<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.sd27d4183-16af-4862-8f9f-5a3ba89b442aP0 { 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.sd27d4183-16af-4862-8f9f-5a3ba89b442aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd27d4183-16af-4862-8f9f-5a3ba89b442a000003 { 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="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:05:06"><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">44</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">:</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">70</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">:</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">05</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">:</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000000">06</span></a><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000001">.  Total activities of daily living assistance.</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> A facility may admit or retain a resident who requires one or two </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">personnel</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> for total assistance with completing activities of daily living. Each direct care </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">personnel</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> shall complete an approved certified nurse aide training program pursuant to article </span><a href="https://sdlegislature.gov/Rules?Rule=44:74"><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000002">44:74</span></a><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> or </span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">an </span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">equivalent program approved by the department before assisting a resident who requires total assistance. In the </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">facility</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">, the registered nurse may be the program coordinator and the primary instructor. The nurse shall conduct and document a nursing assessment </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">for</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> the resident's need of total assistance initially upon requiring the services, upon a significant change in the resident's condition, and at least semi-annually. The facility shall have a nurse to work the day shift at least </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">thirty-two</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> hours </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">per</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> week when any resident requires the assistance of two </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">personnel</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">. A nurse </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">must</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> be on call at all times. A facility </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">that</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> provides total assistance is not eligible for a staffing exception allowed under §</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=44:70:03:02.01"><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000002">44:70:03:02.01</span></a><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">. If a mechanical lift is used, </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">the lift must</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> be operated by at least two </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">personnel</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> with training </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">on</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> the use of the mechanical lift. </span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">The facility must document training provided to personnel on the use of the lift. </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">A resident toileting room and bathing room must be large enough to accommodate two</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">-</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">person assistance.</span></p><p dir="ltr" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442a000003"> </span></p><p dir="ltr" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">    </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000001">Source:</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> 46 SDR 65, effective November 26, 2019</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">; 50 SDR 19, effective August 30, 2023</span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">.</span></p><p dir="ltr" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">    </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000001">General Authority:</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000002">34-12-13</span></a><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">(5)(14).</span></p><p dir="ltr" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">    </span><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000001">Law Implemented:</span><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0-000002">34-12-13</span></a><span class="sd27d4183-16af-4862-8f9f-5a3ba89b442aC0">.</span></p><p dir="ltr" class="sd27d4183-16af-4862-8f9f-5a3ba89b442aP0"><span xml:space="preserve" class="sd27d4183-16af-4862-8f9f-5a3ba89b442a000003"> </span></p></div></body></html>