This letter from CMS outlines new requirements for nursing homes and other healthcare facilities related to food and drink, including accommodating resident allergies, intolerances, and preferences. Facilities must ensure that food substitutes are consistent with the usual and/or ordinary food items provided by the facility and that alternate food choices are communicated to the residents. During investigations of F806, surveyors may investigate related requirements such as comprehensive assessments, care plans, care provided by qualified persons, and nutrition/hydration to ensure that the resident's allergies, intolerances, preferences, or need for a therapeutic diet are addressed. Nursing homes and other healthcare facilities must take steps to ensure they are meeting these new requirements.

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