Diets
This diet focuses on controlling a consistent amount of sugars, starches, and SOMETIMES fiber.
What is Carbohydrate Control/CCD/CHO?
Someone on a 1500ml dietary fluid restriction was given 16oz of milk, 12oz of coffee, 4oz gelatin, 1 cup of orange juice, and 1 cup on apple juice in a day. Is this acceptable?
Yes, it is only 1,440 ml of fluid.
This is the most common tag that facilities receive. In encompasses safety and sanitation, labeling, and just about everything else related with day to day operations
What is F812 - Food Procurement, Store/Prepare/Serve ‐ Sanitary?
These 2 tags are in regards to staffing. The first is concerning having a qualified dietary manager. The second has to do with having sufficient staffing to meet the demands of the building.
What is F801 - Qualified Dietary Staff and F802 - Sufficient Dietary Support Personnel?
This term describes difficulty or impairment in swallowing, affecting over 560 million people worldwide
This standardized international framework provides terminology for 6 food textures and 5 drink thicknesses.
What is IDDSI?
This type of care provides specialized end-of-life comfort without curative intent for residents with a prognosis of six months or less
What is hospice care?
This tag is issued if the building does not have an effective, safe, and standardized refuse/garbage disposal practice in place.
What is F814 - Dispose Garbage & Refuse Properly?
My team gave a resident a cheeseburger when they made it clear that they preferred a grilled cheese. The resident also received strawberry short cake even after a strawberry allergy was added to their profile. The facility is going to receive this tag.
What is F806 - Resident Allergies, Preferences and Substitutes?
Under CMS regulations, facilities certified after October 1, 1990 must maintain ambient room temperatures within this specific range.
What is 71 - 81 degrees (Fahrenheit)?
This specific therapeutic diet restricts sodium intake to 2,000 milligrams per day
What is 2gm Na?
Calculate the Body Mass Index (BMI) for a resident who weighs 146 lbs and stands 5 feet 3 inches (63 inches) tall.
Here's a hint: Weight/(height in inches2) x 703
25.8
If I am not serving meals that look good, smell good, taste good, and meet temperature standards, I am at risk of receiving this tag.
What is F804 - Nutritive Value/Appear, Palatable/Prefer Temp?
Under CMS deficiency ranking, this tag level represents the most severe classification, indicating immediate jeopardy to resident health or safety.
What is level J-L?
According to CMS regulations, no more than this many hours may elapse between the evening meal and breakfast without a substantial bedtime snack
What is 14 hours?
Bonus...how many hours can go between meals if THERE IS a substantial snack?
This autoimmune condition involves immune system destruction of the small intestine lining whenever gluten is ingested.
What is celiac disease?
This medical term describes liquid nutritional formula administered directly into the stomach or intestines via a tube, bypassing the mouth.
What is enteral nutrition?
If a Paid Feeding Assistants has not completed a state-approved training course lasting a minimum of 8 hours, the facility will receive this tag.
What is F811 - Paid feeding assistants
A food worker has been keeping their McDonalds in the same cooling unit as a resident's taco bell. Neither are labeled. The facility is at risk of receiving this tag due to not having a dedicated personal food area.
What is F813 - Personal Food Policy?
In long-term care dry storage, food products and supplies must be stored at least this far off the floor, and at least this far from the sprinkler
What is 6 inches and 18 inches?
In the Dysphagia Mechanical Soft consistency which of the following food items is strictly prohibited?
Moist ground beef with gravy
Mashed potatoes
Pureed bread
Corn kernels
Corn kernels
Day 1 weight 160lbs:Day 30 weight 153lbs
Day 1 weight 226lbs: Day 90 weight 223lbs
Day 1 weight 183lbs: Day 180 166lbs
Day 1 weight 226lbs: Day 90 weight 223lbs
Residents are not receiving drinks on their trays. The dining department is at risk of receiving this tag because they are not making drinks available
What is F807 - Dispose Garbage & Refuse Properly?
The resident is prescribed a renal diet as per the MD. The are consistently receiving orange slices, mashed potatoes, and a lot of pasta sauce. They are at risk of receiving this tag
F808 - Therapeutic Diet Prescribed by Physician
Under Medicare's Patient Driven Payment Model (PDPM), nutrition-related patient factors are captured primarily within which two components?
Speech (swallowing issues) and Tube Feeding