Nev. Admin. Code § 449.74525 - Dietary services
1. A facility for
skilled nursing shall employ full-time, part-time or as a consultant, a person
who is a licensed dietitian. If a licensed dietitian is not employed full-time,
the facility shall designate a person to serve as the director of food service
who receives frequently scheduled consultations from a licensed
dietitian.
2. A facility shall
employ an adequate number of qualified and competent personnel to provide food
service to the patients in the facility.
3. Menus must be planned in advance and
followed to meet the nutritional needs of the patients in the facility in
accordance with the recommended dietary allowances of the Food and Nutrition
Board of the Health and Medicine Division of the National Academies of
Sciences, Engineering, and Medicine.
4. A facility shall provide to each patient
in the facility:
(a) Food that is prepared to
conserve the nutritional value and flavor of the food.
(b) Food that is nourishing, palatable,
attractive and served at the proper temperature.
(c) A well-balanced diet that meets the daily
nutritional and special dietary needs of the patient.
(d) Who refuses the food that is regularly
served by the facility, a substitute of similar nutritional value.
5. A therapeutic diet served to a
patient by a facility must be prescribed by the attending physician, physician
assistant, dentist, advanced practice registered nurse or podiatric physician
of the patient or ordered by a licensed dietitian.
6. A facility shall serve to each patient in
the facility at least three meals daily, at such times as are comparable to
regular mealtimes within the community in which the facility is located. A
snack must be offered to each patient daily at bedtime. Except as otherwise
provided in this subsection, breakfast must be served not more than 14 hours
after the previous evening meal. If a nourishing snack is served at bedtime,
breakfast may be served not more than 16 hours after the previous evening meal
if approved by a group of patients organized pursuant to NAC
449.74499.
7. A facility shall provide special eating
equipment and utensils to each patient who requires them.
8. A facility shall:
(a) Comply with the applicable provisions of
chapter 446 of NRS and the regulations adopted pursuant thereto and obtain such
permits as are necessary from the Division for the preparation and service of
food;
(b) Maintain a report of each
inspection concerning the sanitation of the facility for at least 1 year after
the date of the inspection;
(c)
Maintain a report of each corrective action taken to address a deficiency noted
in a report described in paragraph (b) for at least 1 year after the date of
the corrective action;
(d) Procure
food from sources that are approved or considered satisfactory by federal,
state and local authorities;
(e)
Store, prepare and serve food under sanitary conditions; and
(f) Dispose of refuse and garbage
properly.
Notes
NRS 439.200, 449.0302, 449.1915
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