1. (1)(a) A remote-rural general acute licensee with a federal swing-bed designation may provide respite services to provide intermittent, time-limited care to give a primary caretaker relief from the demands of caring for an individual.

   1. (b) The licensee may only provide respite care services if the licensee complies with this section.
   2. (c) If the licensee provides respite care to an individual for longer than 14 consecutive days, the licensee shall admit the individual as an inpatient and is subject to the requirements of this rule applicable to non-respite inpatient admissions.
2. (2) The licensee may provide respite services at an hourly rate or daily rate.
3. (3) The licensee shall coordinate the delivery of respite services with the recipient of services, case manager, if one exists, and the family member or primary caretaker.
4. (4) The licensee shall document the individual's response to the respite placement and coordinate with provider agencies to ensure an uninterrupted service delivery program.

5. (5) The licensee shall complete:

   1. (a) a Level 1 pre-admission screening upon the person's admission for respite services; and

   2. (b) a service agreement that will serve as the plan of care and identifies:

      1. (i) diet orders;
      2. (ii) need for assistance for activities of daily living;
      3. (iii) physician treatment orders; and
      4. (iv) prescribed medications.

6. (6) The licensee shall have written policies and procedures that are available to staff regarding the respite care patients to include:

   1. (a) behavior management interventions;
   2. (b) handling patient funds;
   3. (c) medication administration;
   4. (d) notification of a responsible person in the event of an emergency;
   5. (e) philosophy of respite services;
   6. (f) post-service summary;
   7. (g) service agreement and admission criteria; and
   8. (h) training and in-service requirements for employees.
7. (7) The licensee shall provide a copy of the resident rights to the patient upon admission.

8. (8) The licensee shall maintain a record for each patient who receives respite services that includes:

   1. (a) a service agreement;
   2. (b) a post-service summary;
   3. (c) any accident and injury report;
   4. (d) demographic information and patient identification data;
   5. (e) nursing notes;
   6. (f) physician treatment orders; and
   7. (g) records made by staff regarding daily care of the patient in-service.
9. (9) If a patient has an advanced directive, the licensee shall file a copy of the directive in the record and inform staff.
10. (10) The licensee shall ensure that retention and storage of records complies with this rule.
11. (11) The licensee shall provide for confidentiality and release of information in accordance with this rule.

KEY: health care facilities

Date of Last Change: June 5, 2026

Notice of Continuation: August 22, 2025

Authorizing, and Implemented or Interpreted Law: 26B-1-202; 26B-2-202; 26B-2-203