{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2025\/code-json\/32.1-127.01.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2025\/code-text\/32.1-127.01.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2025\/code-xml\/32.1-127.01.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2025\/code-html\/32.1-127.01.html"}],"law_id":63277,"edition_id":1,"section_id":63277,"structure_id":12729,"section_number":"32.1-127.01","catch_line":"Regulations to authorize certain disciplinary actions and guidelines","history":"1989, c. 618; 2012, cc. 476, 507; 2025, cc. 166, 180.","full_text":"The regulations established pursuant to \u00a7 32.1-127 shall authorize the Commissioner to initiate court proceedings against nursing homes and certified nursing facilities, except for facilities or units certified as facilities for individuals with intellectual disability. Such proceedings may be initiated by themselves or in conjunction with the sanctions provided in \u00a7\u00a7 32.1-27.3 and 32.1-135.\n\t\tThe Board shall promulgate guidelines for the Commissioner to determine when the imposition of sanctions or initiation of court proceedings as specified in \u00a7 32.1-27.1, or both, are appropriate in order to ensure prompt correction of violations involving noncompliance with requirements of state or federal law or regulation as discovered on any inspection conducted by the Department of Health pursuant to the provisions of this article or the provisions of Title XVIII or Title XIX of the Social Security Act or as discovered on any inspection conducted by the Department of Medical Assistance Services pursuant to Title XIX of the Social Security Act.","order_by":null,"text":{"0":{"id":230614,"text":"The regulations established pursuant to \u00a7 32.1-127 shall authorize the Commissioner to initiate court proceedings against nursing homes and certified nursing facilities, except for facilities or units certified as facilities for individuals with intellectual disability. Such proceedings may be initiated by themselves or in conjunction with the sanctions provided in \u00a7\u00a7 32.1-27.3 and 32.1-135.\n\t\tThe Board shall promulgate guidelines for the Commissioner to determine when the imposition of sanctions or initiation of court proceedings as specified in \u00a7 32.1-27.1, or both, are appropriate in order to ensure prompt correction of violations involving noncompliance with requirements of state or federal law or regulation as discovered on any inspection conducted by the Department of Health pursuant to the provisions of this article or the provisions of Title XVIII or Title XIX of the Social Security Act or as discovered on any inspection conducted by the Department of Medical Assistance Services pursuant to Title XIX of the Social Security Act.","type":"section","prefixes":[""],"prefix":"","entire_prefix":"","prefix_anchor":"","level":1}},"ancestry":[{"id":12729,"edition_id":1,"name":"Hospital and Nursing Home Licensure and Inspection","identifier":"1","label":"article","depth":3,"order_by":1,"parent_id":12728,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202857,"object_type":"structure","relational_id":12729,"identifier":"1","token":"32.1\/5\/1","url":"\/32.1\/5\/1\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12728,"edition_id":1,"name":"Regulation of Medical Care Facilities and Services","identifier":"5","label":"chapter","depth":2,"order_by":1,"parent_id":12727,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":202855,"object_type":"structure","relational_id":12728,"identifier":"5","token":"32.1\/5","url":"\/32.1\/5\/","edition_id":1,"permalink":0,"preferred":1}},{"id":12727,"edition_id":1,"name":"Health","identifier":"32.1","label":"title","depth":1,"order_by":1,"parent_id":null,"metadata":{},"date_created":"2026-06-26 