2023 Texas Statutes › Health and Safety Code › Title 4 - Health Facilities › Subtitle B - Licensing of Health Facilities › Chapter 242 - Convalescent and Nursing Facilities and Related Institutions › Subchapter C. General Enforcement › Section 242.066. Administrative Penalty

Sec. 242.066.  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 or 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 institution; or
(B)  any portion of the premises of an institution;
(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 or license issued under this chapter;
(6)  fails to pay a penalty assessed by the commission under this chapter not later than the 10th 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 Subsection (f) and Section 242.0665(c), the penalty may not exceed $10,000 a day for each violation.
(c)  Each day of a continuing violation constitutes a separate violation.
(d)  The executive commissioner shall establish gradations of penalties in accordance with the relative seriousness of the violation.
(e)  In determining the amount of a penalty, the commission shall consider any matter that justice may require, including:
(1)  the gradations of penalties established under Subsection (d);
(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; and
(5)  efforts to correct the violation.
(f)  The penalty for a violation of Section 242.072(c) or a right of a resident adopted under Subchapter L  may not exceed $1,000 a day for each violation.  This subsection does not apply to conduct that violates both Subchapter K  or a standard adopted under Subchapter K and a right of a resident adopted under Subchapter L.
(g)  The persons against whom an administrative penalty may be assessed under Subsection (a) include:
(1)  an applicant for a license under this chapter;
(2)  a license holder;
(3)  a partner, officer, director, or managing employee of a license holder or applicant;  and
(4)  a person who controls an institution.
(h)  A penalty assessed under Subsection (a)(6) is in addition to the penalty previously assessed and not timely paid.
(i)  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 institution 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.
Acts 1989, 71st Leg., ch. 678, Sec. 1, eff. Sept. 1, 1989.  Amended by Acts 1997, 75th Leg., ch. 1159, Sec. 1.16, eff. Sept. 1, 1997;  Acts 1999, 76th Leg., ch. 93, Sec. 2, eff. May 17, 1999.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 809 (S.B. 1318), Sec. 12, eff. September 1, 2007.
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0617, eff. April 2, 2015.
Acts 2017, 85th Leg., R.S., Ch. 836 (H.B. 2025), Sec. 3, eff. September 1, 2017.