State Operations Manual (Pub. 100-07), Ch. 10 § 10005.14
Range of Penalty Amounts - Per Instance
10005.14 – Range of Penalty Amounts - Per Instance
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
Penalties imposed per instance of noncompliance may be assessed for one or more singular
events or instances of condition-level noncompliance that are identified and where the
noncompliance was corrected during the onsite survey. The terminology “per instance” is
not used to suggest that only one instance of noncompliance may be the basis to assess a CMP.
There can be more than one instance of noncompliance identified during a survey. The current
adjusted range for per instance CMPs, as well as the adjusted maximum amount per day, is
posted on the CMS website on the Quality, Safety & Oversight Group webpage at
https://www.cms.gov/Medicare/Provider-Enrollment-and-
Certification/SurveyCertificationGenInfo/Civil-Monetary-Penalties-Annual-Adjustments.