This letter outlines the requirements for food and drink served to residents in nursing homes and other healthcare facilities. The food must be prepared in a way that conserves its nutritive value, flavor, and appearance, and must be served at a safe and appetizing temperature. The letter also provides definitions for food attractiveness, palatability, and proper temperature, as well as guidance and procedures for ensuring these standards are met. Facilities must review recipes, obtain test trays, and address any complaints concerning food temperatures, palatability, or attractiveness. This letter will help ensure that nursing homes and healthcare facilities provide safe and appetizing food and drink to their residents, which can help them to improve their nutrition and hydration status.

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