03:43:50","date_modified":"2026-06-26 03:43:50","permalink":{"id":201099,"object_type":"structure","relational_id":12727,"identifier":"32.1","token":"32.1","url":"\/32.1\/","edition_id":1,"permalink":0,"preferred":1}}],"structure_contents":[{"id":80727,"structure_id":12729,"section_number":"32.1-123","catch_line":"(Effective January 1, 2026) Definitions","url":"\/32.1-123\/","token":"32.1\/5\/1\/32.1-123","metadata":false},{"id":75042,"structure_id":12729,"section_number":"32.1-124","catch_line":"Exemptions","url":"\/32.1-124\/","token":"32.1\/5\/1\/32.1-124","metadata":false},{"id":58545,"structure_id":12729,"section_number":"32.1-125","catch_line":"Establishment or operation of hospitals and nursing homes prohibited without license or certification; licenses not transferable","url":"\/32.1-125\/","token":"32.1\/5\/1\/32.1-125","metadata":false},{"id":63548,"structure_id":12729,"section_number":"32.1-125.01","catch_line":"Failing to report; penalty","url":"\/32.1-125.01\/","token":"32.1\/5\/1\/32.1-125.01","metadata":false},{"id":59071,"structure_id":12729,"section_number":"32.1-125.1","catch_line":"Inspection of hospitals by state agencies generally","url":"\/32.1-125.1\/","token":"32.1\/5\/1\/32.1-125.1","metadata":false},{"id":78537,"structure_id":12729,"section_number":"32.1-125.2","catch_line":"Disclosure of other providers of services","url":"\/32.1-125.2\/","token":"32.1\/5\/1\/32.1-125.2","metadata":false},{"id":58917,"structure_id":12729,"section_number":"32.1-125.3","catch_line":"Bed capacity and licensure in hospitals designated as critical access hospitals; designation as rural hospital","url":"\/32.1-125.3\/","token":"32.1\/5\/1\/32.1-125.3","metadata":false},{"id":55275,"structure_id":12729,"section_number":"32.1-125.4","catch_line":"Retaliation or discrimination against complainants","url":"\/32.1-125.4\/","token":"32.1\/5\/1\/32.1-125.4","metadata":false},{"id":70129,"structure_id":12729,"section_number":"32.1-125.5","catch_line":"Confidentiality of complainant's identity","url":"\/32.1-125.5\/","token":"32.1\/5\/1\/32.1-125.5","metadata":false},{"id":60850,"structure_id":12729,"section_number":"32.1-126","catch_line":"Commissioner to inspect and to issue licenses to or assure compliance with certification requirements for hospitals, nursing homes, and certified nursing facilities; notice of denial of license; consultative advice and assistance; notice to electric utilities","url":"\/32.1-126\/","token":"32.1\/5\/1\/32.1-126","metadata":false},{"id":77692,"structure_id":12729,"section_number":"32.1-126.01","catch_line":"Employment for compensation of persons convicted of barrier crimes prohibited; criminal records check required; suspension or revocation of license","url":"\/32.1-126.01\/","token":"32.1\/5\/1\/32.1-126.01","metadata":false},{"id":57301,"structure_id":12729,"section_number":"32.1-126.02","catch_line":"Hospital pharmacy employees; criminal records check required","url":"\/32.1-126.02\/","token":"32.1\/5\/1\/32.1-126.02","metadata":false},{"id":71970,"structure_id":12729,"section_number":"32.1-126.1","catch_line":"Asbestos inspection for hospitals","url":"\/32.1-126.1\/","token":"32.1\/5\/1\/32.1-126.1","metadata":false},{"id":65858,"structure_id":12729,"section_number":"32.1-126.2","catch_line":"Fire suppression systems required in nursing facilities and nursing homes","url":"\/32.1-126.2\/","token":"32.1\/5\/1\/32.1-126.2","metadata":false},{"id":83484,"structure_id":12729,"section_number":"32.1-126.3","catch_line":"Fire suppression systems required in hospitals","url":"\/32.1-126.3\/","token":"32.1\/5\/1\/32.1-126.3","metadata":false},{"id":70496,"structure_id":12729,"section_number":"32.1-126.4","catch_line":"Hospital standing orders or protocols for certain