Section 300.2010 Director of Food Services

Section 300

Section 300.2010  Director of

Food Services

a)         A full-time person, qualified by training and experience,

shall be responsible for the total food and nutrition services of the

facility.  This person shall be on duty a minimum of 40 hours each week.

1)         This person shall be either a dietitian or a dietetic service

supervisor.

2)         The person responsible for the food service may assume some

cooking duties but only if these duties do not interfere with the

responsibilities of management and supervision.

b)        If the person responsible for food service is not a dietitian,

the person shall have frequent and regularly scheduled consultation from a

dietitian. Consultation, given in the facility, shall include training, as

needed, in areas such as menu planning and review, food preparation, food

storage, food service, safety, food sanitation, and use of food equipment.

Clinical management of therapeutic diets shall also be included in consulting,

covering areas such as tube feeding; nutritional status and requirements of

residents, including weight, height, hematologic and biochemical assessments;

physical limitations; adaptive eating equipment; and clinical observations of

nutrition, nutritional intake, resident's eating habits and preferences, and

dietary restrictions.

1)         Intermediate care facilities:  A minimum of eight hours of

consulting time per month shall be provided for facilities with 50 or fewer

residents.  An additional four minutes of consulting time per month shall be

provided per resident over 50 residents, based on the average daily census for

the previous year.

2)         Skilled nursing facilities:  A minimum of eight hours of

consulting time per month shall be provided for facilities with 50 or fewer

residents.  An additional five minutes of consulting time per month shall be

provided per resident over 50 residents, based on the average daily census for

the previous year.