or a term of a license issued under this chapter;
(2)  makes a false statement, that the person knows or should know is false, of a material fact:
(A)  on an application for issuance or renewal of a license or in an attachment to the application; or
(B)  with respect to a matter under investigation by the commission;
(3)  refuses to allow a representative of the commission to inspect:
(A)  a book, record, or file required to be maintained by an assisted living facility; or
(B)  any portion of the premises of an assisted living facility;
(4)  wilfully interferes with the work of a representative of the commission or the enforcement of this chapter;
(5)  wilfully interferes with a representative of the commission preserving evidence of a violation of this chapter or a rule, standard, or order adopted under this chapter or a term of a license issued under this chapter;
(6)  fails to pay a penalty assessed under this chapter not later than the 30th day after the date the assessment of the penalty becomes final; or
(7)  fails to notify the commission of a change of ownership before the effective date of the change of ownership.
(b)  Except as provided by Section 247.0452(c), the penalty may not exceed:
(1)  $5,000 for each violation that:
(A)  represents a pattern of violation that results in actual harm or is widespread in scope and results in actual harm; or
(B)  constitutes an immediate threat to the health or safety of a resident; or
(2)  $1,000 for each other violation.
(c)  The executive commissioner shall establish gradations of penalties in accordance with the relative seriousness of the violation.
(d)  In determining the amount of a penalty, the commission shall consider any matter that justice may require, but must consider each of the following and make a record of the extent to which each of the following was considered:
(1)  the gradations of penalties established under Subsection (c);
(2)  the seriousness of the violation, including the nature, circumstances, extent, and gravity of the prohibited act and the hazard or potential hazard created by the act to the health or safety of the public;
(3)  the history of previous violations;
(4)  deterrence of future violations;
(5)  efforts to correct the violation; and
(6)  the size of the facility and of the business entity that owns the facility.
(e)  A penalty assessed under Subsection (a)(6) is in addition to the penalty previously assessed and not timely paid.
(f)  The commission may not assess a penalty under this section against a resident of an assisted living facility unless the resident is also an employee of the facility or a controlling person.
(g)  The commission shall develop and use a system to record and track the scope and severity of each violation of this chapter or a rule, standard, or order adopted under this chapter for the purpose of assessing an administrative penalty for the violation or taking some other enforcement action against the appropriate assisted living facility to deter future violations.  The system:
(1)  must be comparable to the system used by the Centers for Medicare and Medicaid Services to categorize the scope and severity of violations for nursing homes; and
(2)  may be modified, as appropriate, to reflect changes in industry practice or changes made to the system used by the Centers for Medicare and Medicaid Services.
(h)  In this section, "actual harm," "immediate threat to the health or safety of a resident," "pattern of violation," and "widespread in scope" have the meanings assigned by Section 247.0452.
Added by Acts 2001, 77th Leg., ch. 1248, Sec. 8, eff. Sept. 1, 2001.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 809 (S.B. 1318), Sec. 16, eff. September 1, 2007.
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0713, eff. April 2, 2015.
Acts 2017, 85th Leg., R.S., Ch. 836 (H.B. 2025), Sec. 8, eff. September 1, 2017.