Nursing homes that fail to adhere to the minimum staffing standards in any quarterly period face civil penalties of up to $2,000 per day that they are out of compliance. DOH will provide an opportunity to nursing homes that receive a notice of non-compliance to (i) request a redetermination if an error occurred in the assessment; or (ii) apply for a penalty reduction if the nursing home is able to demonstrate that certain mitigating or aggravating factors are present.