Bill Text: NY S05472 | 2023-2024 | General Assembly | Amended
Bill Title: Expands protections regarding violations of safety conditions in adult care facilities; provides penalties for safety violations and operating without a valid license; prohibits reductions in fines in certain circumstances where a patient is endangered or harmed.
Spectrum: Partisan Bill (Democrat 17-0)
Status: (Introduced) 2024-06-07 - COMMITTED TO RULES [S05472 Detail]
Download: New_York-2023-S05472-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 5472--A 2023-2024 Regular Sessions IN SENATE March 6, 2023 ___________ Introduced by Sens. RIVERA, BAILEY, BROUK, CLEARE, COMRIE, GIANARIS, HOYLMAN-SIGAL, JACKSON, KRUEGER, MANNION, MAY, PERSAUD, RAMOS, SANDERS, SEPULVEDA, SKOUFIS -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the social services law and the mental hygiene law, in relation to violations of safety conditions in adult care facilities The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraph (b) of subdivision 4 of section 460-d of the 2 social services law, as amended by chapter 733 of the laws of 1994, is 3 amended to read as follows: 4 (b) No operating certificate shall be revoked, suspended or limited 5 without a hearing held in accordance with procedures established by 6 department regulations, which procedures shall require that notice of 7 the time and place of the hearing, and notice of the charges, shall be 8 served in person or by certified mail addressed to the facility at least 9 thirty days prior to the date of the hearing. A written answer to the 10 charges may be filed with the department not less than ten business days 11 prior to the date of the hearing. An operating certificate may, never- 12 theless, be suspended or limited without a hearing for a period not in 13 excess of sixty days, upon written notice to the facility following a 14 finding by the department that the public health, or an individual's 15 health, safety or welfare, are in imminent danger; provided, however, 16 that if the department demonstrates reasonable efforts to commence a 17 hearing within such sixty-day period and to complete such hearing within 18 a reasonable period of time, the hearing officer may authorize the 19 department to extend the period of suspension or limitation for an EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02412-14-4S. 5472--A 2 1 appropriate period of time, but in no event beyond an additional thirty 2 days. 3 § 2. Subdivision 7 of section 460-d of the social services law, as 4 added by chapter 669 of the laws of 1977, paragraph (a) as amended by 5 chapter 719 of the laws of 1989, paragraph (b) as amended by chapter 524 6 of the laws of 1984, subparagraph 2 of paragraph (b) as amended by chap- 7 ter 733 of the laws of 1994, is amended to read as follows: 8 7. (a) The department shall adopt regulations establishing civil 9 penalties of up to [one] two thousand dollars per violation, per day 10 and for repeat violations, under subparagraph two of paragraph (c) of 11 this subdivision for which a prior penalty was assessed, an amount up to 12 five thousand dollars per violation, per day to be assessed against all 13 adult care facilities [except facilities operated by a social services14district] for violations of (i) regulations of the department pertaining 15 to the care of residents in such facilities, (ii) paragraph (a) of 16 subdivision three of section four hundred sixty-one-a of this [chapter] 17 article, or (iii) an order issued pursuant to subdivision eight of this 18 section. The regulations shall specify the violations subject to penalty 19 and the amount of the penalty to be assessed in connection with each 20 such violation and shall specify that only civil penalties of up to 21 [one] two thousand dollars [per day] per violation, per day, shall be 22 assessed pursuant to this paragraph against an adult care facility found 23 responsible for an act of retaliation or reprisal against any resident, 24 employee, or other person for having filed a complaint with or having 25 provided information to any long term care [patient] ombudsman function- 26 ing in accordance with section [five hundred forty-four or five hundred27forty-five] two hundred eighteen of the [executive] elder law. 28 (b) [(1)] In addition to any other civil or criminal penalty provided 29 by law, the department shall have the power to assess civil penalties in 30 accordance with its regulations adopted pursuant to paragraph (a) of 31 this subdivision, after a hearing conducted in accordance with the 32 procedures established by regulations of the department. Such procedures 33 shall require that notice of the time and place of the hearing, together 34 with a statement of charges of violations, shall be served in person or 35 by certified mail addressed to the facility at least thirty days prior 36 to the date of the hearing. The statement of charges of violations shall 37 set forth the existence of the violations, the amount of penalty for 38 which it may become liable and the steps which must be taken to rectify 39 the violation and, where applicable, a statement that the department 40 contends that a penalty may be imposed under this paragraph regardless 41 of rectification. An answer to the charges of violations, in writing, 42 shall be filed with the department, not less than ten days prior to the 43 date of hearing. The answer shall notify the department of the facili- 44 ty's position with respect to each of the charges and shall include all 45 matters which if not disclosed in the answer would be likely to take the 46 department by surprise. The commissioner, or a member of [his] such 47 commissioner's staff who is designated and authorized by [him] such 48 commissioner to hold such hearing, may in [his] such commissioner's 49 discretion allow the facility to prove any matter not included in the 50 answer. 