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42 U.S.C 1302 and 1395hh.
53 FR 22859, June 17, 1988, unless otherwise noted.
59 FR 56243, Nov. 10, 1994, unless otherwise noted.
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(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.
[59 FR 56243, Nov. 10, 1994; 60 FR 50119, Sept. 28, 1995, as amended at 64 FR 13360, Mar. 18, 1999; 89 FR 64163, Aug. 6, 2024]