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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 488.434: Civil money penalties: Notice of penalty.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER G—STANDARDS AND CERTIFICATION
  4. PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
  5. Subpart F—Enforcement of Compliance for Long-Term Care Facilities with Deficiencies

(a) CMS notice of penalty. (1) CMS sends a written notice of the penalty to the facility for all facilities except non-State operated NFs when the State is imposing the penalty.

(2) Content of notice. The notice that CMS sends includes—

(i) The nature of the noncompliance;

(ii) The statutory basis for the penalty;

(iii) Either the amount of penalty per day of noncompliance or the amount of the penalty per instance of noncompliance or both;

(iv) Any factors specified in § 488.438(f) that were considered when determining the amount of the penalty;

(v) The date(s) of the instance(s) of noncompliance or the date on which the penalty begins to accrue;

(vi) When the penalty stops accruing, if applicable;

(vii) When the penalty is collected; and

(viii) Instructions for responding to the notice, including a statement of the facility's right to a hearing, and the implication of waiving a hearing, as provided in § 488.436.

(b) State notice of penalty. (1) The State must notify the facility in accordance with State procedures for all non-State operated NFs when the State takes the action.

(2) The State's notice must—

(i) Be in writing; and

(ii) Include, at a minimum, the information specified in paragraph (a)(2) of this section.

Collected 2026-08-27T02:26:11Z. Source file · JSON

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