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29-Apr-2017 12:33

There must be no more than 14 hours between a substantial evening meal and breakfast the following day except as provided in 4 below. When a nourishing snack is provided at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the next day if a resident group agrees to this meal span and a nourishing snack is served.Nourishing snack is defined as a verbal offering of items, single or in combination from the basic food groups. My personal recommendation would be to offer a snack from at least 2 food groups and preferably one that provides some protein, for example: half sandwich with juice or milk, cereal with milk, a milkshake or milk with Lorna Doones, etc.Surveyors will determine noncompliance in any of the following cases: The feeding assistant has not completed a state-approved training program; or is not properly supervised.The facility has not selected an appropriate resident to receive paid feeding assistance; and/or has not maintained records indicating all paid feeding assistants have completed a training course.Born out of the nightmare that was our story, our foundation rests on the single question.Too many families experience the nightmare of having a child go missing. I know what it is like to think that one false move may lead to not only your own death but the death of family members as well.Could you tell me what the requirements are currently for spacing of the evening meal and the next day's breakfast in long term care?My understanding was that it can not exceed 14 hours unless there is a bed time snack offered, in which case it could be 15 hours. The State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care Facilities, tag F368 Frequency of meals states that each resident receives and the facility provides at least three meals daily, at regular times comparable to normal mealtimes in the community.

That is why the “Elizabeth Smart Foundation” was created, because what if we could prevent future crimes against children?

If the residents complain to a surveyor or if a surveyor finds that your facility has issues with weight loss, then they may investigate further.



What if we could prevent future crimes against children? Born out of the nightmare that was our story, our foundation rests on the single question.… continue reading »


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