1. A. Patient Safety.

   Severity	Tier	Conduct	Sanction Range
   			Minimum	Maximum
   Least to Greatest	1	(a) Committed a violation which resulted in no or little potential harm to a resident; or (b) Made an immediate and significant effort to remedy the violation.	Reprimand	Probation for 2 years
   	2	(a) Committed a violation which resulted in moderate potential for resident harm; (b) Had been given prior warning of facility errors; (c) Made no significant or immediate attempt to remedy the facility errors; or (d) Failed to oversee a quality improvement process.	$500 fine and probation for 1 year	Maximum fine allowable under Regulation .07I of this chapter, suspension for 2 years, and probation for 3 years
   	3	(a) Committed a violation resulting in actual or potentially serious harm to a resident; (b) Had been given repeated warnings of facility errors; (c) Committed a violation affecting two or more residents; or (d) Was under the influence of alcohol or drugs at the time the licensee committed the violation	Suspension for 1 year	Revocation
   	4	A licensee is not competent to practice as a nursing home administrator or assisted living manager.	Suspension until the Board determines the licensee is competent	Revocation

2. B. Fraud, Deceit, or Misrepresentation.

   Severity	Tier	Conduct	Sanction Range
   			Minimum	Maximum
   Least to Greatest	1	(a) Committed a singular fraudulent or deceptive act, limited in nature; or (b) Neither achieved nor attempted to achieve personal financial or material gain from the violation.	Reprimand	Maximum fine allowable under Regulation .07I of this chapter and probation for 3 years
   	2	(a) Achieved or attempted to achieve a material or financial gain as a result of the fraud, deceit, or misrepresentation; (b) Targeted or harmed residents of the facility administered by the licensee; (c) Committed multiple acts of fraud or deceit or perpetrated an elaborate scheme; involving fraud, deceit, or misrepresentation (d) Used false impersonation or identification in furtherance of the violation; or (e) Committed a violation in order to obtain a license for the licensee or another.	$500 fine, suspension for 2 years, and probation for 3 years	Revocation

3. C. General Misconduct.

   Severity	Tier	Conduct	Sanction Range
   			Minimum	Maximum
   Least to Greatest	1	(a) Made a singular inappropriate sexual comment during the licensee’s practice as a nursing home administrator or assisted living manager; or (b) Committed a violation resulting in no harm or having potentially minimal harm.	Reprimand	Maximum fine allowable under Regulation .07I of this chapter and probation for 2 years
   	2	(a) Has made multiple inappropriate sexual comments not rising to the level of harassment; (b) Was under the influence of alcohol or drugs at the time the licensee committed the violation; or (c) Committed a violation which resulted in a moderate potential for harm.	$500 fine, and probation for 1 year	Maximum fine allowable under Regulation .07I of this chapter, suspension for 2 years, and probation for 3 years
   	3	(a) Diverted or stole drugs from a facility or a resident; (b) Committed an act of sexual misconduct involving touching, inappropriate contact, observation, recording, or harassment; (c) Committed or threatened to commit an act of violence; (d) Committed an act resulting in actual harm or the serious potential for harm; (e) Discriminated against a person; or (f) Recorded a resident or residents, without authorization from the resident or residents, using, but not limited to, a camera, phone, or video recorder.	$500 fine, suspension for 1 year, and probation for 3 years	Revocation

4. D. Records Violation Without Fraudulent or Deceitful Intent.

   Severity	Tier	Conduct	Sanction Range
   			Minimum	Maximum
   Least to Greatest	1	Licensee made limited errors in completing or maintaining a resident’s or the facility’s record, resulting in no harm to a resident.	Reprimand	Reprimand
   	2	(a) Produced a significant pattern of inaccurate records; (b) Improperly disclosed or authorized the disclosure of confidential medical records without intent to violate the governing confidentiality laws or regulations; or (c) Committed an act of false advertising.	$500 fine, and probation for 1 year	Maximum fine allowable under Regulation .07I of this chapter, suspension for 1 year, and probation for 3 years
   	3	Willfully releasing or willfully authorizing the release of confidential medical records to unauthorized recipients.	$500 fine, suspension for 1 year, and probation for 3 years	Revocation

5. E. Administrator-In-Training Violations by Nursing Home Administrator.

   Severity	Tier	Conduct	Sanction Range
   			Minimum	Maximum
   Least to Greatest	1	Licensee failed to fulfill requirements related to the supervising of an administrator-in-training but was in general compliance.	Reprimand	Maximum fine allowable under Regulation .07I of this chapter and probation for 3 years
   	2	(a) Committed an act involving deliberate falsification or deceit; or (b) Failed to achieve significant compliance with regulatory requirements of the administrator-in-training program.	$500 fine, suspension for 1 year, and probation for 3 years	Revocation

Authority: Health-General Article, §§2-104 and 19-1809; Health Occupations Article, §§1-212, 1-602—1-609, 9-205, 9-313—9-316.1, 9-3A-11—9-3A-17, and
9-401—9-407; State Government Article, §§10-201—10-226; Annotated Code of Maryland

Effective date: January 19, 2026 (53:1 Md. R 22)