US · guidance
CMS SOM App. U, Tag R145
(4) The RNHCI must offer snacks at bedtime
Interpretive Guidelines: §403.734(b)(4)
Suitable, nourishing alternative meals and snacks should be provided to patients who
want to eat at non-traditional times or outside of scheduled meal service times, consistent
with the plan of care. The RNHCI must at a minimum offer snacks to a patient around
bedtime.
Survey Procedures:
• Review the RNHCI food services schedule and ask food service staff about snacks
available to patients.
• Interview a sample of patients and ask them if they are provided with snacks
around bedtime..
History
Rev. 239; Issued: 04-24-26; Effective: 04-24-26; Implementation: 04-24-26
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
67342d6022c94d668ceffb34b2172e9fcddd56919b9efd8813a05d0e2d490201
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