<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.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0 { 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.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000003 { 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="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:05:02"><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000000">44:73:05:02</span></a><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000001">.  Admissions.</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">A facility may admit a</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> resident only on the </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">written </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">order of a physician, physician assistant, or nurse practitioner. </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">T</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">he attending physician, physician assistant, or nurse practitioner shall provide the facility with documented information regarding current medical findings and written orders for the immediate care of the individual</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> that</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> include</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">s</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> a medical evaluation, diagnosis, and rehabilitation potential. </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">A physician, physician assistant, or nurse practioner shall continue to supervise the</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> resident's health care. If a resident transfers from one nursing facility to another while retaining the same physician, physician assistant, or nurse practitioner, the schedule for physician, physician assistant, or nurse </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">practitioner </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">visits </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">must</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> continue</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> and the requirement for the physical examination must be waived.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002"> </span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    The resident </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">must</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> be seen by the attending physician, physician assistant, or nurse practitioner at least once every </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">thirty</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> days for the first </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">ninety</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> days following admission. </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">After ninety days post-</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">admission, the physician, physician assistant, or nurse practitioner shall visit the resident whenever necessary</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">,</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> but the time between visits may not exceed </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">sixty</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> days.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002"> </span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    The facility shall follow the physician visit requirements as outlined in </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">42 C.F.R. § 483.30(c) (September 17, 2024)</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">. A physician may not delegate a task </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">if</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> the regulations specify </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">that </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">the physician </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">must</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> perform </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">the task</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> personally, or </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">if</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> delegation is prohibited under </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">s</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">tate law or by the facility's own policies.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002"> </span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    </span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">The </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">physician, physician assistant, or nurse practitioner</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> shall review t</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">he resident's total care program including medications and treatments during the physician</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">'s</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">, physician assistant</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">'s</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">, or nurse practitioner</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">'s </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">visit.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002"> </span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000001">Source:</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> 14 SDR 81, effective December 10, 1987; 15 SDR 155, effective April 20, 1989; 22 SDR 70, effective November 19, 1995; 27 SDR 59, effective December 17, 2000; 28 SDR 83, effective December 16, 2001; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=44:04:05:01.01"><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000003">44:04:05:01.01</span></a><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">, 42 SDR 51, effective October 13, 2015</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">; 51 SDR 53, effective November 11, 2024</span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000001">General Authority:</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000003">34-12-13</span></a><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">    </span><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000001">Law Implemented:</span><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0-000003">34-12-13</span></a><span class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8C0">.</span></p><p dir="ltr" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8P0"><span xml:space="preserve" class="s022642cb-bc50-4f11-88ec-cbf30f7ff5e8000002"> </span></p></div></body></html>