Section 36-431.01 - Violations; civil penalties; enforcementA. The director may assess a civil penalty against a person who violates this chapter or a rule adopted pursuant to this chapter in an amount of not more than $1,000 for each violation, which may be assessed for each resident or patient who the department determines was impacted by the violation. Each day that a violation occurs constitutes a separate violation.B. The director may issue a notice of assessment that shall include the proposed amount of the assessment. A person may appeal the assessment by requesting a hearing pursuant to title 41, chapter 6, article 10. When an assessment is appealed, the director shall take no further action to enforce and collect the assessment until after the hearing.C. In determining the amount of the civil penalty pursuant to subsection A of this section, the department shall establish a model in rule that considers the following: 1. Repeated violations of statutes or rules.2. Patterns of noncompliance.4. The severity of violations.5. The potential for and occurrences of actual harm, including to patients, staff or residents.6. Threats to health and safety, including to patients, staff or residents.7. The number of persons affected by the violations.8. The number of violations.9. The size of the facility.10. The length of time that the violations have been occurring.11. The type of health care institution.12. Whether the health care institution and staff are in compliance with the reporting requirements pursuant to section 46-454.D. Pursuant to interagency agreement specified in section 36-409, the director may assess a civil penalty, including interest, in accordance with 42 United States Code section 1396r. A person may appeal this assessment by requesting a hearing before the director in accordance with subsection B of this section. Civil penalty amounts may be established by rules adopted by the director that conform to guidelines or regulations adopted by the secretary of the United States department of health and human services pursuant to 42 United States Code section 1396r.E. Actions to enforce the collection of penalties assessed pursuant to subsections A and D of this section shall be brought by the attorney general or the county attorney in the name of the state in the justice court or the superior court in the county in which the violation occurred.F. Penalties assessed under subsection D of this section are in addition to and not in limitation of other penalties imposed pursuant to this chapter. All civil penalties and interest assessed pursuant to subsection D of this section shall be deposited, pursuant to sections 35-146 and 35-147, in the nursing care institution resident protection revolving fund established by section 36-431.02. The director shall use these monies for the purposes prescribed by 42 United States Code section 1396r, including payment for the costs of relocation of residents to other facilities, maintenance of operation of a facility pending correction of the deficiencies or closure and reimbursement of residents for personal monies lost.G. The department shall deposit civil penalties assessed under subsection A of this section in the state general fund.Amended by L. 2024, ch. 100,s. 6, eff. 9/14/2024.