<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.s0961fa45-611c-462e-8d23-cb080dbe2a51P0 { 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.s0961fa45-611c-462e-8d23-cb080dbe2a51C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0961fa45-611c-462e-8d23-cb080dbe2a51000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003 { 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="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:09:14"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000000">44:70:09:14</span></a><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001">.  Admission,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001"> readmission,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001"> transfer, and discharge policies.</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> A facility shall establish and maintain policies and </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">procedures</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> for admission,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> readmission,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> discharge, and transfer of residents that prohibit discrimination based upon payment source. The facility shall notify each resident at or before the time of admission of these policies and </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">procedures</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">. The policies and </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">procedures must</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> include the following provisions:</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    (1)  The resident may not be transferred or discharged unless the resident's needs and </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">safety</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> cannot be met by the facility, the resident's health has improved sufficiently so the resident no longer needs the services provided by the facility, the safety or health of persons in the facility is endangered by the resident, the resident has failed to pay for allowable billed services as agreed to, or the facility cease</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">s</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> to operate</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">.</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    The facility shall conduct an evaluation or assessment of each resident to determine if the facility is able to meet the needs of the resident. The determination must be discussed with the resident or the resident's designated representative and documented in accordance with §§ </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:01:05"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003">44:70:01:05</span></a><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:05:03"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003">44:70:05:03</span></a><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">. If the facility is not able to meet the needs of the resident, discharge planning in accordance with § </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:04:16"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003">44:70:04:16</span></a><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> must be coordinated with the facility to which the resident is to be transferred or discharged, the resident, and family member or designated representative to an appropriate level of care to meet the resident's individualized needs;</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    (2)  The facility shall notify the resident </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">or designated representative and state ombudsman</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> in writing at least </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">thirty</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> days before the transfer or discharge</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> of the resident. If</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> the resident's health requires immediate transfer or discharge</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">, the thirty</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> days</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> notice is not required</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">. The written notice </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">must</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> specify the reason</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> effective date</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">,</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> and the location to which the resident will be transferred or discharged;</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> and</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    (3)  </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">The facility shall provide to the resident or designated representative a</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> description of how the resident may appeal a decision by the facility to transfer or discharge the resident</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> including the right to a fair hearing</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">.</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001">Source:</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> 38 SDR 115, effective January 9, 2012; 46 SDR 65, effective November 26, 2019</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">; 50 SDR 19, effective August 30, 2023</span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">.</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001">General Authority:</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003">34-12-13</span></a><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">(15).</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">    </span><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000001">Law Implemented:</span><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0-000003">34-12-13</span></a><span class="s0961fa45-611c-462e-8d23-cb080dbe2a51C0">.</span></p><p dir="ltr" class="s0961fa45-611c-462e-8d23-cb080dbe2a51P0"><span xml:space="preserve" class="s0961fa45-611c-462e-8d23-cb080dbe2a51000002"> </span></p></div></body></html>