<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.sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0 { 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.sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000003 { 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="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:04"><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000000">67:45:03:04</span></a><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001">.  </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001">Review</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001"> to validate resident classifications.</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">Every fifteen months, at a minimum, a</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> nurse consultant shall conduct </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">a facility</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> review to validate assessments and classifications. The nurse consultant shall notify the nursing facility of a pending review at least </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">forty-eight</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> hours before the review is conducted. The review may encompass any resident of the nursing facility, regardless of payment source, who</span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">se</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> assessment was completed in the last </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">forty-five to ninety</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> days.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002"> </span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">V</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">alidation </span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">of assessments and classifications </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">is accomplished by reviewing the resident's clinical record, interviewing staff from the nursing facility, and comparing the nurse consultant's findings with the assessment completed by the facility. If a resident to be reviewed no longer liv</span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">es</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> in the facility or is temporarily absent, the nurse consultant may review another resident of the same classification.</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> The nurse consultant may conduct the review onsite at the facility and may observe or interview the resident.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002"> </span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    If the nurse consultant finds an error or inconsistency on the assessment being reviewed, the nurse consultant may review that resident's assessments completed during the prior </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">twelve</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> months.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002"> </span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    If the nurse consultant identifies </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">errors or irregularities</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> in any one classification, the nurse consultant may expand the review to include resident assessments completed for residents of the same classification. This expanded review may include residents who have since died or been discharged from the facility.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002"> </span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001">Source:</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> 26 SDR 21, effective August 24, 1999</span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">; 50 SDR 11, effective August 7, 2023</span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001">General Authority:</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000003">28-6-1</span></a><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">    </span><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000001">Law Implemented:</span><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0-000003">28-6-1</span></a><span class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fC0">.</span></p><p dir="ltr" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101fP0"><span xml:space="preserve" class="sfe0d2b85-3574-42d0-a439-59fcb3ed101f000002"> </span></p></div></body></html>