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Dietary Services - Assistive Devices and Special Assistance

Description of Federal Requirements
Comparison of State Requirements
Table Comparing States

Complete Transcript of State Requirements on Assistive Devices and Special Assistance(PDF)


Federal Regulations & Related F-tags Applicable Federal Regulation
(g) Assistive Devices | F369
(a) Provision of services | F406
(b) Qualifications | F407

  • 483.35 Dietary Services

  • 483.45 Specialized Rehabilitative Services
  • Description of Federal Requirements    (TOP)    (NEXT)

    Federal regulations require that the facility provide special eating equipment and utensils for residents who need them (F-369); the facility must employ sufficient support personnel competent to carry out the function of the dietary service (F-362), food shall be palatable, attractive and at the proper temperature and that food be prepared in a form designed to meet individual needs. (F-364, F-365, F-366)

    Comparison of State Requirements    (TOP)    (NEXT)

    Very few states go beyond the standard Federal guidelines. Arizona specifies that assistance with eating be provided that recognizes resident’s nutritional, physical and social needs. Washington specifies the assistance be individualized, Massachusetts only requires adequate assistance while Texas wants prompt assistance and Oregon requires timely assistance.

    ArkansasIowa and Wisconsin require the food to be cut, chopped, ground, or pureed to meet the individual needs of the patient. Idaho specifies that food shall be cut, ground, or pureed only for those residents who require it and special attention shall be given to the food given residents without dentures, with poor dentures, or with poor teeth because of the difficulty these residents have with mastication.

    Oregon requires the food to be attractively served in a form cut, chopped, ground, or pureed and that it be delivered to residents at customarily acceptable temperatures. In Louisiana, if residents require assistance in eating, food shall be maintained at appropriate serving temperatures until assistance is provided and feeder trays shall be delivered at the time staff is immediately available for feeding while in New Jersey, no resident shall have to wait for assistance in eating for more than 15 minutes following delivery of a tray to the resident. North Carolina requires the food to be maintained at the appropriate temperature until assistance is provided and Oregon requires food shall be at customarily acceptable temperatures.

    Table Comparing States        (TOP)

    Note: If the States in this table are not hyper-linked, their provisions do not appear to address the topic, and therefore, do not alter the Federal Regulatory scope.  The Table summarizes content on Assistive Devices and Special Assistance by State (with a link to each State's specific language).  Link to a downloadable PDF document containing all State requirements on Assistive Devices and Special Assistance.

    483.35 Dietary Services

    Assistive Devices and Special Assistance
    State Goes beyond Federal Regulations? Subjects Addressed: How State Differs From or Expands On Federal Regulations
    Alabama Yes Same as Federal Categories.
    Alaska No  Alaska regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Arizona Yes Assistance with nutritional, physical and social needs.
    Arkansas Yes Food substitutes and individual needs.
    California Yes California regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Colorado Yes Colorado regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Connecticut Yes Provide special equipment, implements or utensils.
    Delaware No  Delaware regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    District of Columbia Yes Special eating and equipment and assistance as necessary.
    Florida No Florida regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Georgia No  Georgia regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Hawaii Yes Facility provides special equipment.
    Idaho Yes Food served to meet needs; special attention to dentures.
    Illinois No Illinois regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Indiana Yes Facility supports needs.
    Iowa Yes Food served to meet individual needs.
    Kansas Yes Provide assistive devices as needed.
    Kentucky Yes Same as Federal Categories.
    Louisiana Yes Proper temperatures; assistance immediately when trays delivered.
    Maine Yes Items provided as needed.
    Maryland No Maryland regulations do not contain specific content for Dietary Assistive Devices and Special Needs. 
    Massachusetts Yes Prompt assistance upon receipt of meals.
    Michigan No Michigan regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Minnesota Yes Risk of choking; assistance with eating.
    Mississippi No Mississippi regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Missouri No Missouri regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Montana No Montana regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Nebraska Yes Standards of care.
    Nevada Yes Items provided as needed.
    New Hampshire Yes Assistance for bedfast and handicapped residents.
    New Jersey Yes Not to wait more than 15 minutes for assistance after tray delivery; advisory nutrition for dementia program.
    New Mexico Yes Adaptive devices and assistance.
    New York Yes Assistance for those in need; equipment provided.
    North Carolina Yes Food maintained at appropriate temperature until assistance is provided.
    North Dakota No North Dakota regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Ohio No Ohio regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Oklahoma No Oklahoma regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Oregon Yes Timely assistance required.
    Pennsylvania No Pennsylvania regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Rhode Island Yes Self-help feeding devices shall be available.
    South Carolina Yes Food to meet individual needs.
    South Dakota Yes Assistance provided.
    Tennessee No Tennessee regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Texas Yes Prompt assistance for residents who need help.
    Utah Yes Assistive devices.
    Vermont Yes Same as Federal Categories.
    Virginia Yes Virginia regulations do not contain specific content for Dietary Assistive Devices and Special Needs.
    Washington Yes Individualized assistance; effective adaptive utensils.
    West Virginia Yes Quality of care
    Wisconsin Yes Food prepared for individual needs.
    Wyoming No Wyoming regulations do not contain specific content for Dietary Assistive Devices and Special Needs.

    Complete Transcript of State Requirements on Assistive Devices and Special Assistance    (TOP)