ORS 441.731
Civil penalties


(1)

The Director of Human Services may impose a civil penalty under ORS 441.710 (Civil penalties) on a residential care facility or a long term care facility pursuant to this section.

(2)

Intentionally left blank —Ed.

(a)

When imposing a civil penalty on a residential care facility or a long term care facility pursuant to this section, the director shall consider:

(A)

Any prior violations of laws or rules pertaining to the facility and, as a mitigating factor, whether violations were incurred under prior ownership or management of the facility.

(B)

The financial benefits, if any, realized by the facility as a result of the violation.

(C)

The facility’s past history of correcting violations and preventing the recurrence of violations.

(D)

The severity and scope of the violation as described in paragraphs (b) and (c) of this subsection.

(b)

The director shall assess the severity of a violation using the following criteria:

(A)

Level 1 is a violation that results in no actual harm or in potential for only minor harm.

(B)

Level 2 is a violation that results in minor harm or potential for moderate harm.

(C)

Level 3 is a violation that results in moderate harm or potential for serious harm.

(D)

Level 4 is a violation that results in serious harm or death.

(c)

The director shall assess the scope of a violation using the following criteria:

(A)

An isolated violation occurs when one or a very limited number of residents or employees are affected or a very limited area or number of locations within a facility are affected.

(B)

A pattern violation occurs when more than a very limited number of residents or employees are affected, or the situation has occurred in more than a limited number of locations but the locations are not dispersed throughout the facility.

(C)

A widespread violation occurs when the problems causing the deficiency are pervasive and affect many locations throughout the facility or represent a systemic failure that affected, or has the potential to affect, a large portion or all of the residents or employees.

(d)

As used in this subsection:

(A)

Intentionally left blank —Ed.
(i)
“Financial loss” means loss of resident property or money as a result of financial exploitation as that term is defined in ORS 124.050 (Definitions for ORS 124.050 to 124.095).
(ii)
“Financial loss” does not include loss of resident property or money that results from action or inaction of an individual not employed or contracted with the facility, or that arises from the action or inaction of an individual employed or contracted with the facility if the action or inaction occurs while the individual is not performing employment or contractual duties.

(B)

“Harm” means a measurable negative impact to a resident’s physical, mental, financial or emotional well-being.

(C)

“Minor harm” means harm resulting in no more than temporary physical, mental or emotional discomfort or pain without loss of function, or in financial loss of less than $1,000.

(D)

“Moderate harm” means harm resulting in temporary loss of physical, mental or emotional function, or in financial loss of $1,000 or more, but less than $5,000.

(E)

“Serious harm” means harm resulting in long-term or permanent loss of physical, mental or emotional function, or in financial loss of $5,000 or more.

(3)

Intentionally left blank —Ed.

(a)

The director may impose civil penalties as follows:

(A)

For a level 1 violation, the director may not impose a civil penalty.

(B)

For a level 2 violation, the director may impose a penalty in an amount no less than $250 per violation, not to exceed $500 per violation.

(C)

For a level 3 violation, the director may impose a civil penalty in an amount no less than $500 per violation, not to exceed $1,500 per violation.

(D)

For a level 4 violation, the director may impose a civil penalty in an amount no less than $1,500 per violation, not to exceed $2,500 per violation.

(E)

For a failure to report abuse of a resident to the Department of Human Services as required by state law, the director may impose a civil penalty in an amount no more than $1,000 per violation.

(b)

The penalties imposed under paragraph (a)(A) to (D) of this subsection may not exceed $20,000 in the aggregate for violations occurring in a single residential care facility or long term care facility within any 90-day period.

(c)

In imposing civil penalties under this subsection, the director may take into account the scope of the violation.

(4)

Intentionally left blank —Ed.

(a)

If the department investigates and makes a finding of abuse in a residential care facility or long term care facility arising from deliberate or other than accidental action or inaction that is likely to cause a negative outcome by a person with a duty of care toward a resident of a residential care facility or long term care facility and if the abuse resulted in the death, serious injury, rape or sexual abuse of a resident, the director shall impose a civil penalty on the facility of not less than $2,500 and not more than $15,000 for each occurrence of substantiated abuse, not to exceed $40,000 for all violations occurring in a facility within any 90-day period.

(b)

As used in this subsection:

(A)

“Negative outcome” includes serious injury, rape, sexual abuse or death.

(B)

“Rape” means rape in the first degree as defined in ORS 163.375 (Rape in the first degree), rape in the second degree as defined in ORS 163.365 (Rape in the second degree) and rape in the third degree as defined in ORS 163.355 (Rape in the third degree).

(C)

“Serious injury” means physical injury that creates a substantial risk of death or that causes serious and protracted disfigurement, protracted impairment of health or protracted loss or impairment of the function of any bodily organ.

