(III) ONE LICENSED. PERSONNEL TO 35 RESIDENTS DURING THE
NIGHT SHIFT; AND

(3) MAINTAIN A RATIO OF CERTIFIED NURSING ASSISTANTS TO
RESIDENTS OF NO FEWER THAN

(I) ONE CERTIFIED NURSING ASSISTANT TO FIVE RESIDENTS
DURING THE MORNING SHIFT;

(II) ONE CERTIFIED NURSING ASSISTANT TO 10 RESIDENTS
DURING THE AFTERNOON SHIFT; AND

(III) ONE CERTIFIED NURSING ASSISTANT TO 15 RESIDENTS
DURING THE NIGHT SHIFT.

(D) (1) LICENSED PERSONNEL AND CERTIFIED NURSING ASSISTANTS MAY
NOT PROVIDE FOOD PREPARATION, HOUSEKEEPING, LAUNDRY, OR MAINTENANCE
SERVICES.

(2) AN INDIVIDUAL EMPLOYED TO PROVIDE FOOD PREPARATION,
HOUSEKEEPING, LAUNDRY, OR MAINTENANCE SERVICES MAY NOT PROVIDE
NURSING CARE TO RESIDENTS.

(E) (1) A NURSING FACILITY SHALL DISPLAY ON EACH FLOOR OF THE
FACILITY A NOTICE THAT EXPLAINS THE CURRENT RATIO OF LICENSED PERSONNEL
TO RESIDENTS AND CERTIFIED NURSING ASSISTANTS TO RESIDENTS.

(2) THE NOTICE SHALL BE:

(I) POSTED IN A LOCATION THAT IS VISIBLE AND ACCESSIBLE TO
RESIDENTS, FAMILY MEMBERS OF THE RESIDENTS, CAREGIVERS, AND POTENTIAL
CONSUMERS; AND

(II) ON A FORM PROVIDED BY THE DEPARTMENT.

(F) THE STAFFING REQUIREMENTS UNDER THIS SECTION ARE MINIMUM
STAFFING REQUIREMENTS AND SHALL NOT BE CONSTRUED TO LIMIT THE ABILITY
OF THE NURSING FACILITY TO EMPLOY ADDITIONAL STAFF.

(G) THE SECRETARY MAY ADOPT REGULATIONS NECESSARY TO CARRY OUT
THE PROVISIONS OF THIS SECTION.

(H) IF A NURSING FACILITY FAILS TO MEET THE REQUIREMENTS OF THIS
SECTION, THE SECRETARY MAY IMPOSE THE FOLLOWING PENALTIES:

(1) DELICENSURE OF THE NURSING FACILITY;

(2) $500 PER DAY FOR EACH DAY THE VIOLATION CONTINUES; OR
(3) BOTH.

SECTION 2. AND BE IT FURTHER ENACTED, That:
(a) The Department of Health and Mental Hygiene shall: