410 Ind. Admin. Code 16.2-3.1-20

Current through October 31, 2024

Section 410 IAC 16.2-3.1-20 - Dietary services

Authority: IC 16-28-1-7

Affected: IC 16-28-5-1; IC 25-14.5

Sec. 20.

(a) The facility must provide each resident with a nourishing, palatable, well-balanced diet that meets the daily nutritional and special dietary needs of each resident.

(b) The facility must employ a qualified dietitian either full time, part time, or on a consultant basis.

(c) If a qualified dietitian is not employed full time, the facility must designate a qualified person to serve as the director of food service who receives frequently scheduled consultation from a qualified dietitian.

(d) A qualified dietitian is one who is certified under IC 25-14.5. However, a person employed by a health facility as of July 1, 1984, must:

(1) have a bachelor's degree with major studies in food management;

(2) have one (1) year of supervisory experience in the dietetic service of a health care institution; and

(3) participate annually in continuing dietetic education.

(e) The food service director must be one (1) of the following:

(1) A qualified dietitian.

(2) A graduate or student enrolled in and within one (1) year from completing a division approved, minimum ninety (90) hour classroom instruction course that provides classroom instruction in food service supervision who has a minimum of one (1) year experience in some aspect of institutional food service management.

(3) A graduate of a dietetic technician program approved by the American Dietetic Association.

(4) A graduate of an accredited college or university with a degree in foods and nutrition or food administration with a minimum of one (1) year experience in some aspect of food service management.

(5) An individual with training and experience in food service supervision and management in a military service equivalent in content to the program in subdivisions (2), (3), and (4).

(f) The number of consultant dietitian hours shall be commensurate with number of residents, complexity of resident services, and qualifications of food service director with at least the following number of hours being provided:

(1) Four (4) hours every two (2) weeks for a facility of sixty (60) residents or less.

(2) Five (5) hours every two (2) weeks for a facility of sixty-one (61) to ninety (90) residents.

(3) Six (6) hours every two (2) weeks for a facility of ninety-one (91) to one hundred twenty (120) residents.

(4) Seven (7) hours every two (2) weeks for a facility of one hundred twenty-one (121) to one hundred fifty (150) residents.

(5) Eight (8) hours every two (2) weeks for a facility of one hundred fifty-one (151) residents or more.

(g) Sufficient consultant hours shall be provided to allow the dietitian to correlate and integrate the nutritional aspects of resident care services by directing the following functions:

(1) Reviewing the resident's medical history, the comprehensive assessment, and assessing the resident's nutritional status.

(2) Interviewing and counseling the resident.

(3) Recording pertinent resident information on the record.

(4) Developing nutritional care goals.

(5) Conferring in interdisciplinary care planning.

(6) Sharing specialized knowledge with other members of the resident care team.

(7) Developing the regular diets to meet the specialized needs of residents.

(8) Developing therapeutic diets.

(9) Monitoring institutional food preparation and service.

(h) A facility must employ sufficient support personnel competent to carry out the functions of the dietary service.

(i) Menus must:

(1) meet the nutritional needs of residents in accordance with the recommended dietary allowances of the Food and Nutrition Board of the National Research Council, National Academy of Sciences;

(2) be prepared in advance;

(3) be approved by a qualified dietitian; and

(4) be followed.

(j) A current diet manual shall be available.

(k) The regular menu for the facility must be posted or made available to the residents.

(l) For purposes of IC 16-28-5-1, a breach of:

(1) subsection (a) is a deficiency; and

(2) subsection (b), (c), (d), (e), (f), (g), (h), (i), (j), or (k) is a noncompliance.

410 IAC 16.2-3.1-20

Indiana State Department of Health; 410 IAC 16.2-3.1-20; filed Jan 10, 1997, 4:00 p.m.: 20 IR 1546, eff Apr 1, 1997; readopted filed Jul 11, 2001, 2:23 p.m.: 24 IR 4234; readopted filed May 22, 2007, 1:44 p.m.: 20070613-IR-410070141RFA; readopted filed Sep 11, 2013, 3:19 p.m.: 20131009-IR-410130346RFA

Readopted filed 11/13/2019, 3:14 p.m.: 20191211-IR-410190391RFA