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CMS SOM App. J, Tag W462

§483.480(a)(3) If a qualified dietitian is not employed full-time, the facility must designate a

activein force · 2026-07-22 – presentas-observed

person to serve as the director of food services.

Guidance §483.480(a)(3)

Where the facility does not have a full-time qualified dietitian, verify that the director of food

services coordinates with a dietitian to assure the nutritional adequacy of meals and snacks.

The food service director coordinates with the part-time or consultant dietitian to develop client

meal plans and monitor client nutritional status.

The qualifications of the food service director may be dictated by facility policy or by state law, if

applicable.

In small group home settings where the staff and clients plan and prepare meals cooperatively,

there may not be a designated food services director. In these cases, the consultant or part-time dietitian would meet with the available home staff to ensure adequacy of menus and diets.

§483.480(a)(4) The client's interdisciplinary team, including a qualified dietitian and physician

must prescribe

History

Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
46dafe5440ae48daddfb1d289071058d849760eda0e863aab6032b4e0ba1dbe0
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CMS SOM App. J, Tag W462 — §483.480(a)(3) If a qualif… · binding.law