(D)

“Sexual abuse” means any form of sexual contact between an employee of a residential care facility or a long term care facility or a person providing services in the facility and a resident of that facility, including but not limited to sodomy, sexual coercion, sexually explicit photographing and sexual harassment.

(5)

When imposing penalties under this section for a violation that qualifies as abuse under state law and results in less than serious harm as defined in subsection (2) of this section, the director shall reduce the penalty by not less than 25 percent if the facility self-reported the abuse to the department.

(6)

The department shall identify and track the number of abuse violations that are reported to the department by a facility and compile statistics on the rate of self-reporting by facilities as compared to abuse complaints from other sources.

(7)

Intentionally left blank —Ed.

(a)

When the director notifies a facility of a violation for which a penalty may be imposed under this section, the director shall describe in the notice the specific remediations that the facility must make to achieve substantial compliance regarding the violation. In the notice, the director shall prescribe a reasonable time for elimination of the violation:

(A)

Not to exceed 30 days after first notice of a violation; or

(B)

In cases where the violation requires more than 30 days to correct, such time as is specified in a plan of correction found acceptable by the director.

(b)

The director shall hold in abeyance a penalty for a level 2 violation or level 3 violation for the period prescribed under paragraph (a) of this subsection. If the facility achieves substantial compliance as described in the notice required under paragraph (a) of this subsection within the prescribed time period, the director shall withdraw some or all of the penalty.

(c)

As used in this subsection, “substantial compliance” means a level of compliance with state law and with rules of the department such that any identified deficiencies pose a risk of no more than negligible harm to the health or safety of residents of a facility. [2017 c.679 §4]
Note: See note under 441.705 (Definitions for ORS 441.705 to 441.745).

Source: Section 441.731 — Civil penalties, https://www.­oregonlegislature.­gov/bills_laws/ors/ors441.­html.

