324

Part III Standards for Compliance

TABLE 21.7 Federal Regulations That May Include Nutritional and/or Dietary Componentsa F-Tag F151

Regulation Resident rights

F223/ 224/225

F240

F241b F242b

F246

F252b F256b F257b F258b F272

F276 F278 F279

F280 F281

F282 F309

F310 F311 F314

F322 F325 Abuse/neglect Quality of life Dignity Self-determination Summary of the Intent of Regulation

Residents have the right to refuse dietary interventions, to choose their own dietary interventions, to decide where they will eat, or to decide their dietary preferences.

Prohibition of mistreatment and the requirement to investigate any allegations

Resident must receive care and services in a manner that promotes maintenance or enhances the quality of life.

Each resident has the right to a dignified life.

A resident can decide where and when to eat and may have a late breakfast if desired.

Accommodation of needs Accommodate individual needs and preferences, including the food a resident receives

Homelike environment Lighting

Comfortable temperature Sound levels

Comprehensive assessment

Quarterly review Accuracy

Resident participation in care plan

Services meet professional standards

Qualified person Quality of care

Activities of daily living Appropriate treatment Pressure sores

NG treatment and restore eating skills

Maintain nutritional status unless unavoidable

Dining areas may be included in this regulation. Adequate lighting in the dining room Comfortable temperature in dining areas

Maintain comfortable sound levels in dining areas.

Proper assessments of all residents; in the QIS process this is investigated in the majority of care pathways

Each resident is reviewed on a quarterly basis. The assessment is accurate.

Comprehensive care plan Each resident has a care plan developed; in the QIS process, this is investigated in the majority of care pathways.

The plan needs to be reviewed/revised with the resident or his or her representative.

The RDN can be held to identified professional standards for the profession.

Ensure the right person is providing the necessary care and services.

Each resident must receive necessary care and services to attain or maintain the highest practicable well-being.

Eating skills; positioning Treatment improves or maintains ADL functions.

The RDN is looked to for nutritional guidance in the care and prevention of pressure ulcers.

The RDN will be expected to assess and provide guidance for this tag.

The RDN will be expected to assess and provide guidance to maintain or restore nutritional status.