State of Illinois
90th General Assembly
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90_HB0049

      210 ILCS 45/3-305         from Ch. 111 1/2, par. 4153-305
          Amends the Nursing  Home  Care  Act.   Provides  that  if
      death, serious mental or physical harm, permanent disability,
      or  disfigurement  results  from a repeat type A violation of
      this Act, the licensee shall be assessed a fine of  not  less
      than $20,000.
                                                     LRB9000770DPcc
                                               LRB9000770DPcc
 1        AN  ACT  to  amend  the Nursing Home Care Act by changing
 2    Section 3-305.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  5.   The  Nursing  Home  Care  Act is amended by
 6    changing Section 3-305 as follows:
 7        (210 ILCS 45/3-305) (from Ch. 111 1/2, par. 4153-305)
 8        Sec. 3-305. Penalties. The license of a facility which is
 9    in violation of this Act or any rule adopted  thereunder  may
10    be subject to the penalties or fines levied by the Department
11    as specified in this Section.
12        (1)  Unless  a  greater  penalty or fine is allowed under
13    subsection (3), a licensee who commits a Type  "A"  violation
14    as  defined  in  Section  1-129  is  automatically  issued  a
15    conditional license for a period of 6 months to coincide with
16    an acceptable plan of correction and assessed a fine computed
17    at a rate of $5.00 per resident in the facility plus 20 cents
18    per resident for each day of the violation, commencing on the
19    date  a notice of the violation is served under Section 3-301
20    and ending on the date the violation is corrected, or a  fine
21    of  not  less  than  $5,000, or when death, serious mental or
22    physical  harm,  permanent   disability,   or   disfigurement
23    results,  a  fine  of  not  less  than  $10,000, whichever is
24    greater.
25        (2)  A licensee who commits a Type "B" violation  or  who
26    is  issued  an  administrative  warning  for  a  violation of
27    Sections  3-401  through  3-413  or  the  rules   promulgated
28    thereunder  is  subject to a penalty computed at a rate of $3
29    per resident in the facility, plus 15 cents per resident  for
30    each day of the violation, commencing on the date a notice of
31    the violation is served under Section 3-301 and ending on the
                            -2-                LRB9000770DPcc
 1    date  the  violation  is  corrected,  or a fine not less than
 2    $500, whichever is greater. Such fine shall  be  assessed  on
 3    the  date  of  notice of the violation and shall be suspended
 4    for violations that continue after such date upon  completion
 5    of  a  plan of correction in accordance with Section 3-308 in
 6    relation to the assessment of fines and correction.   Failure
 7    to  correct  such  violation  within the time period approved
 8    under a plan  of  correction  shall  result  in  a  fine  and
 9    conditional license as provided under subsection (5).
10        (3)  A  licensee  who  commits  a  Type  "A" violation as
11    defined in Section 1-129  which  continues  beyond  the  time
12    specified in paragraph (a) of Section 3-303 which is cited as
13    a  repeat  violation shall have its license revoked and shall
14    be assessed a fine of 3 times the fine computed per  resident
15    per day under subsection (1).  In addition to any other fines
16    assessed  under  this subsection, if death, serious mental or
17    physical harm, permanent disability, or disfigurement results
18    from a violation cited as a repeat  violation,  the  licensee
19    shall be assessed a fine of not less than $20,000.
20        (4)  A  licensee  who fails to satisfactorily comply with
21    an accepted plan of correction for a Type "B" violation or an
22    administrative warning  issued  pursuant  to  Sections  3-401
23    through  3-413  or  the rules promulgated thereunder shall be
24    automatically issued a conditional license for  a  period  of
25    not  less  than  6  months. A second or subsequent acceptable
26    plan of correction shall be filed. A fine shall  be  assessed
27    in  accordance  with subsection (2) when cited for the repeat
28    violation. This fine shall be computed for all  days  of  the
29    violation,  including  the  duration  of  the  first  plan of
30    correction compliance time.
31        (5)  For  the  purpose  of  computing  a  penalty   under
32    subsections  (2) through (4), the number of residents per day
33    shall be based on the average  number  of  residents  in  the
34    facility  during  the  30 days preceding the discovery of the
                            -3-                LRB9000770DPcc
 1    violation.
 2        (6)  When  the  Department  finds  that  a  provision  of
 3    Article II has been violated  with  regard  to  a  particular
 4    resident,  the  Department shall issue an order requiring the
 5    facility to reimburse the resident for injuries incurred,  or
 6    $100,  whichever  is  greater.  In  the  case  of a violation
 7    involving any action other than theft of money belonging to a
 8    resident, reimbursement shall be ordered only if a  provision
 9    of  Article  II  has been violated with regard to that or any
10    other resident of the facility within the 2 years immediately
11    preceding the violation in question.
12        (7)  For purposes of assessing fines under this  Section,
13    a  repeat violation shall be a violation which has been cited
14    during one inspection of the facility for which  an  accepted
15    plan  of correction was not complied with. A repeat violation
16    shall not be a new citation of  the  same  rule,  unless  the
17    licensee  is not substantially addressing the issue routinely
18    throughout the facility.
19    (Source: P.A. 86-407; 87-549; 87-1056.)

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