Page:United States Statutes at Large Volume 124.djvu/739

124 STAT. 713 PUBLIC LAW 111–148—MAR. 23, 2010 licensed practical nurse, licensed vocational nurse, certified nursing assistant, therapist, or other medical personnel); ‘‘(2) include resident census data and information on resi- dent case mix; ‘‘(3) include a regular reporting schedule; and ‘‘(4) include information on employee turnover and tenure and on the hours of care provided by each category of certified employees referenced in paragraph (1) per resident per day. Nothing in this subsection shall be construed as preventing the Secretary from requiring submission of such information with respect to specific categories, such as nursing staff, before other categories of certified employees. Information under this subsection with respect to agency and contract staff shall be kept separate from information on employee staffing.’’. SEC. 6107. GAO STUDY AND REPORT ON FIVE-STAR QUALITY RATING SYSTEM. (a) STUDY.—The Comptroller General of the United States (in this section referred to as the ‘‘Comptroller General’’) shall conduct a study on the Five-Star Quality Rating System for nursing homes of the Centers for Medicare & Medicaid Services. Such study shall include an analysis of— (1) how such system is being implemented; (2) any problems associated with such system or its implementation; and (3) how such system could be improved. (b) REPORT.—Not later than 2 years after the date of enactment of this Act, the Comptroller General shall submit to Congress a report containing the results of the study conducted under sub- section (a), together with recommendations for such legislation and administrative action as the Comptroller General determines appro- priate. PART II—TARGETING ENFORCEMENT SEC. 6111. CIVIL MONEY PENALTIES. (a) SKILLED NURSING FACILITIES.— (1) IN GENERAL.—Section 1819(h)(2)(B)(ii) of the Social Security Act (42 U.S.C. 1395i–3(h)(2)(B)(ii)) is amended— (A) by striking ‘‘PENALTIES.—The Secretary’’ and inserting ‘‘PENALTIES.— ‘‘(I) IN GENERAL.—Subject to subclause (II), the Secretary’’; and (B) by adding at the end the following new subclauses: ‘‘(II) REDUCTION OF CIVIL MONEY PENALTIES IN CERTAIN CIRCUMSTANCES.—Subject to subclause (III), in the case where a facility self-reports and promptly corrects a deficiency for which a penalty was imposed under this clause not later than 10 calendar days after the date of such imposition, the Secretary may reduce the amount of the pen- alty imposed by not more than 50 percent. ‘‘(III) PROHIBITIONS ON REDUCTION FOR CER- TAIN DEFICIENCIES.— ‘‘(aa) REPEAT DEFICIENCIES.—The Sec- retary may not reduce the amount of a penalty under subclause (II) if the Secretary had Deadline.