<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".71" citation="COMAR 10.07.02.71" title_num="10" subtitle_num="07" chapter_num="02" heading="Civil Money Penalties — Amount of Penalty.">
  <paragraph num="A.">
    <text>A civil money penalty imposed under this chapter for potential for more than minimal harm deficiencies may not exceed:</text>
    <paragraph num="(1)">
      <text>$10,000 per instance; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>$1,000 per day for an ongoing pattern of deficiencies until correction of the deficiencies has been verified and sustained compliance has been maintained.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A civil money penalty imposed under this chapter for actual harm deficiencies may not exceed:</text>
    <paragraph num="(1)">
      <text>$10,000 per instance; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>$5,000 per day for an ongoing pattern of deficiencies until correction of the deficiencies has been verified and sustained compliance has been maintained.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A civil money penalty imposed under this chapter for a serious and immediate threat may not exceed:</text>
    <paragraph num="(1)">
      <text>$10,000 per instance; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>$10,000 per day for an ongoing pattern of deficiencies until correction of the deficiencies has been verified and sustained compliance has been maintained.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>In setting the amount of a civil money penalty, the Department shall consider the following factors:</text>
    <paragraph num="(1)">
      <text>The number, nature, and seriousness of the deficiencies;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The degree of risk to the health, life, or safety of the residents of the nursing facility caused by the deficiency or deficiencies;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The efforts made by, and the ability of, the nursing facility to correct the deficiency or deficiencies;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Current federal guidelines for civil money penalties;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Whether the amount of the proposed civil money penalty will jeopardize the financial ability of the nursing facility to continue operating as a nursing facility;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A nursing facility's prior history of compliance; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Such other factors as justice may require.</text>
    </paragraph>
  </paragraph>
</regulation>