Regulatory Review of Adult Day Services: Final Report - Section 2. South Dakota

08/26/2005

Overview

In South Dakota, adult day care is administered by the South Dakota Department of Social Services Division of Adult Services and Aging (ASA), which provides the service through Older American Act (OAA) funding, the In-Home Services Program, and the State Medicaid Elderly Waiver. The regulations for adult day care apply to providers who have a contractual relationship with the Office of Adult Services and Aging under one of these programs.

South Dakota has no other regulatory structure for adult day care.

Licensure and Certification Requirements

Licensure and Certification Requirements
Licensure Only  ☐ 
Certification Only  ☐ 
Both Required  ☐ 
Other  ☒  an approved contract or signed agreement with ASA

Definitions

OAA Providers

An adult day care center is a facility that provides regular care and supervision to adults away from their homes for part of a 24-hour period.

An adult day care unit of service is 1 hour of regularly scheduled activity in a supervised group setting for an eligible person. Service is provided for a minimum of 6 hours a day, 5 days a week.

Alternative Program Providers

Adult day care provides regular care and protection for adults away from their homes for part of a 24-hour period. This service is defined as regularly scheduled, structured health and social services provided outside an individual's home during the day.

Parameters for Who Can Be Served

The funding programs have different eligibility criteria, which indicate the parameters for who can be served.

OAA providers may serve persons 60 years of age or older who are not capable of full-time independent living because of physical, social, or mental impairment but do not need 24-hour institutional care.

Alternative program providers may serve vulnerable adults with chronic health problems. The provision of services is not permitted if doing so would jeopardized the client's or provider's health or safety.

Medicaid elderly waiver providers may serve clients 65 years of age or older who are residents of a hospital, nursing facility, or intermediate care facility for people with mental retardation (ICF/MR) and have an individual care plan requiring the service.

Inspection and Monitoring

Inspection and Monitoring
Yes  ☒ 
No  ☐ 

The Department may inspect a provider at any time.

Required and Optional Services

  Adult Day Care
Required Optional
Activities of Daily Living (ADL) Assistance  ☒   ☐ 
Health Education and Counseling  ☐   ☒ 
Health Monitoring/Health-Related Services  ☒   ☐ 
Medication Administration  ☒   ☐ 
Nursing Services  ☐   ☒ 
Physical Therapy, Occupational Therapy, or Speech Therapy  ☐   ☒ 
Skilled Nursing Services  ☐   ☒ 
Social Services  ☒   ☐ 
Transportation  ☐   ☒ 

Provisions Regarding Medications

Any staff member may assist with self-administration of medications.

Provisions for Groups with Special Needs

Provisions for Groups with Special Needs
Dementia  ☒ 
Mental Retardation/Developmental Disabilities  ☐ 
Other  ☐ 

Staffing Requirements

OAA Providers

Type of staff. A minimum of 10 hours of nursing shall be provided in the facility per month to provide general consultation and health screening services.

Staffing ratios. The minimum ratio is one-to-six, and one-to-four is required if a high percentage of the adults are severely impaired.

Training Requirements

OAA providers. Ongoing training includes at least four in-service training sessions per year to enhance quality of care and job performance. At the time of employment, and annually, each employee must receive training in the needs of the participants in the center's target population; fire, safety, disaster, and emergency plans; choking prevention and intervention techniques; body mechanics/transfer techniques/ADL assistance; basics of nutritional care, food safety, and safe feeding techniques; and cardiopulmonary resuscitation (CPR) and first aid.

Relevant Medicaid Contracting Requirements for Adult Day Services Providers

South Dakota offers Medicaid-funded adult day care under the Elderly Waiver.

Location of Licensing, Certification, or Other Requirements

  1. http://legis.state.sd.us/rules/rules/6740.htm#67:40:15:01
  2. http://legis.state.sd.us/rules/rules/6744.htm#67:44:02
  3. http://legis.state.sd.us/rules/rules/6744.htm#67:44:03:07

Citations

  1. Adult Day Care Services. State Regulations, Office of Adult Services and Aging. Article 67:40:15. [Undated]
  2. Alternative Care Services. State Regulations. Article 67:44:02. [Undated]
  3. Adult Day Care Services (under Alternative Care Services). State Regulations. Article 67:44:03:07. [Undated]

Additional Information

The provisions cited above relating to inspections, medications, and training are practiced but not documented in the written regulations.

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