51 (c) (1) Where the facility satisfactorily demonstrates that it either 52 had rectified the violations within thirty days of receiving written 53 notification of the results of the inspection pursuant to section four 54 hundred sixty-one-a of this [chapter] article, or had submitted within 55 thirty days an acceptable plan for rectification and was rectifying the 56 violations in accordance with the steps and within the additional peri-S. 5472--A 3 1 ods of time as accepted by the department in such plan, no penalty shall 2 be imposed, except as provided in subparagraph two of this paragraph. 3 (2) Rectification shall not preclude the assessment of a penalty if 4 the department establishes at a hearing that a particular violation, 5 although corrected[, endangered or resulted in harm to any resident as6the result of]: 7 (i) endangered any resident. Endangerment is defined as: 8 (A) the total or substantial failure of the facility's fire detection 9 or prevention systems, or emergency evacuation procedures prescribed by 10 department safety standard regulations; 11 [(ii)] (B) the retention of any resident who has been evaluated by the 12 resident's physician as being medically or mentally unsuited for care in 13 the facility or as requiring placement in a hospital or residential 14 health care facility and for whom the operator is not making persistent 15 efforts to secure appropriate placement; 16 [(iii)] (C) the failure in systemic practices and procedures which 17 shall be defined as widespread or chronic, and material, noncompliance 18 with statutory or regulatory requirements, including but not limited to 19 the rights of residents under section four hundred sixty-one-d of this 20 article; 21 [(iv)] (D) the failure of the operator to take actions as required by 22 department regulations in the event of a resident's illness or accident; 23 [(v)] (E) the failure of the operator to provide at all times super- 24 vision of residents by numbers of staff at least equivalent to the night 25 staffing requirement set forth in department regulations; or 26 [(vi)] (F) [unreasonable] threats of retaliation or taking reprisals, 27 including but not limited to [unreasonable] threats of eviction or 28 hospitalization, against any resident, employee or other person who 29 makes a complaint concerning the operation of an adult care facility, 30 participates in the investigation of a complaint or is the subject of an 31 action identified in a complaint[.32The department shall specify in its regulations those regulations to33which this subparagraph two shall apply.34(3) In assessing penalties pursuant to this paragraph, the department35shall consider promptness of rectification, delay occasioned by the36department, and the specific circumstances of the violations as mitigat-37ing factors.38(c)]; or 39 (ii) resulted in harm to any resident, including but not limited to: 40 (A) physical harm; 41 (B) loss or denial of access to money or other personal property, 42 including but not limited to a violation of section one hundred thirty- 43 one-o of this chapter; or 44 (C) being subjected to (I) conduct by an operator, administrator, case 45 manager, or other employee in a supervisory position that violates the 46 rights of a resident under section four hundred sixty-one-d of this 47 article, or (II) an egregious failure by an operator, administrator, 48 case manager, or other employee in a supervisory position to ensure the 49 rights of a resident under section four hundred sixty-one-d of this 50 article. 51 (d) In assessing penalties pursuant to this paragraph, the department 52 shall consider promptness of rectification, delay occasioned by the 53 department, and the specific circumstances of the violations as mitigat- 54 ing factors. 55 (e) Upon the request of the department, the attorney general may 56 commence an action in any court of competent jurisdiction against anyS. 5472--A 4 1 facility subject to the provisions of this section, and against any 2 person or corporation operating such facility, for the recovery of any 3 penalty assessed by the department in accordance with the provisions of 4 this subdivision. 5 [(d)] (f) Any such penalty assessed by the department may be released 6 or compromised by the department, subject to and consistent with para- 7 graph (c) of this subdivision, before the matter has been referred to 8 the attorney general, and where such matter has been referred to the 9 attorney general, any such penalty may be released or compromised and 10 any action commenced to recover the same may be settled and discontinued 11 by the attorney general, after considering paragraph (c) of this subdi- 12 vision and with the consent of the department. 