This letter outlines the requirements for nursing staff in nursing homes and other healthcare facilities. It explains that the facility must have enough nursing staff with the appropriate qualifications and skills to provide safe care and meet the needs of each resident. It also states that physicians may delegate the task of writing dietary orders to qualified dietitians or other clinically qualified nutrition professionals, and therapy orders to qualified therapists, if allowed by state practice act. The letter also provides definitions for qualified dietitians and qualified therapists, and guidance for physician supervision. This letter will impact nursing homes and other healthcare facilities by requiring them to ensure they have enough qualified staff to provide safe care, and that any orders written by qualified dietitians or therapists are properly supervised by the physician.

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