| (a) The Texas Health and Human Services Commission
(HHSC) may impose one or more of the following sanctions against a
licensee for a violation listed in §555.54 of this subchapter
(relating to Rule or Statutory Violations) or §555.55 of this
subchapter (relating to Violations of Standards of Conduct):
(1) license revocation;
(2) license suspension;
(3) denial of application for license renewal;
(4) assessment of an administrative penalty;
(5) written letter of reprimand;
(6) participation in continuing education;
(7) probation;
(8) denial of preceptor's initial or renewal application;
or
(9) revocation of preceptor status.
(b) If a sanction is probated, HHSC may require the
licensee to:
(1) report regularly to HHSC on matters that are the
basis of the probation;
(2) limit practice to the areas prescribed by HHSC;
(3) practice under the direct supervision or guidance
of a HHSC certified preceptor, as specified in §555.14 of this
chapter (relating to Preceptor Requirements); or
(4) complete prescribed continuing education until
the licensee attains a degree of skill satisfactory to HHSC in those
areas that are the basis of the probation.
(c) Civil penalties may result from a referral to the
Office of Attorney General not to exceed $1,000 per violation per
day for each day the violation continues.
(d) Administrative penalties may not exceed $1,000
per violation per day for each day the violation continues.
(e) The amount of the administrative penalty is assessed
is based on:
(1) the seriousness of the violation, including:
(A) the nature, circumstances, extent, and gravity
of prohibited acts; and
(B) the hazard or potential hazard created to the health,
safety, or economic welfare of the public;
(2) economic harm to property or environment;
(3) history of previous violations;
(4) amount necessary to deter future violations;
(5) efforts to correct the violations;
(6) the severity level of the violation:
(A) Level I--$500 to $1,000 for violations that have
or had an adverse impact on nursing facility resident health or safety
that includes serious harm, permanent injury, or death to a nursing
facility resident;
(B) Level II--$250 to $500 for violations that have
or had a potential or adverse impact on the health or safety of a
nursing facility resident, but less impact than Level I; or
(C) Level III--$250 or less for violations having minimal
or no significant impact on nursing facility resident health or safety;
and
(7) any other matter that justice may require.
(f) HHSC may deny, suspend, or revoke a license to
practice in Texas if the licensee fails to meet and comply with all
terms of an HHSC order or settlement agreement, or fails to complete
any final sanction imposed against the licensee's license, including
satisfactory and timely completion of any continuing education requirements,
suspension, probated suspension under a certified preceptor, or timely
payment in full of administrative penalties.
|
| Source Note: The provisions of this §555.57 adopted to be effective June 1, 2004, 29 TexReg 4233; amended to be effective June 1, 2009, 34 TexReg 2795; transferred effective May 1, 2019, as published in the Texas Register April 12, 2019, 44 TexReg 1880; amended to be effective November 14, 2021, 46 TexReg 7791; amended to be effective September 18, 2024, 49 TexReg 7339 |