13 § 3. Paragraphs (a) and (b) of subdivision 9 of section 460-d of the 14 social services law, paragraph (a) as amended by chapter 558 of the laws 15 of 1999 and paragraph (b) as added by chapter 848 of the laws of 1992, 16 are amended to read as follows: 17 (a) The department shall have authority to impose a civil penalty [not18exceeding one thousand dollars per day] consistent with section twelve 19 of the public health law against, and to issue an order requiring the 20 closing of, after notice and opportunity to be heard, any facility which 21 does not possess a valid operating certificate issued by the department 22 and is an adult care facility subject to the provisions of this article 23 and the regulations of the department. A hearing shall be conducted in 24 accordance with procedures established by department regulations which 25 procedures shall require that notice of the determination that the 26 facility is an adult care facility and the reasons for such determi- 27 nation and notice of the time and place of the hearing be served in 28 person on the operator, owner or prime lessor, if any, or by certified 29 mail, return receipt requested, addressed to such person and received at 30 least twenty days prior to the date of the hearing. If such operator, 31 owner or prime lessor, if any, is not known to the department, then 32 service may be made by posting a copy thereof in a conspicuous place 33 within the facility or by sending a copy thereof by certified mail, 34 return receipt requested, addressed to the facility. A written answer to 35 the notice of violation may be filed with the department not less than 36 five days prior to the date of the hearing. Demonstration by the facil- 37 ity that it possessed an operating certificate issued pursuant to this 38 article, article twenty-eight of the public health law or article 39 sixteen, [twenty-three,] thirty-one or thirty-two of the mental hygiene 40 law at the time the hearing was commenced shall constitute a complete 41 defense to any charges made pursuant to this subdivision. 42 (b) [The penalty authorized by this section shall begin to run thirty43days after the department provides the operator, in writing, with a44summary of the inspection of the facility by which the department deter-45mined that he or she is operating an uncertified adult care facility.] 46 The submission of an application by the operator for an operating 47 certificate for the facility shall not act as a bar to the imposition of 48 a penalty against the operator of an unlicensed adult care facility. 49 § 4. Paragraph (c) of subdivision 9 of section 460-d of the social 50 services law is amended by adding a new subparagraph (iv) to read as 51 follows: 52 (iv) If the department of health determines, based on a complaint or 53 other facts known to the department, that there is reason to believe 54 that an individual or entity is operating an adult home, enriched hous- 55 ing program, or residence for adults which does not possess a valid 56 operating certificate issued by the department, and that one or moreS. 5472--A 5 1 conditions or activities at such facility constitute or are likely to 2 give rise to an immediate danger to the health of the residents, and 3 awaiting a court order pursuant to subparagraph (iii) of this paragraph 4 would be seriously detrimental to the health of such residents, the 5 department of health may, notwithstanding an objection by the operator, 6 administrator or other person in charge, inspect the entire premises, 7 which shall include access to all dwellings on the said property which 8 house tenants/occupants as well as access to such tenants/occupants, for 9 the purpose of ascertaining whether such danger exists or is likely to 10 arise on an immediate basis. The department of health may request the 11 assistance of local law enforcement for purposes of carrying out such 12 inspection and may take any appropriate action if it determines that 13 such danger exists or is likely to arise, including issuing a written 14 notice directing the operator, administrator or other person in charge 15 of such facility to cease or correct the condition or activity at issue. 16 As promptly as possible thereafter, within a period not to exceed 17 fifteen days, the commissioner shall provide the operator an opportunity 18 to be heard and to present any proof that such condition or activity 19 does not constitute a danger to the health of the residents of such 20 facility. The attorney general, upon request of the department of 21 health, shall be authorized to apply to the supreme court in the county 22 in which the facility is located for an order for any appropriate addi- 23 tional relief. 24 § 5. Subdivision 11 of section 460-d of the social services law, as 25 amended by section 154 of subpart B of part C of chapter 62 of the laws 26 of 2011, is amended to read as follows: 27 11. On or before issuance by the department to an adult care facility 28 operator of official written notice of: the proposed revocation, suspen- 29 sion or denial of the operator's operating certificate; the limitation 30 of the operating certificate with respect to new admissions; the issu- 31 ance of a department order or commissioner's order; the seeking of equi- 32 table relief pursuant to this section; the [proposed] assessment of 33 civil penalties for violations of the provisions of [subparagraph two34of] paragraph [(b)] (c) of subdivision seven of this section or place- 35 ment on the "do not refer list" pursuant to subdivision fifteen of this 36 section, written notice also shall be given to the appropriate office of 37 the department of mental hygiene, department of corrections and communi- 38 ty supervision and local social services districts, and provided further 39 that the department of health shall notify hospitals, residential health 40 care facilities and adult care facilities in the locality in which such 41 facility is located that such notice has been issued. Upon resolution of 42 such enforcement action the department shall within ten days notify the 43 appropriate office of the department of mental hygiene, department of 44 corrections and community supervision, local social services districts 45 [and], hospitals, residential health care facilities and adult care 46 facilities. 