A facility shall have policies and procedures for discharge planning including the person responsible, members of the discharge planning team, a list of all area agencies and resources, and a description of the process. An outside caregiver may be included in any discharge planning conference.
The facility shall initiate planning with applicable agencies to meet identified needs and residents shall be offered assistance to obtain needed services upon discharge. Information necessary for coordination and continuity of care shall be made available to whomever the resident is discharged and to each referral agency as provided by the discharge plan.
S.D. Admin. R. 44:70:04:16
General Authority: SDCL 34-12-13(5) and (14).
Law Implemented: SDCL 34-12-13(5) and (14).