The California Department of Health has issued a new All Facilities Letter, superseding AFL 13-11, reminding healthcare facilities, including nursing homes, of their responsibility to meet patients' nutritional needs through menu development in accordance with physicians' diet orders. The letter emphasizes the importance of diet manuals for establishing a common language and practice among healthcare professionals when providing nutrition care. Facilities must analyze menus to ensure they meet the Recommended Dietary Allowances (RDAs) for their specific patient population, and have a system in place to address any nutritional inadequacies. Additionally, the letter clarifies that facilities must have detailed written plans for emergencies and disasters, including provisions for adequate food and water supplies, taking into account the special needs of their patients. Facilities are responsible for following all applicable laws and regulations, and should contact their respective Licensing and Certification District Office with any questions.

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