West Virginia Code § 16B-4-10

Reports of inspections; plans of correction; assessment of penalties and
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use of funds derived therefrom; hearings.
(a) Reports of all inspections made pursuant to §16B-4-8 and §16B-4-9 of this code shall be in
writing and filed with the director and shall list all deficiencies in the nursing home's
compliance with the provisions of this article and the rules adopted hereunder.
(1) No later than 10 working days following the last day of the inspection, the director shall
transmit to the nursing home a copy of such report and shall specify a time within which the
nursing home shall submit a plan for correction of such deficiencies.
(2) Additionally, notification of the availability of the independent informal dispute resolution
process and an explanation of the independent informal dispute resolution process shall be
included in the transmittal.
(3) A nursing home adversely affected by an order or citation of a deficient practice issued
pursuant to this section may request the independelnt informal dispute resolution process
contained in §16B-4-12a of this code. s
(4) The plan submitted by the nursing homie shall be approved, rejected, or modified by the
director.
(5) The inspectors or the nursing home shall allow audio taping of the exit conference with
the expense to be paid by the requesting party.
(b) With regard to a nursing home with deficiencies and upon its failure to submit a plan of
correction which is approved by the director, or to correct any deficiency within the time
specified in an appro ved plan of correction, the director, in consultation with the Inspector
General, may Vassess civil penalties as hereinafter provided or may initiate any other legal or
disciplinary action as provided by this article: Provided, That any action by the director shall
be stayed until federal proceedings arising from the same deficiencies are concluded.
(c) Nothing in this section may be construed to prohibit the director from enforcing a rule,
administratively or in court, without first affording formal opportunity to make correction
under this section, where, in the opinion of the director, the violation of the rule jeopardizes
the health or safety of residents, or where the violation of the rule is the second or
subsequent such violation occurring during a period of 12 full months.
(d) Civil penalties assessed against nursing home shall not be less than $50 nor more than
$8,000: Provided, That the director, in consultation with the Inspector General, may not
assess a penalty under state licensure for the same deficiency or violation cited under
federal law and may not assess a penalty against a nursing home if the nursing home
corrects the deficiency within 20 days of receipt of written notice of the deficiency unless it
is a repeat deficiency or the nursing home is a poor performer.
(e) In determining whether to assess a penalty, and the amount of penalty to be assessed,
the director, in consultation with the Inspector General shall consider:
(1) How serious the noncompliance is in relation to direct resident care and safety;
(2) The number of residents the noncompliance is likely to affect;
(3) Whether the noncompliance was noncompliance during a previous inspection;
(4) The opportunity the nursing home has had to correct the noncompliance; and
(5) Any additional factors that may be relevant.
(f) The range of civil penalties shall be as follows:
(1) For a deficiency which presents immediate jeopardy to the health, safety, or welfare of
one or more residents, the director, in consultation with the Inspector General, may impose
a civil penalty of not less than $3,000 nor more than $8,000;
(2) For a deficiency which actually harms ones or more residents, the director, in consultation
with the Inspector General, may impose a civil penalty of not less than $1,000 nor more than
$3,000;
(3) For a deficiency which has the potential to harm one or more residents, the director, in
consultation with the Inspectoer General, may impose a civil penalty of not less than $50 nor
more than $1,000;
(4) For a repeated deficiency, the director, in consultation with the Inspector General, may
impose a civil penalty of up to 150 percent of the penalties provided in §16B-4-10(f)(1)
through §16B-4-10(f)(3) of this code; and
(5) If no plan of correction is submitted as established in this rule, a penalty may be assessed
in tWhe amount of $100 a day unless a reasonable explanation has been provided and
accepted by the director, in consultation with the Inspector General.
(g) The director, in consultation with the Inspector General, shall assess a civil penalty of not
more than $1,000 against an individual who willfully and knowingly certifies a material and
false statement in a resident assessment. Such penalty shall be imposed with respect to each
such resident assessment. The director, in consultation with the Inspector General, shall
impose a civil penalty of not more than $5,000 against an individual who willfully and
knowingly causes another individual to certify a material and false statement in a resident
assessment. Such penalty shall be imposed with respect to each such resident assessment.
(h) The director, in consultation with the Inspector General, shall assess a civil penalty of not
more than $2,000 against any individual who notifies, or causes to be notified, a nursing
home of the time or date on which an inspection is scheduled to be conducted under this
article or under 42 U.S.C.A. §§ 1395 et seq. and 1396 et seq.
(i) If the director, in consultation with the Inspector General, assesses a penalty under this
section, the director shall cause delivery of notice of such penalty by personal service or by
certified mail. Said notice shall state the amount of the penalty, the action or circumstance
for which the penalty is assessed, the requirement that the action or circumstance violates,
and the basis upon which the director, in consultation with the Inspector General, assessed
the penalty and selected the amount of the penalty.
(j) The Inspector General shall, in a civil judicial proceeding, recover any unpaid assessment
which has not been contested under §16B-4-12 of this code within 30 drays of receipt of
notice of such assessment, or which has been affirmed under the provisions of that section
and not appealed within 30 days of receipt of the Board of Review's final order, or which has
been affirmed on judicial review, as provided in §16B-4-13 of this code. All money collected
by assessments of civil penalties or interest shall be paid intto a special resident benefit
account and shall be applied by the Inspector General for:
(1) The protection of the health or property of facility residents;
(2) Long-term care educational activities; s
(3) The costs arising from the relocation ofi residents to other nursing homes when no other
funds are available; and g
(4) In an emergency situation in which there are no other funds available, the operation of a
facility pending correction of deficiencies or closure.
(k) The opportunity for a hearing on an action taken under this section shall be as provided
in §16B-4-12 of this code.

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