<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.s6dba375e-1c00-40b4-95d2-94eeb0948000P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s6dba375e-1c00-40b4-95d2-94eeb0948000P0-000004 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: Times; font-size: 10pt; line-height: 108%; } span.s6dba375e-1c00-40b4-95d2-94eeb0948000000005 { color: black; background: white; font-size: 10pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:01:09"><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000000">44:75:01:09</span></a><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000001">.  Modifications.</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">The department may approve m</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">odifications to the staffing requirements provided in § </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:03:02"><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000002">44:75:03:02</span></a><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> or </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:06:05"><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000002">44:75:06:05</span></a><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> for facilities </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">that</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> are physically combined and jointly operated if:</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    (1)  A hospital and nursing facility are co-located and the nursing facility has a licensed bed capacity of </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">sixteen</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> or less or the hospital has an acute care patient daily census of less than five: or</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    (2)  A hospital and assisted living center are co-located.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    The health and safety of the patients in either facility may not be jeopardized.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    Modifications to the staffing requirements in this article may be approved by the department for a critical access hospital if there are no acute care or swing bed patients present.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    A modification specified by this section may be requested by the health care facility.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000003"> </span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000001">Source:</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> 42 SDR 51, effective October 13, 2015</span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">; 50 SDR 62, effective November 27, 2023</span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000001">General Authority:</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000002">34-12-13</span></a><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">(5)(14).</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">    </span><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000001">Law Implemented:</span><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0-000002">34-12-13</span></a><span class="s6dba375e-1c00-40b4-95d2-94eeb0948000C0">.</span></p><p dir="ltr" class="s6dba375e-1c00-40b4-95d2-94eeb0948000P0-000004"><span xml:space="preserve" class="s6dba375e-1c00-40b4-95d2-94eeb0948000000005"> </span></p></div></body></html>