Dec 12, 2017
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CMS finalizes Long Term Care Regulations

CMS has published the final rules of the new Survey Requirements for Participation, and although the entire rule will be phased in over a 3 year period, Phase 1 of the rule becomes effective this November 28, 2016 and SNF’s are expected to be in compliance.   These final rules include changes for Food and Nutrition … [ Read More ]

Dietitian’s Role in Reducing Hospital Readmissions

Skilled nursing facilities are now included in the complex process of reducing hospital readmissions for the residents where we are providing care.  As of July 1, 2016, the frequency of residents returning to the hospital within 30 days for further treatment is being tracked and financial penalties are at risk. These will be assessed if … [ Read More ]

Is Your Dietary Department Compliant?

With the regulations, that is. Nursing facilities are required to follow state and federal regulations and are subject to inspection by the state in order to be licensed and to participate in Medicare and Medicaid. In order to provide the best care possible and to avoid costly fines, compliance with the regulations is a top … [ Read More ]

Most cited dietary citations in Illinois

The Illinois Department of Public Health has recently listed the most common citations (in order) over the past six months. Please note that this list includes citations that may not necessarily be “in the kitchen,” but are nutrition related. For further clarification of these F-tags, please review the State Operations Manual. The most common citations are … [ Read More ]

Handling a Food Recall

A food recall can occur when there is reason to believe that a food may cause consumers to become ill. A food manufacturer or distributor will initiate the recall to remove the foods off the market. Sometimes food recalls are requested by government agencies such as the FDA or USDA. Food that is recalled will … [ Read More ]

F322: Meeting the Expectations at Your Next Survey

The Federal Regulatory Language:  “Based on the comprehensive assessment of a resident, the facility must ensure that a resident who has been able to eat enough alone or with assistance is not fed by naso-gastric tube unless the resident’s clinical condition demonstrates that use of a naso-gastric tube was unavoidable; and a resident who is … [ Read More ]

Getting your staff ready for the state survey BEFORE it happens

Nothing gets the nerves going more than hearing “the state is here”. Every administrator, director of nursing, MDS coordinator or food service director is aware of when their “window” is open for state to conduct their annual survey. We know once the survey starts, surveyors will probably be in the facility for 3-5 days on … [ Read More ]

Positive Changes in the School Cafeteria

When students sit down for lunch this fall there will be some changes. The new meal standards for schools became effective July 1, 2012. The new nutrition standards call for more meals with fruits and vegetable and whole grains. The standards also want school meals to provide less calories, sodium and fat. The health and … [ Read More ]

The New Dining Practice Standards

The Pioneer Network is an organization that is committed to changing the culture in long term care facilities. Last year they brought together a variety of organizations and agencies to develop food and dining practice standards that focus on personal choice while supporting safety and quality of care. Many of us that work in long … [ Read More ]

Food Safety Modernization Act

The President recently signed the Food Safety Modernization Act. The passage of this legislation set in motion sweeping improvements to the security and safety of our nation’s food supply. Each year, close to 73 million Americans experience a food borne illness, close to 325,000 are hospitalized and over 5,000 deaths occur. The historic legislation the … [ Read More ]

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