vaccinations","url":"\/32.1-126.4\/","token":"32.1\/5\/1\/32.1-126.4","metadata":false},{"id":73579,"structure_id":12729,"section_number":"32.1-126.5","catch_line":"Consolidation of inspections","url":"\/32.1-126.5\/","token":"32.1\/5\/1\/32.1-126.5","metadata":false},{"id":85883,"structure_id":12729,"section_number":"32.1-127","catch_line":"(Effective January 1, 2026) Regulations","url":"\/32.1-127\/","token":"32.1\/5\/1\/32.1-127","metadata":false},{"id":71680,"structure_id":12729,"section_number":"32.1-127.001","catch_line":"Certain design and construction standards to be incorporated in hospital and nursing home licensure regulations","url":"\/32.1-127.001\/","token":"32.1\/5\/1\/32.1-127.001","metadata":false},{"id":63277,"structure_id":12729,"section_number":"32.1-127.01","catch_line":"Regulations to authorize certain disciplinary actions and guidelines","url":"\/32.1-127.01\/","token":"32.1\/5\/1\/32.1-127.01","metadata":false},{"id":71135,"structure_id":12729,"section_number":"32.1-127.1","catch_line":"Immunity from liability for routine referral for organ and tissue donation","url":"\/32.1-127.1\/","token":"32.1\/5\/1\/32.1-127.1","metadata":false},{"id":81314,"structure_id":12729,"section_number":"32.1-127.1:01","catch_line":"Record storage","url":"\/32.1-127.1_01\/","token":"32.1\/5\/1\/32.1-127.1_01","metadata":false},{"id":56243,"structure_id":12729,"section_number":"32.1-127.1:02","catch_line":"Repealed","url":"\/32.1-127.1_02\/","token":"32.1\/5\/1\/32.1-127.1_02","metadata":false},{"id":58930,"structure_id":12729,"section_number":"32.1-127.1:03","catch_line":"Health records privacy","url":"\/32.1-127.1_03\/","token":"32.1\/5\/1\/32.1-127.1_03","metadata":false},{"id":84892,"structure_id":12729,"section_number":"32.1-127.1:04","catch_line":"Use or disclosure of certain protected health information required","url":"\/32.1-127.1_04\/","token":"32.1\/5\/1\/32.1-127.1_04","metadata":false},{"id":78997,"structure_id":12729,"section_number":"32.1-127.1:05","catch_line":"Breach of medical information notification","url":"\/32.1-127.1_05\/","token":"32.1\/5\/1\/32.1-127.1_05","metadata":false},{"id":55917,"structure_id":12729,"section_number":"32.1-127.2","catch_line":"Repealed","url":"\/32.1-127.2\/","token":"32.1\/5\/1\/32.1-127.2","metadata":false},{"id":77664,"structure_id":12729,"section_number":"32.1-127.3","catch_line":"Immunity from liability for certain free health care services","url":"\/32.1-127.3\/","token":"32.1\/5\/1\/32.1-127.3","metadata":false},{"id":59266,"structure_id":12729,"section_number":"32.1-128","catch_line":"Applicability to hospitals and nursing homes for practice of religious tenets","url":"\/32.1-128\/","token":"32.1\/5\/1\/32.1-128","metadata":false},{"id":70347,"structure_id":12729,"section_number":"32.1-129","catch_line":"Application for license","url":"\/32.1-129\/","token":"32.1\/5\/1\/32.1-129","metadata":false},{"id":54055,"structure_id":12729,"section_number":"32.1-130","catch_line":"Fees; Hospital and Nursing Home Licensure and Inspection Program Fund","url":"\/32.1-130\/","token":"32.1\/5\/1\/32.1-130","metadata":false},{"id":76878,"structure_id":12729,"section_number":"32.1-131","catch_line":"Expiration and renewal of licenses","url":"\/32.1-131\/","token":"32.1\/5\/1\/32.1-131","metadata":false},{"id":83021,"structure_id":12729,"section_number":"32.1-132","catch_line":"(Effective July 1, 2028) Alterations or additions to hospitals and nursing homes; when new license required; use of inpatient hospital beds for furnishing skilled care services","url":"\/32.1-132\/","token":"32.1\/5\/1\/32.1-132","metadata":false},{"id":81019,"structure_id":12729,"section_number":"32.1-133","catch_line":"Display of license","url":"\/32.1-133\/","token":"32.1\/5\/1\/32.1-133","metadata":false},{"id":82010,"structure_id":12729,"section_number":"32.1-133.1","catch_line":"Human trafficking hotline; posted notice required; civil