Engage Magazine - Spring 2017

Service in S & C Letter: 17-07. The requirements under 42 CFR 483.60 related to Food and Nutrition Services can be found on pages 484 through 516 of the S&C Letter . Changes are indicated by red text. The changes include: • Adding more emphasis on requirements. Consideration of resident’s religious, cultural and ethnic needs, as well as input received from residents or resident groups. • Sufficient staff with appropriate skills and competencies taking into consideration resident assessments, individual plans of care, and the number, acuity and diagnosis of the resident population. • Requirement for a qualified dietician or clinically-qualified nutritional professional (as specified). If the qualified dietician consideration of resident preferences throughout the Food and Nutrition Services

is not full-time, facilities have a short period of time to ensure that their full-time Director of Food and Nutrition Services meets specific qualifications. • Food and Nutrition Services staff must participate on the interdisciplinary team. Assisted Living Facilities Residential Care Facilities for the Elderly (RCFE) are subject to state licensing requirements related to Food Service. The provision of Food Service is one of the basic services required to be provided by RCFEs. Requirements include: • Three nutritionally well-balanced meals and snacks made available daily, including low salt or other modified diets prescribed by a doctor as a medical necessity, as specified in Title 22, Section 87555, Food Service Requirements. Exceptions may be made for weekends and holidays

as long at the required daily food needs are met. • The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. Many LeadingAge California communities offer multiple levels of care (LOC). The different requirements associated with the different LOC, related to food safety, nutrition and dietary services can be confusing, given the different federal, state and local requirements, and jurisdictions involved in oversight. This article does not constitute legal advice. Questions? Contact Jedd Hampton or Brenda Klütz

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