A facility may admit a resident only on the written order of a physician, physician assistant, or nurse practitioner. The 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 that includes a medical evaluation, diagnosis, and rehabilitation potential. A physician, physician assistant, or nurse practioner shall continue to supervise the 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 practitioner visits must continue and the requirement for the physical examination must be waived.

The resident must be seen by the attending physician, physician assistant, or nurse practitioner at least once every thirty days for the first ninety days following admission. After ninety days post-admission, the physician, physician assistant, or nurse practitioner shall visit the resident whenever necessary, but the time between visits may not exceed sixty days.

The facility shall follow the physician visit requirements as outlined in 42 C.F.R. § 483.30(c) (September 17, 2024). A physician may not delegate a task if the regulations specify that the physician must perform the task personally, or if delegation is prohibited under state law or by the facility's own policies.

The physician, physician assistant, or nurse practitioner shall review the resident's total care program including medications and treatments during the physician's, physician assistant's, or nurse practitioner's visit.

Source: 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 § 44:04:05:01.01 , 42 SDR 51, effective October 13, 2015 ; 51 SDR 53, effective November 11, 2024 .

General Authority: SDCL 34-12-13 .

Law Implemented: SDCL 34-12-13 .

Prior versions effective: 2015-10-13.