47 § 6. Subdivision 12 of section 460-d of the social services law, as 48 amended by section 42 of part B of chapter 58 of the laws of 2004, is 49 amended to read as follows: 50 12. [Social] Hospitals, residential health care facilities, adult care 51 facilities, social services districts and other local government enti- 52 ties established pursuant to this chapter shall be prohibited from 53 making referrals for admissions to adult care facilities that have 54 received official written notice regarding: the proposed revocation, 55 suspension or denial of the operator's operating certificate; the limi- 56 tation of the operating certificate with respect to new admissions; theS. 5472--A 6 1 issuance of department order or commissioner's orders; the seeking of 2 equitable relief pursuant to this section[; the proposed assessment of3civil penalties for violations of the provisions of subparagraph two of4paragraph (b) of subdivision seven of this section]; or the facility's 5 placement on the "do not refer list" pursuant to subdivision fifteen of 6 this section. 7 § 7. Section 460-d of the social services law is amended by adding a 8 new subdivision 18 to read as follows: 9 18. When the department of health issues official written notice to an 10 operator of a proposed action specified in subdivision eleven of this 11 section, and the department determines that there is a condition which 12 constitutes an imminent danger to the health, safety or welfare of any 13 resident, the department may prohibit that operator from admitting any 14 new resident to the facility until the department determines that there 15 is no longer an imminent danger to the health, safety or welfare of any 16 resident. 17 § 8. Section 461-c of the social services law is amended by adding a 18 new subdivision 10 to read as follows: 19 10. The operator of an adult home or an enriched housing program shall 20 provide to prospective residents who inquire about admission, and shall 21 post on its website, a copy of the facility's approved 22 admission/residency agreement. 23 § 9. The closing paragraph of subdivision 3 of section 461-d of the 24 social services law, as added by chapter 601 of the laws of 1981, is 25 amended to read as follows: 26 Waiver of any provision [contained within] of this subdivision by a 27 resident of an adult care facility or by the resident's legal represen- 28 tative or resident representative, with respect to a resident of an 29 adult home, residence for adults or enriched housing program, shall be 30 void. 31 § 10. Section 461-e of the social services law is amended by adding a 32 new subdivision 3-a to read as follows: 33 3-a. Every adult home and enriched housing program shall: 34 (a) Post in a prominent position in the facility so as to be accessi- 35 ble to all residents and to the general public: 36 (i) a summary of any report of inspection based on a complaint issued 37 by the department of health to the facility within the previous year 38 which resulted in the payment of a fine or penalty by the facility; and 39 (ii) notice of residents' right to review reports under paragraph (b) 40 of this subdivision. 41 (b) Provide to any resident and each applicant for admission an oppor- 42 tunity to review any report of inspection based on a complaint issued by 43 the department of health to the facility within the previous year. 44 (c) Provide to the resident council a summary of any report of 45 inspection based on a complaint issued by the department of health with- 46 in fourteen days of receipt by the facility. 47 § 11. Paragraphs (b) and (c) of subdivision 2 of section 461-a of the 48 social services law, paragraph (b) as amended by chapter 601 of the laws 49 of 1981 and paragraph (c) as amended by chapter 769 of the laws of 2021, 50 are amended to read as follows: 51 (b) [The department or a social services district, where appropriate,52shall each year conduct a minimum of one full inspection of each adult53care facility. Such inspection] An inspection of an adult care facility 54 under this section shall include, but shall not be limited to, examina- 55 tion of the medical, dietary and social services records of the facility 56 as well as the minimum standards of construction, life safety standards,S. 5472--A 7 1 quality and adequacy of care, rights of residents, payments and all 2 other areas of operation. The purpose of any inspection shall be to 3 determine compliance with requirements of applicable provisions of law 4 and regulations of the department. 