This letter outlines the importance of proper hydration among nursing home residents and the need to provide drinks and other liquids consistent with their needs and preferences. It also provides guidance on other food items that may be offered to encourage fluid intake, such as popsicles and ice cream. The letter also provides recommended actions to take if a concern is identified regarding a resident's hydration status, such as consulting the care plan and engaging in post-intervention debriefing. This letter will impact nursing homes and healthcare facilities by requiring them to provide adequate liquids to maintain resident hydration, as well as to proactively identify and prevent hydration-related deficiencies. Facilities should ensure that residents have the right to refuse treatment, including drinks and thickened fluids, and should develop comprehensive care plans to address resident hydration needs and preferences. Facilities should also ensure that there is sufficient staffing to meet these needs.

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