<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.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0 { 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.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0-000003 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } span.sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000004 { 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="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:04:18"><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000000">44:73:04:18</span></a><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000001">.  Discharge planning.</span><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0"> </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">A facility shall have an effective discharge planning process that includes the discharging resident and the resident's caregiver or support person as an active partner for post-discharge care. The discharge planning process and discharge plan must</span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">:</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002"> </span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    (1)  </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">Be consistent with the resident's goals and treatment preferences</span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">;</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    (2)  </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">Ensure an effective transition of the resident from the facility to discharge care; and</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    (3)  </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">Reduce the factors leading to preventable readmission to the facility</span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002"> </span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">The facility shall have policies and procedures to support the discharge planning process that outline the person responsible for discharge planning, members of the discharge planning team, a list of all area agencies and resources, and a description of the process.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002"> </span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0-000003"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    The facility shall initiate planning with applicable agencies to meet the resident's identified needs, and the resident must be offered assistance to obtain needed services prior to discharge.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002"> </span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000001">Source:</span><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0"> 22 SDR 70, effective November 19, 1995; 26 SDR 96, effective January 23, 2000; 38 SDR 115, effective January 9, 2012; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:04:17"><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000004">44:04:04:17</span></a><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">, 42 SDR 51, effective October 13, 2015</span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">; 51 SDR 53, effective November 11, 2024</span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000001">General Authority:</span><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000004">34-12-13</span></a><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">    </span><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000001">Law Implemented:</span><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0-000004">34-12-13</span></a><span class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5C0">.</span></p><p dir="ltr" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5P0"><span xml:space="preserve" class="sa44edafb-e2b3-40c3-ac9b-5da40624cbc5000002"> </span></p></div></body></html>