<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.s7251ef64-c76f-40e7-ab89-32946aa52ab3P0 { 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.s7251ef64-c76f-40e7-ab89-32946aa52ab3C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7251ef64-c76f-40e7-ab89-32946aa52ab3000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:01:09"><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000000">44:73:01:09</span></a><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000001">.  Modifications.</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">The department may approve modifications</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> to the staffing requirements provided in § </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:03:02"><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000002">44:73:03:02</span></a><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> licensed facilities </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">that</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> are physically combined and jointly operated if:</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3000003"> </span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    (1)  A hospital and nursing facility are co-located and the nursing facility has a licensed bed capacity of </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">sixteen</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> or less or the hospital has an acute care patient daily census of less than five; or</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3000003"> </span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    (2)  A nursing facility and assisted living center are co-located.</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3000003"> </span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">To obtain a modification, the facility must submit a request in writing and explain how the modification will not jeopardize the</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> health and safety of the patients or residents in either facility.</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3000003"> </span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000001">Source:</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> 4 SDR 14, effective September 14, 1977; 6 SDR 93, effective July 1, 1980; 14 SDR 81, effective December 10, 1987; 15 SDR 155, effective April 20, 1989; 22 SDR 70, effective November 19, 1995; 26 SDR 96, effective January 23, 2000; 29 SDR 81, effective December 11, 2002; 38 SDR 115, effective January 9, 2012; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:01:08"><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000002">44:04:01:08</span></a><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">, 42 SDR 51, effective October 13, 2015</span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">; 51 SDR 53, effective November 11, 2024</span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">.</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000001">General Authority:</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000002">34-12-13</span></a><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">.</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">    </span><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000001">Law Implemented:</span><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0-000002">34-12-13</span></a><span class="s7251ef64-c76f-40e7-ab89-32946aa52ab3C0">.</span></p><p dir="ltr" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3P0"><span xml:space="preserve" class="s7251ef64-c76f-40e7-ab89-32946aa52ab3000003"> </span></p></div></body></html>