penalty","url":"\/32.1-133.1\/","token":"32.1\/5\/1\/32.1-133.1","metadata":false},{"id":76056,"structure_id":12729,"section_number":"32.1-134","catch_line":"Family planning information in hospitals providing maternity care","url":"\/32.1-134\/","token":"32.1\/5\/1\/32.1-134","metadata":false},{"id":73607,"structure_id":12729,"section_number":"32.1-134.01","catch_line":"Certain information required for maternity patients","url":"\/32.1-134.01\/","token":"32.1\/5\/1\/32.1-134.01","metadata":false},{"id":87288,"structure_id":12729,"section_number":"32.1-134.02","catch_line":"Infants; blood sample provided to parents","url":"\/32.1-134.02\/","token":"32.1\/5\/1\/32.1-134.02","metadata":false},{"id":70187,"structure_id":12729,"section_number":"32.1-134.03","catch_line":"Maternal health; protocols and resources for hospitals and outpatient providers; report","url":"\/32.1-134.03\/","token":"32.1\/5\/1\/32.1-134.03","metadata":false},{"id":65119,"structure_id":12729,"section_number":"32.1-134.1","catch_line":"When denial, etc., to duly licensed physician of staff membership or professional privileges improper","url":"\/32.1-134.1\/","token":"32.1\/5\/1\/32.1-134.1","metadata":false},{"id":71090,"structure_id":12729,"section_number":"32.1-134.2","catch_line":"Clinical privileges for certain practitioners","url":"\/32.1-134.2\/","token":"32.1\/5\/1\/32.1-134.2","metadata":false},{"id":68078,"structure_id":12729,"section_number":"32.1-134.3","catch_line":"Response to applications for clinical privileges","url":"\/32.1-134.3\/","token":"32.1\/5\/1\/32.1-134.3","metadata":false},{"id":55369,"structure_id":12729,"section_number":"32.1-134.4","catch_line":"Right of podiatrists or advanced practice registered nurses to injunction","url":"\/32.1-134.4\/","token":"32.1\/5\/1\/32.1-134.4","metadata":false},{"id":75670,"structure_id":12729,"section_number":"32.1-135","catch_line":"Revocation or suspension of license or certification of hospital or certified nursing facility; restriction or prohibition of new admissions to certified nursing facility","url":"\/32.1-135\/","token":"32.1\/5\/1\/32.1-135","metadata":false},{"id":77485,"structure_id":12729,"section_number":"32.1-135.1","catch_line":"Certain advertisements prohibited","url":"\/32.1-135.1\/","token":"32.1\/5\/1\/32.1-135.1","metadata":false},{"id":83084,"structure_id":12729,"section_number":"32.1-135.2","catch_line":"Offer or payment of remuneration in exchange for referral prohibited","url":"\/32.1-135.2\/","token":"32.1\/5\/1\/32.1-135.2","metadata":false},{"id":53943,"structure_id":12729,"section_number":"32.1-136","catch_line":"Violation; penalties","url":"\/32.1-136\/","token":"32.1\/5\/1\/32.1-136","metadata":false},{"id":68332,"structure_id":12729,"section_number":"32.1-137","catch_line":"Certification of medical care facilities under Title XVIII of Social Security Act","url":"\/32.1-137\/","token":"32.1\/5\/1\/32.1-137","metadata":false},{"id":59084,"structure_id":12729,"section_number":"32.1-137.01","catch_line":"Posting of charity care policies","url":"\/32.1-137.01\/","token":"32.1\/5\/1\/32.1-137.01","metadata":false},{"id":76816,"structure_id":12729,"section_number":"32.1-137.010","catch_line":"Financial assistance; payment plans","url":"\/32.1-137.010\/","token":"32.1\/5\/1\/32.1-137.010","metadata":false},{"id":75514,"structure_id":12729,"section_number":"32.1-137.011","catch_line":"Childbirth; postpartum process; doulas","url":"\/32.1-137.011\/","token":"32.1\/5\/1\/32.1-137.011","metadata":false},{"id":65869,"structure_id":12729,"section_number":"32.1-137.02","catch_line":"Hospital discharge procedures","url":"\/32.1-137.02\/","token":"32.1\/5\/1\/32.1-137.02","metadata":false},{"id":65455,"structure_id":12729,"section_number":"32.1-137.03","catch_line":"Discharge planning; designation of individual