South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:45 - Nursing facility level of care and claims
Chapter 67:45:03 - Case mix validation process
Section 67:45:03:01 - Definitions

Universal Citation: SD Admin Rules 67:45:03:01

Current through Register Vol. 50, page 114, March 25, 2024

Terms used in this chapter mean:

(1) "Case mix," the mixture of residents of different classifications within a nursing facility;

(2) "Classification," a system of mutually exclusive categories that relate a resident's needs to the resident's cost of care;

(3) "Nurse consultant," a registered nurse employed by the department to validate resident classifications used to establish payment levels for the facility;

(4) "Nursing facility," a facility licensed as a nursing facility by the Department of Health and maintained and operated for the express or implied purpose of providing care to one or more persons, whether for consideration or not, who are not acutely ill but require nursing care and related medical services of such complexity as to require professional nursing care under the direction of a physician twenty-four hours a day; and

(5) "Assessment," a comprehensive assessment of the functional, medical, mental, nursing, and psychosocial needs of a resident of a nursing facility and includes admission, readmission, and discharge information as applicable.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1(1)(2).

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