Except as otherwise provided in this title, an individual may not: Practice, attempt to practice, or offer to practice as a nursing home administrator in this State unless licensed by the Board; Supervise, direct, induce, or aid an unlicensed individual to practice as a nursing home administrator; Practice, attempt to practice, or offer to practice as an assisted living manager in this State unless licensed by the Board; or Supervise, direct, induce, or aid an unlicensed individual to practice as an assisted living manager. This subsection may not be construed to prohibit the Board from taking any other action authorized under this title against a licensee, an applicant, or another individual. Subject to paragraph (3) of this subsection, the Board may impose a civil penalty not exceeding $10,000 for a violation of this section. The Board shall pay any fine collected under this paragraph into the General Fund of the State. If the Board finds a violation of subsection (a)(3) of this section on or before June 30, 2027, the Board shall provide the individual with written notice and a 60–day period to comply with the licensure requirement before imposing the fine.

Unless authorized to practice as a nursing home administrator under Subtitle 3 of this title, an individual may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the individual is authorized to practice as a nursing home administrator in this State. Unless authorized to practice under Subtitle 3 of this title, an individual may not use the title “nursing home administrator”, or the abbreviation “N.H.A.” or any other designation, title, or abbreviation with the intent to represent that the individual is authorized to practice as a nursing home administrator. Unless authorized to practice as an assisted living manager under Subtitle 3A of this title, an individual may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the individual is authorized to practice as an assisted living manager in this State. Unless authorized to practice under Subtitle 3A of this title, an individual may not use the title “assisted living manager”, or any other designation, title, or abbreviation with the intent to represent that the individual is authorized to practice as an assisted living manager.

A person may not: Sell or fraudulently obtain or furnish or aid in selling or fraudulently obtaining or furnishing a license issued under Subtitle 3 of this title; Practice as a nursing home administrator under any license unlawfully or fraudulently obtained or unlawfully issued; Sell or fraudulently obtain or furnish or aid in selling or fraudulently obtaining or furnishing a license issued under Subtitle 3A of this title; or Practice as an assisted living manager under any license unlawfully or fraudulently obtained or unlawfully issued.

Except when a nursing home administrator is removed from the position by death or for any other unexpected cause as provided in § 9-301 of this title, a nursing home may not be operated unless it is under the supervision of a licensed nursing home administrator.

The Board may take disciplinary action against an individual whose license has expired or been surrendered in the same manner that the Board is authorized to take disciplinary action against a licensee under this title, if the Board initiated an investigation of the individual or issued charges against the individual while the individual was licensed.

A person who violates any provision of this title is guilty of a misdemeanor and on conviction is subject to: A fine not exceeding $1,000 for a first offense; and A fine not exceeding $5,000 or imprisonment not exceeding 6 months or both for any subsequent violation of the same provision. The Board shall pay any fine collected under this section into the General Fund of the State.