to provide care","url":"\/32.1-137.03\/","token":"32.1\/5\/1\/32.1-137.03","metadata":false},{"id":79498,"structure_id":12729,"section_number":"32.1-137.04","catch_line":"Patient notice of observation or outpatient status","url":"\/32.1-137.04\/","token":"32.1\/5\/1\/32.1-137.04","metadata":false},{"id":60024,"structure_id":12729,"section_number":"32.1-137.05","catch_line":"Information regarding standard charges; advance estimate of patient payment amount for elective procedure, test, or service","url":"\/32.1-137.05\/","token":"32.1\/5\/1\/32.1-137.05","metadata":false},{"id":65804,"structure_id":12729,"section_number":"32.1-137.06","catch_line":"Lyme disease test result information","url":"\/32.1-137.06\/","token":"32.1\/5\/1\/32.1-137.06","metadata":false},{"id":61126,"structure_id":12729,"section_number":"32.1-137.07","catch_line":"Violations of certain provisions; penalty","url":"\/32.1-137.07\/","token":"32.1\/5\/1\/32.1-137.07","metadata":false},{"id":81633,"structure_id":12729,"section_number":"32.1-137.08","catch_line":"Medical care facilities; persons with disabilities; designated support persons","url":"\/32.1-137.08\/","token":"32.1\/5\/1\/32.1-137.08","metadata":false},{"id":80169,"structure_id":12729,"section_number":"32.1-137.09","catch_line":"Hospital emergency department CPT code data reporting","url":"\/32.1-137.09\/","token":"32.1\/5\/1\/32.1-137.09","metadata":false}],"previous_section":{"id":71680,"structure_id":12729,"section_number":"32.1-127.001","catch_line":"Certain design and construction standards to be incorporated in hospital and nursing home licensure regulations","url":"\/32.1-127.001\/","token":"32.1\/5\/1\/32.1-127.001","metadata":false},"next_section":{"id":71135,"structure_id":12729,"section_number":"32.1-127.1","catch_line":"Immunity from liability for routine referral for organ and tissue donation","url":"\/32.1-127.1\/","token":"32.1\/5\/1\/32.1-127.1","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/32.1-127.01\/","history_text":"<p>This law was first created in 1989. The record of its establishment is cataloged in chapter 618 of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year. Unfortunately, the 1989 \u201cActs\u201d aren\u2019t available online. It has been modified 2 times. Those modifications are cataloged by \u201cThe Acts of Assembly,\u201d a state publication, by year and chapter. Those modifications that can be read on the General Assembly\u2019s website will be linked accordingly. Those modifications are as follows: in 2012, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?121+ful+CHAP0476\">476<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?121+ful+CHAP0507\">507<\/a>; in 2025, chapters <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?251+ful+CHAP0166\">166<\/a> and <a href=\"https:\/\/legacylis.virginia.gov\/cgi-bin\/legp604.exe?251+ful+CHAP0180\">180<\/a>.<\/p>","references":false,"refers_to":[{"id":85883,"section_number":"32.1-127","catch_line":"(Effective January 1, 2026) Regulations","order_by":null,"url":"\/32.1-127\/"},{"id":75670,"section_number":"32.1-135","catch_line":"Revocation or suspension of license or certification of hospital or certified nursing facility; restriction or prohibition of new admissions to certified nursing facility","order_by":null,"url":"\/32.1-135\/"},{"id":84466,"section_number":"32.1-27.1","catch_line":"Additional civil penalty or appointment of a receiver","order_by":null,"url":"\/32.1-27.1\/"},{"id":77478,"section_number":"32.1-27.3","catch_line":"Sanctions; civil penalty","order_by":null,"url":"\/32.1-27.3\/"}],"permalink":{"id":202935,"object_type":"law","relational_id":63277,"identifier":"32.1-127.01","token":"32.1\/5\/1\/32.1-127.01","url":"\/32.1-127.01\/","edition_id":1,"permalink":0,"preferred":1},"url":"\/32.1-127.01\/","token":"32.1\/5\/1\/32.1-127.01","dublin_core":{"Title":"Regulations