441.015
Licensing of facilities and health maintenance organizations
441.020
Application
441.021
Additional fees for investigation and compliance activities
441.022
Factors to be considered in licensing
441.025
License issuance
441.026
Licensing of extended stay centers
441.030
Denial, suspension or revocation of licenses
441.037
Hearings
441.038
Additional remedies
441.044
Complaints about standard of care in facility
441.046
Facility prohibited from interfering with employee’s disclosure of abuse, violations of laws or threats to health and safety of resident
441.047
Requirement to provide resident with information about Long Term Care Ombudsman services
441.048
Discrimination based on execution of POLST, advance directive or similar instruction prohibited
441.049
Support persons for patients with disabilities
441.051
Discharge of patient to care of lay caregiver
441.053
Release of patient presenting with behavioral health crisis
441.054
Discharge of patients receiving mental health treatment
441.055
Health care facility medical staff and bylaws
441.056
Credentialing telemedicine providers
441.059
Access to previous X-rays and reports by patients of chiropractic physicians
441.060
Inspections
441.061
Delegation of health inspections to local public health authorities
441.062
Coordination of inspections
441.063
Use of facilities by licensed podiatric physicians and surgeons
441.064
Use of facilities by nurse practitioners and physician assistants
441.065
Exemption of certain religious institutions
441.067
Inspection reports, complaint procedures and rules
441.073
Rules regarding staff ratio in long term care facilities
441.077
Revocation of license and other penalties for imposing restrictions upon certain physicians
441.078
Disability discrimination prohibited in provision or insurance coverage of organ transplantation
441.079
Eye, organ and tissue transplants
441.082
Registration of organ procurement organization, tissue bank and eye bank
441.083
Drug information to be provided patients of long term and intermediate care facilities
441.084
Choice of patient on suppliers of drugs and supplies
441.086
Ambulatory surgical centers
441.087
General inspection of long term care facility
441.089
Application of Health Care Quality Improvement Act of 1986
441.094
Denial of emergency medical services because of inability to pay prohibited
441.096
Identification badges
441.098
Health practitioner referral of patient to treatment or diagnostic testing facility
441.099
Health Licensing Office to ensure compliance with ORS 441.098
441.101
Safeguards for protected health information
441.151
“Hospital” defined for ORS 441.152 to 441.177
441.152
Nurse Staffing Advisory Board
441.154
Hospital nurse staffing committee
441.155
Written staffing plan for nursing services
441.156
Annual review of nurse staffing plan
441.157
Audits
441.164
Variances to staffing plan requirements
441.165
Modification of nurse staffing plan in case of emergency or epidemic
441.166
Need for replacement staff
441.168
Leaving a patient care assignment
441.169
Public notice
441.171
Complaint investigations
441.173
Hospital to maintain records
441.175
Civil penalties
441.177
Posting of audit reports and civil penalties
441.179
Definitions for ORS 441.179 to 441.186
441.181
Retaliation prohibited
441.183
Remedies for retaliation
441.184
Unlawful employment practices
441.185
Hospital posting of notice
441.186
Rights, privileges or remedies of nursing staff
441.192
Notice of employment outside of hospital
441.221
Advisory Committee on Physician Credentialing Information
441.222
Committee recommendations
441.223
Implementation of committee recommendations
441.277
Definitions for ORS 441.277 to 441.323
441.281
Petition for appointment of trustee
441.286
Grounds for appointment of trustee
441.289
Powers and duties of trustee
441.293
Liability to trustee for goods and services after notice
441.296
Liability for rent or contracts
441.301
Payment of expenses when income inadequate
441.303
Establishment of Facility Fund
441.306
Compensation of trustee
441.309
Trustee as public employee
441.312
License renewal of facility placed in trust
441.316
Termination of trust
441.318
Trustee accounting
441.323
Effect of trust or temporary management on prior obligations or civil or criminal liabilities
441.331
Definition of “facility” for ORS 441.331 to 441.341
441.333
Appointment of temporary manager
441.336
Accounting by temporary manager
441.338
Temporary manager as agent of state agency
441.341
Rules
441.357
Definitions for ORS 441.357 to 441.367
441.362
Notice by Department of Human Services prior to move or termination
441.367
Facility required to give notice of base rate and policy on nonpayment
441.373
Admission to or removal from long term care facility, residential care facility or adult foster home of person convicted of sex crime
441.402
Definitions for ORS 441.402 to 441.419
441.403
Office of Long Term Care Ombudsman
441.404
Funding of office
441.406
Duties of ombudsman
441.407
Procedures to maintain confidentiality
441.408
Right of entry into facilities and access to records
441.409
Report after investigation
441.411
Notice of complaint procedures
441.412
Immunity of employees
441.413
Appointment of designees
441.414
Effect of ORS 441.402 to 441.419 on right to visitors
441.416
Residential Ombudsman and Public Guardianship Advisory Board
441.417
Duties
441.418
Appeal to Residential Ombudsman and Public Guardianship Advisory Board
441.419
Long Term Care Ombudsman Account
441.525
Definitions for ORS 441.525 to 441.595
441.530
Policy
441.532
Municipalities authorized to create authority
441.535
Procedure to create public authority
441.540
Board of directors
441.545
Authority may not levy taxes
441.550
General powers
441.555
Issuance of revenue obligations
441.560
Borrowing
441.565
Obligations of authority not obligations of municipality
441.570
Payment of principal and interest
441.575
Authorities may act jointly
441.580
Authority as public body
441.585
Disposition of excess earnings
441.590
Authority granted by ORS 441.525 to 441.595
441.595
Construction of ORS 441.525 to 441.595
441.600
Definitions for ORS 441.600 to 441.625
441.605
Legislative declaration of rights intended for residents
441.610
Nursing home patients’ bill of rights
441.612
Additional rights
441.615
Powers and responsibilities of department
441.620
Disclosure of business information required
441.624
Purpose
441.625
Retaliation against resident exercising rights prohibited
441.630
Definitions for ORS 441.630 to 441.680
441.635
Legislative finding
441.637
Rules
441.640
Report of suspected abuse of resident required
441.645
Oral report to area agency on aging, department or law enforcement agency
441.650
Investigation of abuse complaint
441.655
Immunity for reporter of abuse
441.659
Disclosure of protected health information to law enforcement
441.660
Photographing resident
441.665
Record of reports
441.671
Confidentiality of reports
441.674
Specified evidentiary privileges inapplicable
441.675
General evidentiary privileges inapplicable
441.676
Investigation of licensing violations
441.677
Letter of determination
441.678
Review of finding that nursing assistant responsible for abuse
441.679
Preemployment inquiries
441.680
Spiritual healing alone not considered abuse of resident
441.685
Monitors
441.690
Complainant may accompany investigator
441.695
Conduct of investigation
441.697
Prescribed drug supply for unscheduled therapeutic leave from long term care facility
441.700
Access to facilities by persons providing services
441.703
Complaint file
441.705
Definitions for ORS 441.705 to 441.745
441.710
Civil penalties
441.712
Notice of civil penalty
441.715
Criteria for civil penalties
441.720
Remittance or reduction of penalties
441.726
Progressive enforcement process
441.731
Civil penalties
441.736
License conditions
441.740
Judicial review
441.745
Penalties to Quality Care Fund
441.750
Suicide attempts by minors
441.755
Report form
441.815
Smoking of tobacco or use of inhalant delivery system in or near hospital prohibited
441.816
Influenza vaccines for patients 65 years of age or older
441.820
Procedure for termination of physician’s privilege to practice medicine at health care facility
441.825
Authority of hospital to require medical staff to provide professional liability insurance
441.990
Civil and criminal penalties
441.991
Civil penalty for violation of ORS 441.098
441.992
Civil penalty for violation of ORS 441.048 or 441.049
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