5 (c) (i) An inspection report shall be made of each inspection which 6 shall clearly identify and indicate in detail each area of operation, 7 including, but not limited to, the premises, equipment, personnel, resi- 8 dent care and services, and whether [each] any such area of operation or 9 any of its component parts is [or is] not in compliance with the regu- 10 lations of the department and all other applicable requirements. It also 11 shall identify those areas of operation or any of its component parts 12 found not in compliance as a result of failure in systemic practices and 13 procedures. The operator shall be notified of the results of the 14 inspection in a manner to be determined by regulations of the depart- 15 ment[. Such notification shall contain directions as may be appropriate16as to the manner and time in which compliance with applicable require-17ments of law or regulations of the department shall be effected] and 18 shall submit a written plan of correction to the department within thir- 19 ty calendar days from the date the inspection report is received. The 20 department shall notify the operator of the acceptability of the plan of 21 correction within thirty calendar days of the department's receipt of 22 such plan. 23 (ii) The department shall also require the operator of an adult home, 24 enriched housing program or residence for adults to develop, [biannual-25ly] annually update and implement plans for quality assurance activities 26 for each area of operation. Quality assurance activities include but 27 are not limited to, development and maintenance of performance standards 28 including infection control, measurement of adherence to such standards 29 and to applicable state and local laws and regulations, identification 30 of performance failures, design, and implementation of corrective 31 action. Each plan must also include the creation of a quality improve- 32 ment committee that is charged with meeting periodically, at least once 33 every six months, to review summary findings from monitoring implementa- 34 tion of the facility's plan, evaluating the effectiveness of corrective 35 action policies, and identifying trends and improvement activities. 36 While reviewing facility performance, the committee shall not examine 37 personally identifiable resident incidents. Such committee shall include 38 the administrator or operator of the facility, the resident council 39 president or other resident representative, and representatives from 40 frontline employees from each area of operation. 41 § 12. Subparagraphs (I) and (II) of paragraph 2 of subdivision (i) of 42 section 29.15 of the mental hygiene law, as amended by chapter 168 of 43 the laws of 2010, are amended to read as follows: 44 (I) A patient about to be discharged or conditionally released from a 45 department facility licensed or operated by the office for people with 46 developmental disabilities or from an inpatient facility operated or 47 licensed by the office of [alcoholism and substance abuse] addiction 48 services and supports or the office of mental health to an adult home, 49 enriched housing program or residence for adults, as defined in section 50 two of the social services law, shall be referred only to such home or 51 residence that is consistent with that patient's needs and that operates 52 pursuant to section four hundred sixty of the social services law, 53 provided further that: (A) for a department facility licensed or oper- 54 ated by the office for people with developmental disabilities or for an 55 inpatient facility operated by the office of [alcoholism and substance56abuse] addiction services and supports or the office of mental health,S. 5472--A 8 1 the facility director retains authority to determine whether the home, 2 program or residence is consistent with that patient's needs and (B) 3 such referral shall be made to the patient's home county whenever possi- 4 ble or appropriate. 5 (II) No patient about to be discharged or conditionally released from 6 a department facility licensed or operated by the office for people with 7 developmental disabilities or from an inpatient facility operated or 8 licensed by the office of [alcoholism and substance abuse] addiction 9 services and supports or the office of mental health shall be referred 10 to any adult home, enriched housing program or residence for adults, as 11 defined in section two of the social services law, which has received an 12 official written notice from the department of health of: (A) the 13 proposed revocation, suspension or denial of its operating certificate; 14 (B) the limitation of its operating certificate with respect to new 15 admissions; (C) the issuance of a department of health order or commis- 16 sioner of health's order or the seeking of equitable relief pursuant to 17 section four hundred sixty-d of the social services law; (D) the 18 proposed assessment of civil penalties for violations of the provisions 19 of [subparagraph two of] paragraph [(b)] (c) of subdivision seven of 20 section four hundred sixty-d of the social services law; or placement on 21 the "do not refer list" pursuant to subdivision fifteen of section four 22 hundred sixty-d of the social services law. Referrals may resume when 23 such enforcement actions are resolved. 24 § 13. The commissioner of health shall develop a plan for posting all 25 the plans of correction and statements of deficiencies for all forms of 26 adult care facilities. Such plan shall include an analysis of the fiscal 27 impact and the time required to post such information. Such plan shall 28 be sent to the chairs of the senate and assembly health committees as 29 well as the director of the budget within one hundred days from the 30 effective date of this act. 31 § 14. Severability clause. If any provision of this act, or any appli- 32 cation of any provision of this act, is held to be invalid, or to 33 violate or be inconsistent with any federal law or regulation, that 34 shall not affect the validity or effectiveness of any other provision of 35 this act, which can be given effect without that provision or applica- 36 tion; and to that end, the provisions and applications of this act are 37 severable. 38 § 15. This act shall take effect on the thirtieth day after it shall 39 have become a law.
