[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR482.28]



[Page 506-507]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 482_CONDITIONS OF PARTICIPATION FOR HOSPITALS--Table of Contents

 

                   Subpart C_Basic Hospital Functions

 

Sec.  482.28  Condition of participation: Food and dietetic services.



    The hospital must have organized dietary services that are directed 

and staffed by adequate qualified personnel. However, a hospital that 

has a contract with an outside food management company may be found to 

meet this Condition of participation if the company has a dietitian who 

serves the hospital on a full-time, part-time, or consultant basis, and 

if the company maintains at least the minimum standards specified in 

this section and provides for constant liaison with the hospital medical 

staff for recommendations on dietetic policies affecting patient 

treatment.

    (a) Standard: Organization. (1) The hospital must have a full-time 

employee who--

    (i) Serves as director of the food and dietetic service;

    (ii) Is responsible for the daily management of the dietary 

services; and

    (iii) Is qualified by experience or training.

    (2) There must be a qualified dietitian, full-time, part-time, or on 

a consultant basis.

    (3) There must be administrative and technical personnel competent 

in their respective duties.

    (b) Standard: Diets. Menus must meet the needs of the patients.



[[Page 507]]



    (1) Therapeutic diets must be prescribed by the practitioner or 

practitioners responsible for the care of the patients.

    (2) Nutritional needs must be met in accordance with recognized 

dietary practices and in accordance with orders of the practitioner or 

practitioners responsible for the care of the patients.

    (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.