1. (a) There may not be more than 15 hours between the evening meal and the first meal of the next day. There may not be more than 6 hours between breakfast and lunch, and between lunch and supper. This requirement does not apply if a resident’s physician has prescribed otherwise.
2. (b) When a resident misses a meal, food adequate to meet daily nutritional requirements shall be available and offered to the resident.
3. (c) Menus, stating the specific food being served at each meal, shall be prepared for 1 week in advance and shall be followed. Weekly menus shall be posted 1 week in advance in a conspicuous and public place in the residence.
4. (d) Past menus of meals that were served, including changes, shall be kept for at least 1 month.
5. (e) A change to a menu shall be posted in a conspicuous and public place in the residence and shall be accessible to a resident in advance of the meal. Meal substitutions shall be made in accordance with § 2800.161 (relating to nutritional adequacy).
6. (f) A resident shall receive adequate physical assistance with eating or be provided with appropriate adaptive devices, or both, as indicated in the resident’s support plan.
7. (g) Appropriate cueing shall be used to encourage and remind residents to eat and drink, as indicated in the resident’s support plan.

Cross References

This section cited in 55 Pa. Code § 2800.220 (relating to service provision).