Section 451. Menu And Diet Planning

The facility must provide each resident with at least the minimum food and nutritional needs in accordance with th e Recommended Dietary Allowances established by the Food and Nutrition Board of the National Academy o f Sciences. These recommendations are found in the Idaho Diet Manual incorporated by reference in Section 004 o f these rules. The menu must be adjusted for age, sex, and activity as approved by a registered dietitian. (3-15-22) 01. Menu. The facility must have a menu planned or approved, and signed and dated by a registere d dietitian prior to being served to any resident. The planned menu must meet nutritional standards. (3-15-22) a. Menus will provide a sufficient variety of foods in adequate amounts at each meal; (3-15-22) b. Food selections must include foods that are served in the community and in season. Food selection s and textures should account for residents' preferences, food habits, and physical abilities. (3-15-22) c. The current weekly menu must be posted in a facility common area; and (3-15-22) d. The facility must serve the planned menu. If substitutions are made, the menu must be modified t o reflect the substitutions. (3-15-22) 02. Therapeutic Diets. The facility must have a therapeutic diet menu planned or approved, an d signed and dated by a registered dietitian prior to being served to any resident. (3-15-22) a. The therapeutic diet planned menu, if possible, must meet nutritional standards; (3-15-22) b. The therapeutic diet menu must be planned as close to a regular diet as possible; and (3-15-22) c. The facility must have for each resident on a therapeutic diet, an order from a physician o r authorized provider. (3-15-22) 03. Facilities Licensed for Sixteen Beds or Less. In facilities licensed for sixteen (16) beds or less , menus must be planned in writing at least one (1) week in advance. (3-15-22) 04. Facilities Licensed for Seventeen Beds or More. Facilities licensed for seventeen (17) beds o r more must: (3-15-22) a

ch resident on a therapeutic diet, an order from a physician o r authorized provider. (3-15-22) 03. Facilities Licensed for Sixteen Beds or Less. In facilities licensed for sixteen (16) beds or less , menus must be planned in writing at least one (1) week in advance. (3-15-22) 04. Facilities Licensed for Seventeen Beds or More. Facilities licensed for seventeen (17) beds o r more must: (3-15-22) a. Develop and implement a cycle menu which covers a minimum of two (2) seasons and is four (4) t o five (5) weeks in length; (3-15-22) b. Follow standardized recipes; and (3-15-22) c. Have available in the kitchen a current copy of the Idaho Food Code and Idaho Diet Manual. (3-15-22) 452. -- 454. (RESERVED)