<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.s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0 { 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.s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; 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margin: 0; padding: 0; } span.s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000005 { color: #0000FF; background: #FFFFFF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000006 { color: black; background: #FFFFFF; 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="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:90:12:09"><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000000">44:90:12:09</span></a><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001">.  </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3">Determination of serious violation</span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001">.</span><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0"> </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3-000002">When determining if a violation is a serious violation, the department shall consider:</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864000003"> </span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">(1)  The nature and gravity of the violation;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    (2)  The </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3-000002">willfulness and deliberateness of the violation</span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3-000002">;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    (3)  </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3-000002">The actual or potential harm to patient health or safety or an establishment agent;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C3-000002">    (4)  </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">Any prior violations by an establishment</span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">    (5)  The duration of the violation;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">    (6)  The number and nature of current violations;</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">    (7)  The likelihood of reoccurrence of the violation; and</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">    (8)  </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C4">Any other factor associated with the violation that adversely impacts patient health or safety.</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864000003"> </span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001">Source:</span><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0"> </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">52 SDR 10, effective August 4, 2025</span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">.</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001">General Authority:</span><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-72"><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000004">34-20G-72</span></a><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">(4)(6).</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">    </span><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000001">Law Implemented:</span><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-72"><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000005">34-20G-72</span></a><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000006">(4), </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-80"><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000005">34-20G-80</span></a><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000006">(2), </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20G-84"><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0-000005">34-20G-84</span></a><span class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864C0">.</span></p><p dir="ltr" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864P0"><span xml:space="preserve" class="s495c7539-51be-4ce7-8f68-a5dbfa6f4864000003"> </span></p></div></body></html>