to authorize certain disciplinary actions and guidelines","Type":"Text","Format":"text\/html","Identifier":"\u00a7 32.1-127.01","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t<section><p>The regulations established pursuant to \u00a7&nbsp;<a class=\"law\" title=\"(Effective January 1, 2026) Regulations\" href=\"\/32.1-127\/\">32.1-127<\/a> shall authorize the <span class=\"dictionary\">Commissioner<\/span> to initiate <span class=\"dictionary\">court<\/span> proceedings against <span class=\"dictionary\">nursing homes<\/span> and certified nursing facilities, except for facilities or units certified as facilities for individuals with intellectual disability. Such proceedings may be initiated by themselves or in conjunction with the <span class=\"dictionary\">sanctions<\/span> provided in \u00a7\u00a7&nbsp;<a class=\"law\" title=\"Sanctions; civil penalty\" href=\"\/32.1-27.3\/\">32.1-27.3<\/a> and <a class=\"law\" title=\"Revocation or suspension of license or certification of hospital or certified nursing facility; restriction or prohibition of new admissions to certified nursing facility\" href=\"\/32.1-135\/\">32.1-135<\/a>.\n\t\tThe <span class=\"dictionary\">Board<\/span> shall promulgate guidelines for the <span class=\"dictionary\">Commissioner<\/span> to determine when the imposition of <span class=\"dictionary\">sanctions<\/span> or initiation of <span class=\"dictionary\">court<\/span> proceedings as specified in \u00a7&nbsp;<a class=\"law\" title=\"Additional civil penalty or appointment of a receiver\" href=\"\/32.1-27.1\/\">32.1-27.1<\/a>, or both, are appropriate in <span class=\"dictionary\">order<\/span> to ensure prompt correction of violations involving noncompliance with requirements of state or federal <span class=\"dictionary\">law<\/span> or regulation as discovered on any <span class=\"dictionary\">inspection<\/span> conducted by the <span class=\"dictionary\">Department<\/span> of Health pursuant to the provisions of this article or the provisions of Title XVIII or Title XIX of the Social Security Act or as discovered on any <span class=\"dictionary\">inspection<\/span> conducted by the <span class=\"dictionary\">Department<\/span> of Medical Assistance Services pursuant to Title XIX of the Social Security Act.<\/p><\/section>","plain_text":"                                 CODE OF VIRGINIA\n\nREGULATIONS TO AUTHORIZE CERTAIN DISCIPLINARY ACTIONS AND GUIDELINES (\u00a7\n32.1-127.01)\n\nThe regulations established pursuant to \u00a7 32.1-127 shall authorize the\nCommissioner to initiate court proceedings against nursing homes and certified\nnursing facilities, except for facilities or units certified as facilities for\nindividuals with intellectual disability. Such proceedings may be initiated by\nthemselves or in conjunction with the sanctions provided in \u00a7\u00a7 32.1-27.3 and\n32.1-135.\n\t\tThe Board shall promulgate guidelines for the Commissioner to determine when\nthe imposition of sanctions or initiation of court proceedings as specified in\n\u00a7 32.1-27.1, or both, are appropriate in order to ensure prompt correction of\nviolations involving noncompliance with requirements of state or federal law or\nregulation as discovered on any inspection conducted by the Department of Health\npursuant to the provisions of this article or the provisions of Title XVIII or\nTitle XIX of the Social Security Act or as discovered on any inspection\nconducted by the Department of Medical Assistance Services pursuant to Title XIX\nof the Social Security Act.\n\nHISTORY: 1989, c. 618; 2012, cc. 476, 507; 2025, cc. 166, 180.","edition":{"id":1,"name":"2025","slug":"2025","date_created":"2026-06-21 22:39:22","date_modified":"2026-06-21 22:39:22","current":1,"order_by":1,"last_import":null}}