US · guidance
CMS SOM App. A, Tag A-0631
§482.28(b)(3) - A current therapeutic diet manual approved by the dietitian and medical
staff must be readily available to all medical, nursing, and food service personnel.
Interpretive Guidelines §482.28(b)(3)
The therapeutic diet manual must be approved by the dietitian and the medical staff. The
publication or revision date of the approved therapeutic diet manual must not be more than 5
years old. The therapeutic diet manual (or copies of it) must be available to all medical, nursing
and food service personnel.
Survey Procedures §482.28(b)(3)
• Determine that the therapeutic diet manual is current, and:
o Has been approved by both the medical staff and a qualified dietitian;
o Is readily available to MD/DOs, nursing and food service personnel;
o Is in accordance with the current national standards, such as RDA or DRI;
o Includes the different types of therapeutic diets routinely ordered at the hospital; and
o Is consistently used as guidance for ordering and preparing patient diets.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
968d34aa691d2a65494b533c5abb2dd76b920c65d3407baea4b37cc76e22677d
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