If a significant change occurs for an individual known or suspected to have a preadmission screening and resident review condition, the medicaid-certified nursing facility must initiate a new preadmission screening and resident review utilizing the Level I screen. The referral for a new review must occur within fourteen days of a significant change being identified by the nursing facility.

1. (1) Would not normally resolve itself without intervention by staff or by implementing clinical interventions;
2. (2) Impacts more than one area of the individual's health status; and
3. (3) Requires interdisciplinary review or revision of the care plan.

For purposes of this section, a significant change is a decline or improvement in an individual's status that:

Source: 52 SDR 41, effective October 27, 2025 .

General Authority: SDCL 1-36-25 .

Law Implemented: SDCL 28-6-1 .