Utah Admin. Code R432-150-22 - Food Services
(1) The licensee
shall provide each resident with a safe, palatable, well-balanced diet that
meets the daily nutritional and special dietary needs of each
resident.
(2) The licensee shall
employ enough staff to assist residents to meet their dietary needs.
(3) For food services and practices, the
licensee shall ensure:
(a) there is a
dietitian employed either full-time, part-time, or on a consultant basis to
perform the duties outlined in this section;
(b) the dietitian is certified in accordance
with Title 58, Chapter 49, Dietitian Certification Act;
(c) if a dietitian is not employed full-time,
the administrator designates a full-time person to serve as the dietetic
supervisor;
(d) if the dietetic
supervisor is not a certified dietitian, the dietetic supervisor consults a
certified dietitian at least monthly, according to the needs of each resident
and documents the consultations; and
(e) the dietetic supervisor is available when
the consulting dietitian visits the facility.
(4) The licensee shall develop menus that
meet the nutritional needs of each resident to the extent medically possible
and ensure the menus are:
(a) approved and
signed by a certified dietitian;
(b) cycled no less that every three
weeks;
(c) different each
day;
(d) followed;
(e) posted each day of the week;
and
(f) prepared in
advance.
(5) The licensee
shall keep documentation for at least three months for any served substitutions
to the menu.
(6) The licensee shall
ensure any food sanitation inspection reports of state or local health
department inspections are available for OL review.
(7) The licensee shall ensure the attending
physician or qualified registered dietitian in consultation with the physician,
orders each therapeutic diet in writing, if allowed by facility
policy.
(8) The licensee shall
ensure there is no more than a 14-hour interval between the evening meal and
breakfast, unless a substantial snack is served in the evening.
(9) The licensee shall provide special eating
equipment and assistive devices for each resident who needs them.
(10) The licensee shall ensure the facility's
food service complies with Rule R392-100.
(11) The licensee shall ensure a one-week
supply of nonperishable staple foods and a three-day supply of perishable foods
are maintained to complete the established menu for three meals a day, per
resident.
(12) A nursing care
licensee may use trained dining assistants to aid a resident in eating and
drinking if:
(a) a licensed practical
nurse-geriatric care manager, registered nurse, advance practice registered
nurse, speech pathologist, occupational therapist, or dietitian has assessed
that the resident does not have complicated feeding problems, including
recurrent lung aspirations, behaviors that interfere with eating, difficulty
swallowing, or tube or parenteral feeding; and
(b) the service plan or plan of care
documents that the resident needs assistance with eating and drinking and
defines who is qualified to offer the assistance.
(13) If the nursing care facility uses a
dining assistant, the licensee shall ensure that the dining assistant:
(a) has completed a background screening
pursuant to Rule R432-35;
(b) has
completed a training course from an OL-approved training program; and
(c) performs duties only for a resident who
does not have complicated feeding problems.
(14) A long term care licensee shall submit
the following to OL to become an approved training program:
(a) a copy of the curriculum to be
implemented that meets the requirements of Subsection (13); and
(b) the names and credentials of the
trainers.
(15) The long
term care licensee shall ensure a dietitian training program is approved by OL
if it includes:
(a) appropriate response to
resident behaviors;
(b) assistance
with eating and drinking;
(c)
communication and interpersonal skills;
(d) documentation of type and amount of food
and hydration intake;
(e) eight
hours of instruction for the dining assistant and one hour of observation by
the trainer to ensure competency;
(f) feeding techniques;
(g) infection control;
(h) recognizing resident changes inconsistent
with their normal behavior and the importance in reporting those changes to the
supervisory nurse;
(i) resident
rights;
(j) safety and emergency
procedures including the Heimlich maneuver;
(k) special diets; and
(l) use of adaptive equipment.
(16) The licensee shall issue a
training certificate of completion and maintain a list of the dining assistants
that identifies:
(a) each dining assistant's
name and address;
(b) the telephone
number where the licensee may verify the training; and
(c) the training program provider.
(17) To provide dining assistant
training in an OL-approved training program, the licensee shall ensure a
trainer holds a current valid license to practice as:
(a) a registered dietitian, pursuant to Title
58, Chapter 49, Dietitian Certification Act;
(b) a registered nurse, advanced practice
registered nurse, or licensed practical nurse-geriatric care manager pursuant
to Title 58, Chapter 31b, Nurse Practice Act;
(c) a speech-language pathologist, pursuant
to Title 58, Chapter 41, Speech-Language Pathology and Audiology Licensing Act;
or
(d) an occupational therapist,
pursuant to Title 58, Chapter 42a, Occupational Therapy Practice Act.
(18) The licensee may suspend a
training program if the program's courses do not meet the requirements of this
rule.
(19) The licensee may suspend
a training program operated by a nursing care facility if:
(a) a federal or state survey reveals failure
to comply with regulations or rules regarding feeding or dining assistant
programs;
(b) OL determines that
the licensee is in continuous or chronic noncompliance under rule or that the
licensee has provided sub-standard quality of care under regulation;
(c) OL sanctions the facility for any reason;
or
(d) the licensee fails to
provide sufficient, competent staff to respond to emergencies.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.