<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s20316437-8120-4815-813a-d9dd5e3d0a8eP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s20316437-8120-4815-813a-d9dd5e3d0a8eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s20316437-8120-4815-813a-d9dd5e3d0a8e000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:49"><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000000">67:16:04:49</span></a><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">.  Occupancy.</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> </span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">To determine the </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">nondirect care per diem rate</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> of a facility</span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">, the department shall use the facility's actual occupancy</span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">,</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> or three percent less than the statewide average of all nursing facilities, whichever is greater.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    The department shall waive this provision for the first </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months of operation of a newly constructed facility that does not replace an existing facility. For the second </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months, the occupancy factor used to establish the facility's per diem rate is three percent less than the statewide average of all nursing facilities</span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">,</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> or the facility's actual occupancy for the last quarter of the first </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months prorated to </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months, whichever is greater.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">Source:</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> 15 SDR 68, effective November 7, 1988, effective July 1, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:06.04"><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">67:16:04:06.04</span></a><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">, 21 SDR 8, effective July 25, 1994; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004</span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">; 50 SDR 11, effective August 7, 2023</span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">General Authority:</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">28-6-1</span></a><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">28-6-1</span></a><span class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p></div></body></html>